St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW DRIVER BIT

Facility

$1,395.00

Service Code	HCPCS C1713
Hospital Charge Code	64904626
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,464.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$767.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$837.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$697.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$802.12
Rate for Payer: EmblemHealth Commercial	$697.50
Rate for Payer: Fidelis Medicare Advantage	$1,464.75
Rate for Payer: Group Health Inc Commercial	$697.50
Rate for Payer: Group Health Inc Medicare	$488.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$697.50
Rate for Payer: Hamaspik Choice Inc Medicare	$697.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$906.75

SCREW DRIVER BIT

Facility

$1,395.00

Service Code	HCPCS C1713
Hospital Charge Code	64904626
Hospital Revenue Code	278
Min. Negotiated Rate	$697.50
Max. Negotiated Rate	$697.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$697.50
Rate for Payer: Hamaspik Choice Inc Medicare	$697.50

SCREWDRIVER BLL-TP

Facility

$575.58

Hospital Charge Code	64907358
Hospital Revenue Code	270
Min. Negotiated Rate	$201.45
Max. Negotiated Rate	$460.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$316.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$287.79
Rate for Payer: Aetna Government	$287.79
Rate for Payer: Brighton Health Commercial	$431.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$460.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$391.39
Rate for Payer: Group Health Inc Commercial	$287.79
Rate for Payer: Group Health Inc Medicare	$201.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$287.79
Rate for Payer: Hamaspik Choice Inc Medicare	$287.79

SCREWDRIVER CNLTD

Facility

$1,171.62

Hospital Charge Code	64907381
Hospital Revenue Code	270
Min. Negotiated Rate	$410.07
Max. Negotiated Rate	$937.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$644.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$585.81
Rate for Payer: Aetna Government	$585.81
Rate for Payer: Brighton Health Commercial	$878.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$937.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$796.70
Rate for Payer: Group Health Inc Commercial	$585.81
Rate for Payer: Group Health Inc Medicare	$410.07
Rate for Payer: Hamaspik Choice Inc Medicaid	$585.81
Rate for Payer: Hamaspik Choice Inc Medicare	$585.81

SCREWDRIVER SURG HEX CNLTD

Facility

$660.88

Hospital Charge Code	64907333
Hospital Revenue Code	270
Min. Negotiated Rate	$231.31
Max. Negotiated Rate	$528.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$363.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$330.44
Rate for Payer: Aetna Government	$330.44
Rate for Payer: Brighton Health Commercial	$495.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$528.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$449.40
Rate for Payer: Group Health Inc Commercial	$330.44
Rate for Payer: Group Health Inc Medicare	$231.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$330.44
Rate for Payer: Hamaspik Choice Inc Medicare	$330.44

SCREWDRIVE/TAP HANDLE 1.5/2.0

Facility

$890.00

Service Code	HCPCS C1713
Hospital Charge Code	40201319
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$934.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$489.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$534.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$445.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$511.75
Rate for Payer: EmblemHealth Commercial	$445.00
Rate for Payer: Fidelis Medicare Advantage	$934.50
Rate for Payer: Group Health Inc Commercial	$445.00
Rate for Payer: Group Health Inc Medicare	$311.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.00
Rate for Payer: Hamaspik Choice Inc Medicare	$445.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$578.50

SCREWDRIVE/TAP HANDLE 1.5/2.0

Facility

$890.00

Service Code	HCPCS C1713
Hospital Charge Code	40201319
Hospital Revenue Code	278
Min. Negotiated Rate	$445.00
Max. Negotiated Rate	$445.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.00
Rate for Payer: Hamaspik Choice Inc Medicare	$445.00

SCREW DRL-FRE CRS-DV 2.0X5MM

Facility

$147.60

Service Code	HCPCS C1713
Hospital Charge Code	64902376
Hospital Revenue Code	278
Min. Negotiated Rate	$51.66
Max. Negotiated Rate	$154.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$88.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$84.87
Rate for Payer: EmblemHealth Commercial	$73.80
Rate for Payer: Fidelis Medicare Advantage	$154.98
Rate for Payer: Group Health Inc Commercial	$73.80
Rate for Payer: Group Health Inc Medicare	$51.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.80
Rate for Payer: Hamaspik Choice Inc Medicare	$73.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$95.94

SCREW DRL-FRE CRS-DV 2.0X5MM

Facility

$147.60

Service Code	HCPCS C1713
Hospital Charge Code	64902376
Hospital Revenue Code	278
Min. Negotiated Rate	$73.80
Max. Negotiated Rate	$73.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.80
Rate for Payer: Hamaspik Choice Inc Medicare	$73.80

SCREW DRL-FRE CRS-DV 2.0X7MM

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	64902378
Hospital Revenue Code	278
Min. Negotiated Rate	$77.50
Max. Negotiated Rate	$77.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.50
Rate for Payer: Hamaspik Choice Inc Medicare	$77.50

SCREW DRL-FRE CRS-DV 2.0X7MM

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	64902378
Hospital Revenue Code	278
Min. Negotiated Rate	$54.25
Max. Negotiated Rate	$162.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$93.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.12
Rate for Payer: EmblemHealth Commercial	$77.50
Rate for Payer: Fidelis Medicare Advantage	$162.75
Rate for Payer: Group Health Inc Commercial	$77.50
Rate for Payer: Group Health Inc Medicare	$54.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.50
Rate for Payer: Hamaspik Choice Inc Medicare	$77.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.75

SCREW DS RESORB 1.7 X 4MM

Facility

$1,812.60

Service Code	HCPCS C1713
Hospital Charge Code	64906927
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,903.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$996.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,087.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$906.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,042.24
Rate for Payer: EmblemHealth Commercial	$906.30
Rate for Payer: Fidelis Medicare Advantage	$1,903.23
Rate for Payer: Group Health Inc Commercial	$906.30
Rate for Payer: Group Health Inc Medicare	$634.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$906.30
Rate for Payer: Hamaspik Choice Inc Medicare	$906.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,178.19

SCREW DS RESORB 1.7 X 4MM

Facility

$1,812.60

Service Code	HCPCS C1713
Hospital Charge Code	64906927
Hospital Revenue Code	278
Min. Negotiated Rate	$906.30
Max. Negotiated Rate	$906.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$906.30
Rate for Payer: Hamaspik Choice Inc Medicare	$906.30

SCREW ELBOW NON L 3.5 44

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	64904571
Hospital Revenue Code	278
Min. Negotiated Rate	$119.00
Max. Negotiated Rate	$357.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$187.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$204.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$170.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$195.50
Rate for Payer: EmblemHealth Commercial	$170.00
Rate for Payer: Fidelis Medicare Advantage	$357.00
Rate for Payer: Group Health Inc Commercial	$170.00
Rate for Payer: Group Health Inc Medicare	$119.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$170.00
Rate for Payer: Hamaspik Choice Inc Medicare	$170.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$221.00

SCREW ELBOW NON L 3.5 44

Facility

$340.00

Service Code	HCPCS C1713
Hospital Charge Code	64904571
Hospital Revenue Code	278
Min. Negotiated Rate	$170.00
Max. Negotiated Rate	$170.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$170.00
Rate for Payer: Hamaspik Choice Inc Medicare	$170.00

SCREW, EMERGENCY 5MM

Facility

$171.43

Service Code	HCPCS C1713
Hospital Charge Code	64905714
Hospital Revenue Code	278
Min. Negotiated Rate	$85.72
Max. Negotiated Rate	$85.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.72
Rate for Payer: Hamaspik Choice Inc Medicare	$85.72

SCREW, EMERGENCY 5MM

Facility

$171.43

Service Code	HCPCS C1713
Hospital Charge Code	64905714
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$180.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$94.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$102.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$85.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$98.57
Rate for Payer: EmblemHealth Commercial	$85.72
Rate for Payer: Fidelis Medicare Advantage	$180.00
Rate for Payer: Group Health Inc Commercial	$85.72
Rate for Payer: Group Health Inc Medicare	$60.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$85.72
Rate for Payer: Hamaspik Choice Inc Medicare	$85.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$111.43

SCREW EMERG MAXDRIVE 1.8X5MM

Facility

$144.63

Service Code	HCPCS C1713
Hospital Charge Code	64902482
Hospital Revenue Code	278
Min. Negotiated Rate	$72.32
Max. Negotiated Rate	$72.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.32
Rate for Payer: Hamaspik Choice Inc Medicare	$72.32

SCREW EMERG MAXDRIVE 1.8X5MM

Facility

$144.63

Service Code	HCPCS C1713
Hospital Charge Code	64902482
Hospital Revenue Code	278
Min. Negotiated Rate	$50.62
Max. Negotiated Rate	$151.86
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$79.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$86.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$72.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$83.16
Rate for Payer: EmblemHealth Commercial	$72.32
Rate for Payer: Fidelis Medicare Advantage	$151.86
Rate for Payer: Group Health Inc Commercial	$72.32
Rate for Payer: Group Health Inc Medicare	$50.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.32
Rate for Payer: Hamaspik Choice Inc Medicare	$72.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$94.01

SCREW EMMERGENCY W.4X3MM C-P S

Facility

$139.35

Service Code	HCPCS C1713
Hospital Charge Code	64901551
Hospital Revenue Code	278
Min. Negotiated Rate	$69.68
Max. Negotiated Rate	$69.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$69.68
Rate for Payer: Hamaspik Choice Inc Medicare	$69.68

SCREW EMMERGENCY W.4X3MM C-P S

Facility

$139.35

Service Code	HCPCS C1713
Hospital Charge Code	64901551
Hospital Revenue Code	278
Min. Negotiated Rate	$48.77
Max. Negotiated Rate	$146.32
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$76.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$83.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$69.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.13
Rate for Payer: EmblemHealth Commercial	$69.68
Rate for Payer: Fidelis Medicare Advantage	$146.32
Rate for Payer: Group Health Inc Commercial	$69.68
Rate for Payer: Group Health Inc Medicare	$48.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$69.68
Rate for Payer: Hamaspik Choice Inc Medicare	$69.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$90.58

SCREW ES2 5.5 X 40MM

Facility

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904897
Hospital Revenue Code	278
Min. Negotiated Rate	$4,276.35
Max. Negotiated Rate	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35

SCREW ES2 5.5 X 40MM

Facility

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904897
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,980.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,703.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,131.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,276.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,917.80
Rate for Payer: EmblemHealth Commercial	$4,276.35
Rate for Payer: Fidelis Medicare Advantage	$8,980.34
Rate for Payer: Group Health Inc Commercial	$4,276.35
Rate for Payer: Group Health Inc Medicare	$2,993.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,559.26

SCREW ES2 6.5 X 35 SHORT

Facility

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904727
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,980.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,703.98
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,131.62
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,276.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,917.80
Rate for Payer: EmblemHealth Commercial	$4,276.35
Rate for Payer: Fidelis Medicare Advantage	$8,980.34
Rate for Payer: Group Health Inc Commercial	$4,276.35
Rate for Payer: Group Health Inc Medicare	$2,993.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,559.26

SCREW ES2 6.5 X 35 SHORT

Facility

$8,552.70

Service Code	HCPCS C1713
Hospital Charge Code	64904727
Hospital Revenue Code	278
Min. Negotiated Rate	$4,276.35
Max. Negotiated Rate	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,276.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,276.35

Know your out-of-pocket cost for care.

All Charges