St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW CANCELL BONE 6.5 16MM

Facility

$423.00

Service Code	HCPCS C1713
Hospital Charge Code	64905735
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$444.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$232.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$253.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$211.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$243.22
Rate for Payer: EmblemHealth Commercial	$211.50
Rate for Payer: Fidelis Medicare Advantage	$444.15
Rate for Payer: Group Health Inc Commercial	$211.50
Rate for Payer: Group Health Inc Medicare	$148.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.50
Rate for Payer: Hamaspik Choice Inc Medicare	$211.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$274.95

SCREW CANCELL BONE 6.5 16MM

Facility

$423.00

Service Code	HCPCS C1713
Hospital Charge Code	64905735
Hospital Revenue Code	278
Min. Negotiated Rate	$211.50
Max. Negotiated Rate	$211.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$211.50
Rate for Payer: Hamaspik Choice Inc Medicare	$211.50

SCREW CANCELLOUS 4.0 SS2

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64902852
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44

SCREW CANCELLOUS 4.0 SS2

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64902852
Hospital Revenue Code	278
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$34.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.71
Rate for Payer: EmblemHealth Commercial	$28.44
Rate for Payer: Fidelis Medicare Advantage	$59.72
Rate for Payer: Group Health Inc Commercial	$28.44
Rate for Payer: Group Health Inc Medicare	$19.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.97

SCREW CANCELLOUS 4.0 SS4

Facility

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	64902854
Hospital Revenue Code	278
Min. Negotiated Rate	$34.12
Max. Negotiated Rate	$34.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.12
Rate for Payer: Hamaspik Choice Inc Medicare	$34.12

SCREW CANCELLOUS 4.0 SS4

Facility

$68.25

Service Code	HCPCS C1713
Hospital Charge Code	64902854
Hospital Revenue Code	278
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$40.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.24
Rate for Payer: EmblemHealth Commercial	$34.12
Rate for Payer: Fidelis Medicare Advantage	$71.66
Rate for Payer: Group Health Inc Commercial	$34.12
Rate for Payer: Group Health Inc Medicare	$23.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.12
Rate for Payer: Hamaspik Choice Inc Medicare	$34.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44.36

SCREW CANCELLOUS 4.0 SS5

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64902856
Hospital Revenue Code	278
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$34.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.71
Rate for Payer: EmblemHealth Commercial	$28.44
Rate for Payer: Fidelis Medicare Advantage	$59.72
Rate for Payer: Group Health Inc Commercial	$28.44
Rate for Payer: Group Health Inc Medicare	$19.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.97

SCREW CANCELLOUS 4.0 SS5

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	64902856
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44

SCREW CANCELLOUS 4.0 X 20

Facility

$35.00

Service Code	HCPCS C1713
Hospital Charge Code	64906358
Hospital Revenue Code	278
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50

SCREW CANCELLOUS 4.0 X 20

Facility

$35.00

Service Code	HCPCS C1713
Hospital Charge Code	64906358
Hospital Revenue Code	278
Min. Negotiated Rate	$12.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$21.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.12
Rate for Payer: EmblemHealth Commercial	$17.50
Rate for Payer: Fidelis Medicare Advantage	$36.75
Rate for Payer: Group Health Inc Commercial	$17.50
Rate for Payer: Group Health Inc Medicare	$12.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$22.75

SCREW CANCELLOUS 6'

Facility

$137.28

Service Code	HCPCS C1713
Hospital Charge Code	64907236
Hospital Revenue Code	278
Min. Negotiated Rate	$68.64
Max. Negotiated Rate	$68.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.64
Rate for Payer: Hamaspik Choice Inc Medicare	$68.64

SCREW CANCELLOUS 6'

Facility

$137.28

Service Code	HCPCS C1713
Hospital Charge Code	64907236
Hospital Revenue Code	278
Min. Negotiated Rate	$48.05
Max. Negotiated Rate	$144.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$75.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$82.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$68.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$78.94
Rate for Payer: EmblemHealth Commercial	$68.64
Rate for Payer: Fidelis Medicare Advantage	$144.14
Rate for Payer: Group Health Inc Commercial	$68.64
Rate for Payer: Group Health Inc Medicare	$48.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.64
Rate for Payer: Hamaspik Choice Inc Medicare	$68.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$89.23

SCREW CANN 3.75 X 34 MM

Facility

$572.00

Service Code	HCPCS C1713
Hospital Charge Code	40004886
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$600.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$314.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$343.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$328.90
Rate for Payer: EmblemHealth Commercial	$286.00
Rate for Payer: Fidelis Medicare Advantage	$600.60
Rate for Payer: Group Health Inc Commercial	$286.00
Rate for Payer: Group Health Inc Medicare	$200.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$286.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$371.80

SCREW CANN 3.75 X 34 MM

Facility

$572.00

Service Code	HCPCS C1713
Hospital Charge Code	40004886
Hospital Revenue Code	278
Min. Negotiated Rate	$286.00
Max. Negotiated Rate	$286.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$286.00

SCREW CANN 3.75 X 36 MM

Facility

$572.00

Service Code	HCPCS C1713
Hospital Charge Code	40004887
Hospital Revenue Code	278
Min. Negotiated Rate	$286.00
Max. Negotiated Rate	$286.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$286.00

SCREW CANN 3.75 X 36 MM

Facility

$572.00

Service Code	HCPCS C1713
Hospital Charge Code	40004887
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$600.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$314.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$343.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$328.90
Rate for Payer: EmblemHealth Commercial	$286.00
Rate for Payer: Fidelis Medicare Advantage	$600.60
Rate for Payer: Group Health Inc Commercial	$286.00
Rate for Payer: Group Health Inc Medicare	$200.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.00
Rate for Payer: Hamaspik Choice Inc Medicare	$286.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$371.80

SCREW CANN 6.5 X 55MM

Facility

$1,644.00

Service Code	HCPCS C1713
Hospital Charge Code	64906805
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,726.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$904.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$986.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$822.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$945.30
Rate for Payer: EmblemHealth Commercial	$822.00
Rate for Payer: Fidelis Medicare Advantage	$1,726.20
Rate for Payer: Group Health Inc Commercial	$822.00
Rate for Payer: Group Health Inc Medicare	$575.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$822.00
Rate for Payer: Hamaspik Choice Inc Medicare	$822.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,068.60

SCREW CANN 6.5 X 55MM

Facility

$1,644.00

Service Code	HCPCS C1713
Hospital Charge Code	64906805
Hospital Revenue Code	278
Min. Negotiated Rate	$822.00
Max. Negotiated Rate	$822.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$822.00
Rate for Payer: Hamaspik Choice Inc Medicare	$822.00

SCREW CANN F/T 3.5

Facility

$306.00

Service Code	HCPCS C1776
Hospital Charge Code	40208116
Hospital Revenue Code	278
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$153.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$153.00
Rate for Payer: Hamaspik Choice Inc Medicare	$153.00

SCREW CANN F/T 3.5

Facility

$306.00

Service Code	HCPCS C1776
Hospital Charge Code	40208116
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$168.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$183.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$153.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$175.95
Rate for Payer: EmblemHealth Commercial	$153.00
Rate for Payer: Fidelis Medicare Advantage	$321.30
Rate for Payer: Group Health Inc Commercial	$153.00
Rate for Payer: Group Health Inc Medicare	$107.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$153.00
Rate for Payer: Hamaspik Choice Inc Medicare	$153.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$198.90

SCREW, CANN HEAD 3.5X28MM

Facility

$467.38

Service Code	HCPCS C1713
Hospital Charge Code	40004420
Hospital Revenue Code	278
Min. Negotiated Rate	$233.69
Max. Negotiated Rate	$233.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.69
Rate for Payer: Hamaspik Choice Inc Medicare	$233.69

SCREW, CANN HEAD 3.5X28MM

Facility

$467.38

Service Code	HCPCS C1713
Hospital Charge Code	40004420
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$490.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$257.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$280.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$233.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$268.74
Rate for Payer: EmblemHealth Commercial	$233.69
Rate for Payer: Fidelis Medicare Advantage	$490.75
Rate for Payer: Group Health Inc Commercial	$233.69
Rate for Payer: Group Health Inc Medicare	$163.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.69
Rate for Payer: Hamaspik Choice Inc Medicare	$233.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$303.80

SCREW CANN INT W/DISP

Facility

$287.50

Service Code	HCPCS C1713
Hospital Charge Code	64907433
Hospital Revenue Code	278
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$301.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$158.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$172.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$143.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$165.31
Rate for Payer: EmblemHealth Commercial	$143.75
Rate for Payer: Fidelis Medicare Advantage	$301.88
Rate for Payer: Group Health Inc Commercial	$143.75
Rate for Payer: Group Health Inc Medicare	$100.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.75
Rate for Payer: Hamaspik Choice Inc Medicare	$143.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$186.88

SCREW CANN INT W/DISP

Facility

$287.50

Service Code	HCPCS C1713
Hospital Charge Code	64907433
Hospital Revenue Code	278
Min. Negotiated Rate	$143.75
Max. Negotiated Rate	$143.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$143.75
Rate for Payer: Hamaspik Choice Inc Medicare	$143.75

SCREW CANNLTD 4.5 X 22MM

Facility

$92.80

Service Code	HCPCS C1713
Hospital Charge Code	64907017
Hospital Revenue Code	278
Min. Negotiated Rate	$32.48
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$51.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$55.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$46.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.36
Rate for Payer: EmblemHealth Commercial	$46.40
Rate for Payer: Fidelis Medicare Advantage	$97.44
Rate for Payer: Group Health Inc Commercial	$46.40
Rate for Payer: Group Health Inc Medicare	$32.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$46.40
Rate for Payer: Hamaspik Choice Inc Medicare	$46.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$60.32

Know your out-of-pocket cost for care.

All Charges