St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW LAG 10.5X90MM GAM3

Facility

$908.60

Service Code	HCPCS C1713
Hospital Charge Code	40205081
Hospital Revenue Code	278
Min. Negotiated Rate	$454.30
Max. Negotiated Rate	$454.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$454.30
Rate for Payer: Hamaspik Choice Inc Medicare	$454.30

SCREW LAG 10.5 X 95MM

Facility

$1,282.13

Service Code	HCPCS C1713
Hospital Charge Code	64901737
Hospital Revenue Code	278
Min. Negotiated Rate	$641.06
Max. Negotiated Rate	$641.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$641.06
Rate for Payer: Hamaspik Choice Inc Medicare	$641.06

SCREW LAG 10.5 X 95MM

Facility

$1,282.13

Service Code	HCPCS C1713
Hospital Charge Code	64901737
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,346.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$705.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$769.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$641.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$737.22
Rate for Payer: EmblemHealth Commercial	$641.06
Rate for Payer: Fidelis Medicare Advantage	$1,346.24
Rate for Payer: Group Health Inc Commercial	$641.06
Rate for Payer: Group Health Inc Medicare	$448.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$641.06
Rate for Payer: Hamaspik Choice Inc Medicare	$641.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$833.38

SCREW LAG 6.5 X 90MM

Facility

$555.75

Service Code	HCPCS C1713
Hospital Charge Code	64901648
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$583.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$305.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$333.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$277.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$319.56
Rate for Payer: EmblemHealth Commercial	$277.88
Rate for Payer: Fidelis Medicare Advantage	$583.54
Rate for Payer: Group Health Inc Commercial	$277.88
Rate for Payer: Group Health Inc Medicare	$194.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$277.88
Rate for Payer: Hamaspik Choice Inc Medicare	$277.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$361.24

SCREW LAG 6.5 X 90MM

Facility

$555.75

Service Code	HCPCS C1713
Hospital Charge Code	64901648
Hospital Revenue Code	278
Min. Negotiated Rate	$277.88
Max. Negotiated Rate	$277.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$277.88
Rate for Payer: Hamaspik Choice Inc Medicare	$277.88

SCREW LAG CANN 2.4 X 14MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	64901623
Hospital Revenue Code	278
Min. Negotiated Rate	$237.50
Max. Negotiated Rate	$237.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

SCREW LAG CANN 2.4 X 14MM

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	64901623
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$498.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$285.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$237.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$273.12
Rate for Payer: EmblemHealth Commercial	$237.50
Rate for Payer: Fidelis Medicare Advantage	$498.75
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$308.75

SCREW LAG CANNLTD

Facility

$512.50

Service Code	HCPCS C1713
Hospital Charge Code	64907009
Hospital Revenue Code	278
Min. Negotiated Rate	$256.25
Max. Negotiated Rate	$256.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$256.25
Rate for Payer: Hamaspik Choice Inc Medicare	$256.25

SCREW LAG CANNLTD

Facility

$512.50

Service Code	HCPCS C1713
Hospital Charge Code	64907009
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$538.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$281.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$307.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$256.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$294.69
Rate for Payer: EmblemHealth Commercial	$256.25
Rate for Payer: Fidelis Medicare Advantage	$538.12
Rate for Payer: Group Health Inc Commercial	$256.25
Rate for Payer: Group Health Inc Medicare	$179.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$256.25
Rate for Payer: Hamaspik Choice Inc Medicare	$256.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$333.12

SCREW LAG GAMMA3 10.5X125MM

Facility

$466.69

Service Code	HCPCS C1713
Hospital Charge Code	64906319
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$490.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$256.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$280.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$233.34
Rate for Payer: Cigna LocalPlus Benefit Plan	$268.35
Rate for Payer: EmblemHealth Commercial	$233.34
Rate for Payer: Fidelis Medicare Advantage	$490.02
Rate for Payer: Group Health Inc Commercial	$233.34
Rate for Payer: Group Health Inc Medicare	$163.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.34
Rate for Payer: Hamaspik Choice Inc Medicare	$233.34
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$303.35

SCREW LAG GAMMA3 10.5X125MM

Facility

$466.69

Service Code	HCPCS C1713
Hospital Charge Code	64906319
Hospital Revenue Code	278
Min. Negotiated Rate	$233.34
Max. Negotiated Rate	$233.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.34
Rate for Payer: Hamaspik Choice Inc Medicare	$233.34

SCREW LAG HIP 13MM DIA 130

Facility

$729.63

Service Code	HCPCS C1713
Hospital Charge Code	64903529
Hospital Revenue Code	278
Min. Negotiated Rate	$364.82
Max. Negotiated Rate	$364.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$364.82
Rate for Payer: Hamaspik Choice Inc Medicare	$364.82

SCREW LAG HIP 13MM DIA 130

Facility

$729.63

Service Code	HCPCS C1713
Hospital Charge Code	64903529
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$766.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$401.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$437.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$364.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$419.54
Rate for Payer: EmblemHealth Commercial	$364.82
Rate for Payer: Fidelis Medicare Advantage	$766.11
Rate for Payer: Group Health Inc Commercial	$364.82
Rate for Payer: Group Health Inc Medicare	$255.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$364.82
Rate for Payer: Hamaspik Choice Inc Medicare	$364.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$474.26

SCREW LAG TIT 10.5X85MM L

Facility

$1,282.13

Service Code	HCPCS C1776
Hospital Charge Code	40202413
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,346.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$705.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$769.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$641.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$737.22
Rate for Payer: EmblemHealth Commercial	$641.06
Rate for Payer: Fidelis Medicare Advantage	$1,346.24
Rate for Payer: Group Health Inc Commercial	$641.06
Rate for Payer: Group Health Inc Medicare	$448.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$641.06
Rate for Payer: Hamaspik Choice Inc Medicare	$641.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$833.38

SCREW LAG TIT 10.5X85MM L

Facility

$1,282.13

Service Code	HCPCS C1776
Hospital Charge Code	40202413
Hospital Revenue Code	278
Min. Negotiated Rate	$641.06
Max. Negotiated Rate	$641.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$641.06
Rate for Payer: Hamaspik Choice Inc Medicare	$641.06

SCREW LAG TTN 10.5X85MM L

Facility

$1,282.13

Service Code	HCPCS C1713
Hospital Charge Code	64901444
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,346.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$705.17
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$769.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$641.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$737.22
Rate for Payer: EmblemHealth Commercial	$641.06
Rate for Payer: Fidelis Medicare Advantage	$1,346.24
Rate for Payer: Group Health Inc Commercial	$641.06
Rate for Payer: Group Health Inc Medicare	$448.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$641.06
Rate for Payer: Hamaspik Choice Inc Medicare	$641.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$833.38

SCREW LAG TTN 10.5X85MM L

Facility

$1,282.13

Service Code	HCPCS C1713
Hospital Charge Code	64901444
Hospital Revenue Code	278
Min. Negotiated Rate	$641.06
Max. Negotiated Rate	$641.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$641.06
Rate for Payer: Hamaspik Choice Inc Medicare	$641.06

SCREW LCK 2.3MMD X 16MML CRS-PN

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901460
Hospital Revenue Code	278
Min. Negotiated Rate	$112.62
Max. Negotiated Rate	$112.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62

SCREW LCK 2.3MMD X 16MML CRS-PN

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901460
Hospital Revenue Code	278
Min. Negotiated Rate	$78.83
Max. Negotiated Rate	$236.49
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$135.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$112.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.51
Rate for Payer: EmblemHealth Commercial	$112.62
Rate for Payer: Fidelis Medicare Advantage	$236.49
Rate for Payer: Group Health Inc Commercial	$112.62
Rate for Payer: Group Health Inc Medicare	$78.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$112.62
Rate for Payer: Hamaspik Choice Inc Medicare	$112.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$146.40

SCREW LCKING 5MX5.0MXL60M-661160

Facility

$216.58

Service Code	HCPCS C1713
Hospital Charge Code	64906440
Hospital Revenue Code	278
Min. Negotiated Rate	$75.80
Max. Negotiated Rate	$227.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$119.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$129.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$108.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$124.53
Rate for Payer: EmblemHealth Commercial	$108.29
Rate for Payer: Fidelis Medicare Advantage	$227.41
Rate for Payer: Group Health Inc Commercial	$108.29
Rate for Payer: Group Health Inc Medicare	$75.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$108.29
Rate for Payer: Hamaspik Choice Inc Medicare	$108.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$140.78

SCREW LCKING 5MX5.0MXL60M-661160

Facility

$216.58

Service Code	HCPCS C1713
Hospital Charge Code	64906440
Hospital Revenue Code	278
Min. Negotiated Rate	$108.29
Max. Negotiated Rate	$108.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$108.29
Rate for Payer: Hamaspik Choice Inc Medicare	$108.29

SCREW LCKING PERIPRO 5.0MM L10MM

Facility

$274.00

Service Code	HCPCS C1713
Hospital Charge Code	64906483
Hospital Revenue Code	278
Min. Negotiated Rate	$95.90
Max. Negotiated Rate	$287.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$150.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$164.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$157.55
Rate for Payer: EmblemHealth Commercial	$137.00
Rate for Payer: Fidelis Medicare Advantage	$287.70
Rate for Payer: Group Health Inc Commercial	$137.00
Rate for Payer: Group Health Inc Medicare	$95.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.00
Rate for Payer: Hamaspik Choice Inc Medicare	$137.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$178.10

SCREW LCKING PERIPRO 5.0MM L10MM

Facility

$274.00

Service Code	HCPCS C1713
Hospital Charge Code	64906483
Hospital Revenue Code	278
Min. Negotiated Rate	$137.00
Max. Negotiated Rate	$137.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.00
Rate for Payer: Hamaspik Choice Inc Medicare	$137.00

SCREW LCKING T8FTHRD 2.7MM,L26MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	64906297
Hospital Revenue Code	278
Min. Negotiated Rate	$102.50
Max. Negotiated Rate	$102.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.50
Rate for Payer: Hamaspik Choice Inc Medicare	$102.50

SCREW LCKING T8FTHRD 2.7MM,L26MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	64906297
Hospital Revenue Code	278
Min. Negotiated Rate	$71.75
Max. Negotiated Rate	$215.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$112.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$123.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$117.88
Rate for Payer: EmblemHealth Commercial	$102.50
Rate for Payer: Fidelis Medicare Advantage	$215.25
Rate for Payer: Group Health Inc Commercial	$102.50
Rate for Payer: Group Health Inc Medicare	$71.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.50
Rate for Payer: Hamaspik Choice Inc Medicare	$102.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$133.25

Know your out-of-pocket cost for care.

All Charges