St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW LCKNG CROSS PIN 2.0X10MM

Facility

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64901509
Hospital Revenue Code	278
Min. Negotiated Rate	$97.74
Max. Negotiated Rate	$97.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74

SCREW LCKNG CROSS PIN 2.0X10MM

Facility

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64901509
Hospital Revenue Code	278
Min. Negotiated Rate	$68.42
Max. Negotiated Rate	$205.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.40
Rate for Payer: EmblemHealth Commercial	$97.74
Rate for Payer: Fidelis Medicare Advantage	$205.25
Rate for Payer: Group Health Inc Commercial	$97.74
Rate for Payer: Group Health Inc Medicare	$68.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.06

SCREW LCKNG CROSS PIN 2.0X12MM

Facility

$195.55

Service Code	HCPCS C1713
Hospital Charge Code	64901511
Hospital Revenue Code	278
Min. Negotiated Rate	$97.78
Max. Negotiated Rate	$97.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.78
Rate for Payer: Hamaspik Choice Inc Medicare	$97.78

SCREW LCKNG CROSS PIN 2.0X12MM

Facility

$195.55

Service Code	HCPCS C1713
Hospital Charge Code	64901511
Hospital Revenue Code	278
Min. Negotiated Rate	$68.44
Max. Negotiated Rate	$205.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.44
Rate for Payer: EmblemHealth Commercial	$97.78
Rate for Payer: Fidelis Medicare Advantage	$205.33
Rate for Payer: Group Health Inc Commercial	$97.78
Rate for Payer: Group Health Inc Medicare	$68.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.78
Rate for Payer: Hamaspik Choice Inc Medicare	$97.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.11

SCREW LCKNG CROSS PIN 2.0X16MM

Facility

$195.55

Service Code	HCPCS C1713
Hospital Charge Code	64901513
Hospital Revenue Code	278
Min. Negotiated Rate	$97.78
Max. Negotiated Rate	$97.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.78
Rate for Payer: Hamaspik Choice Inc Medicare	$97.78

SCREW LCKNG CROSS PIN 2.0X16MM

Facility

$195.55

Service Code	HCPCS C1713
Hospital Charge Code	64901513
Hospital Revenue Code	278
Min. Negotiated Rate	$68.44
Max. Negotiated Rate	$205.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.44
Rate for Payer: EmblemHealth Commercial	$97.78
Rate for Payer: Fidelis Medicare Advantage	$205.33
Rate for Payer: Group Health Inc Commercial	$97.78
Rate for Payer: Group Health Inc Medicare	$68.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.78
Rate for Payer: Hamaspik Choice Inc Medicare	$97.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.11

SCREW LCKNG CROSS PIN 2.0X6MM

Facility

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64901505
Hospital Revenue Code	278
Min. Negotiated Rate	$97.74
Max. Negotiated Rate	$97.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74

SCREW LCKNG CROSS PIN 2.0X6MM

Facility

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64901505
Hospital Revenue Code	278
Min. Negotiated Rate	$68.42
Max. Negotiated Rate	$205.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.40
Rate for Payer: EmblemHealth Commercial	$97.74
Rate for Payer: Fidelis Medicare Advantage	$205.25
Rate for Payer: Group Health Inc Commercial	$97.74
Rate for Payer: Group Health Inc Medicare	$68.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.06

SCREW LCKNG CROSS PIN 2.0X8MM

Facility

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64901507
Hospital Revenue Code	278
Min. Negotiated Rate	$68.42
Max. Negotiated Rate	$205.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.40
Rate for Payer: EmblemHealth Commercial	$97.74
Rate for Payer: Fidelis Medicare Advantage	$205.25
Rate for Payer: Group Health Inc Commercial	$97.74
Rate for Payer: Group Health Inc Medicare	$68.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.06

SCREW LCKNG CROSS PIN 2.0X8MM

Facility

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64901507
Hospital Revenue Code	278
Min. Negotiated Rate	$97.74
Max. Negotiated Rate	$97.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74

SCREW LCKNG CROSS PIN 2.3X10MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901491
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 LCKNG CROSS PIN 2.3X10MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901491
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 LCKNG CROSS PIN 2.3X12MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901493
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 LCKNG CROSS PIN 2.3X12MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901493
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 LCKNG CROSS PIN 2.3X14NN

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901497
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 LCKNG CROSS PIN 2.3X14NN

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901497
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 LCKNG CROSS PIN 2.3X18MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901499
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 LCKNG CROSS PIN 2.3X18MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901499
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 LCKNG CROSS PIN 2.3X6MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901484
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 LCKNG CROSS PIN 2.3X6MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901484
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 LCKNG CROSS PIN 2.3X8MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901489
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 LCKNG CROSS PIN 2.3X8MM

Facility

$225.23

Service Code	HCPCS C1713
Hospital Charge Code	64901489
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 LCKNG ER CRSPIN 2.7X5MM

Facility

$257.05

Service Code	HCPCS C1713
Hospital Charge Code	64901515
Hospital Revenue Code	278
Min. Negotiated Rate	$89.97
Max. Negotiated Rate	$269.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$154.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$128.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$147.80
Rate for Payer: EmblemHealth Commercial	$128.52
Rate for Payer: Fidelis Medicare Advantage	$269.90
Rate for Payer: Group Health Inc Commercial	$128.52
Rate for Payer: Group Health Inc Medicare	$89.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.52
Rate for Payer: Hamaspik Choice Inc Medicare	$128.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$167.08

SCREW LCKNG ER CRSPIN 2.7X5MM

Facility

$257.05

Service Code	HCPCS C1713
Hospital Charge Code	64901515
Hospital Revenue Code	278
Min. Negotiated Rate	$128.52
Max. Negotiated Rate	$128.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.52
Rate for Payer: Hamaspik Choice Inc Medicare	$128.52

SCREW LCKNG FL THRD 2.7MM, 38MML

Facility

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906692
Hospital Revenue Code	278
Min. Negotiated Rate	$228.18
Max. Negotiated Rate	$228.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$228.18
Rate for Payer: Hamaspik Choice Inc Medicare	$228.18

Know your out-of-pocket cost for care.

All Charges