St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW COMP AFIX T7 2.0 X 24MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906423
Hospital Revenue Code	278
Min. Negotiated Rate	$195.20
Max. Negotiated Rate	$195.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20

SCREW COMP AFIX T7 2.0 X 24MM

Facility

$390.39

Service Code	HCPCS C1713
Hospital Charge Code	64906423
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$234.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.47
Rate for Payer: EmblemHealth Commercial	$195.20
Rate for Payer: Fidelis Medicare Advantage	$409.91
Rate for Payer: Group Health Inc Commercial	$195.20
Rate for Payer: Group Health Inc Medicare	$136.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.20
Rate for Payer: Hamaspik Choice Inc Medicare	$195.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.75

SCREW COMP FT 2.5 MCR

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64906900
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$735.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$385.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$420.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$350.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$402.50
Rate for Payer: EmblemHealth Commercial	$350.00
Rate for Payer: Fidelis Medicare Advantage	$735.00
Rate for Payer: Group Health Inc Commercial	$350.00
Rate for Payer: Group Health Inc Medicare	$245.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$455.00

SCREW COMP FT 2.5 MCR

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64906900
Hospital Revenue Code	278
Min. Negotiated Rate	$350.00
Max. Negotiated Rate	$350.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$350.00
Rate for Payer: Hamaspik Choice Inc Medicare	$350.00

SCREW COMP FT MINI

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907395
Hospital Revenue Code	278
Min. Negotiated Rate	$437.50
Max. Negotiated Rate	$437.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50

SCREW COMP FT MINI

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907395
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$918.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$481.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$525.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$437.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$503.12
Rate for Payer: EmblemHealth Commercial	$437.50
Rate for Payer: Fidelis Medicare Advantage	$918.75
Rate for Payer: Group Health Inc Commercial	$437.50
Rate for Payer: Group Health Inc Medicare	$306.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$568.75

SCREW COMP FT STD 4

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907397
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$918.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$481.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$525.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$437.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$503.12
Rate for Payer: EmblemHealth Commercial	$437.50
Rate for Payer: Fidelis Medicare Advantage	$918.75
Rate for Payer: Group Health Inc Commercial	$437.50
Rate for Payer: Group Health Inc Medicare	$306.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$568.75

SCREW COMP FT STD 4

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907397
Hospital Revenue Code	278
Min. Negotiated Rate	$437.50
Max. Negotiated Rate	$437.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50

SCREW COMPRESSION 32.3MM

Facility

$182.00

Service Code	HCPCS C1713
Hospital Charge Code	64902847
Hospital Revenue Code	278
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$91.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.00
Rate for Payer: Hamaspik Choice Inc Medicare	$91.00

SCREW COMPRESSION 32.3MM

Facility

$182.00

Service Code	HCPCS C1713
Hospital Charge Code	64902847
Hospital Revenue Code	278
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$191.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$100.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$109.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$91.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$104.65
Rate for Payer: EmblemHealth Commercial	$91.00
Rate for Payer: Fidelis Medicare Advantage	$191.10
Rate for Payer: Group Health Inc Commercial	$91.00
Rate for Payer: Group Health Inc Medicare	$63.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.00
Rate for Payer: Hamaspik Choice Inc Medicare	$91.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$118.30

SCREW COMPR FT 3.5

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907475
Hospital Revenue Code	278
Min. Negotiated Rate	$437.50
Max. Negotiated Rate	$437.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50

SCREW COMPR FT 3.5

Facility

$875.00

Service Code	HCPCS C1713
Hospital Charge Code	64907475
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$918.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$481.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$525.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$437.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$503.12
Rate for Payer: EmblemHealth Commercial	$437.50
Rate for Payer: Fidelis Medicare Advantage	$918.75
Rate for Payer: Group Health Inc Commercial	$437.50
Rate for Payer: Group Health Inc Medicare	$306.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$437.50
Rate for Payer: Hamaspik Choice Inc Medicare	$437.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$568.75

SCREW COR LOCK 3.5 X 10MM

Facility

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906907
Hospital Revenue Code	278
Min. Negotiated Rate	$79.80
Max. Negotiated Rate	$239.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$125.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$136.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.10
Rate for Payer: EmblemHealth Commercial	$114.00
Rate for Payer: Fidelis Medicare Advantage	$239.40
Rate for Payer: Group Health Inc Commercial	$114.00
Rate for Payer: Group Health Inc Medicare	$79.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.20

SCREW COR LOCK 3.5 X 10MM

Facility

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906907
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00

SCREW COR NL 3.5 X 10MM

Facility

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906908
Hospital Revenue Code	278
Min. Negotiated Rate	$79.80
Max. Negotiated Rate	$239.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$125.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$136.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.10
Rate for Payer: EmblemHealth Commercial	$114.00
Rate for Payer: Fidelis Medicare Advantage	$239.40
Rate for Payer: Group Health Inc Commercial	$114.00
Rate for Payer: Group Health Inc Medicare	$79.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.20

SCREW COR NL 3.5 X 10MM

Facility

$228.00

Service Code	HCPCS C1713
Hospital Charge Code	64906908
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$114.00

SCREW CORT 38MM

Facility

$6,294.30

Service Code	HCPCS C1713
Hospital Charge Code	64903917
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,609.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,461.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,776.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,147.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,619.22
Rate for Payer: EmblemHealth Commercial	$3,147.15
Rate for Payer: Fidelis Medicare Advantage	$6,609.02
Rate for Payer: Group Health Inc Commercial	$3,147.15
Rate for Payer: Group Health Inc Medicare	$2,203.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,147.15
Rate for Payer: Hamaspik Choice Inc Medicare	$3,147.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,091.30

SCREW CORT 38MM

Facility

$6,294.30

Service Code	HCPCS C1713
Hospital Charge Code	64903917
Hospital Revenue Code	278
Min. Negotiated Rate	$3,147.15
Max. Negotiated Rate	$3,147.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,147.15
Rate for Payer: Hamaspik Choice Inc Medicare	$3,147.15

SCREW CORT BONE 5.0MM X 38MM

Facility

$496.00

Service Code	HCPCS C1713
Hospital Charge Code	40003336
Hospital Revenue Code	278
Min. Negotiated Rate	$248.00
Max. Negotiated Rate	$248.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$248.00
Rate for Payer: Hamaspik Choice Inc Medicare	$248.00

SCREW CORT BONE 5.0MM X 38MM

Facility

$496.00

Service Code	HCPCS C1713
Hospital Charge Code	40003336
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$520.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$272.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$297.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$248.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$285.20
Rate for Payer: EmblemHealth Commercial	$248.00
Rate for Payer: Fidelis Medicare Advantage	$520.80
Rate for Payer: Group Health Inc Commercial	$248.00
Rate for Payer: Group Health Inc Medicare	$173.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$248.00
Rate for Payer: Hamaspik Choice Inc Medicare	$248.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$322.40

SCREW CORT BONE ST 4.5 X 32MM

Facility

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	64901616
Hospital Revenue Code	278
Min. Negotiated Rate	$28.75
Max. Negotiated Rate	$28.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.75
Rate for Payer: Hamaspik Choice Inc Medicare	$28.75

SCREW CORT BONE ST 4.5 X 32MM

Facility

$57.50

Service Code	HCPCS C1713
Hospital Charge Code	64901616
Hospital Revenue Code	278
Min. Negotiated Rate	$20.12
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$34.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.06
Rate for Payer: EmblemHealth Commercial	$28.75
Rate for Payer: Fidelis Medicare Advantage	$60.38
Rate for Payer: Group Health Inc Commercial	$28.75
Rate for Payer: Group Health Inc Medicare	$20.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.75
Rate for Payer: Hamaspik Choice Inc Medicare	$28.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$37.38

SCREW CORT BONE ST 4.5X58MM

Facility

$40.00

Service Code	HCPCS C1713
Hospital Charge Code	40200149
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$24.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.00
Rate for Payer: EmblemHealth Commercial	$20.00
Rate for Payer: Fidelis Medicare Advantage	$42.00
Rate for Payer: Group Health Inc Commercial	$20.00
Rate for Payer: Group Health Inc Medicare	$14.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.00
Rate for Payer: Hamaspik Choice Inc Medicare	$20.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.00

SCREW CORT BONE ST 4.5X58MM

Facility

$40.00

Service Code	HCPCS C1713
Hospital Charge Code	40200149
Hospital Revenue Code	278
Min. Negotiated Rate	$20.00
Max. Negotiated Rate	$20.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.00
Rate for Payer: Hamaspik Choice Inc Medicare	$20.00

SCREW CORTEX

Facility

$69.00

Service Code	HCPCS C1776
Hospital Charge Code	40209010
Hospital Revenue Code	278
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$41.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$34.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.68
Rate for Payer: EmblemHealth Commercial	$34.50
Rate for Payer: Fidelis Medicare Advantage	$72.45
Rate for Payer: Group Health Inc Commercial	$34.50
Rate for Payer: Group Health Inc Medicare	$24.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.50
Rate for Payer: Hamaspik Choice Inc Medicare	$34.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$44.85

Know your out-of-pocket cost for care.

All Charges