St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$134.20
Max. Negotiated Rate	$479.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$251.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$273.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$228.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$262.41
Rate for Payer: EmblemHealth Commercial	$228.18
Rate for Payer: Fidelis Medicare Advantage	$479.18
Rate for Payer: Group Health Inc Commercial	$228.18
Rate for Payer: Group Health Inc Medicare	$159.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$228.18
Rate for Payer: Hamaspik Choice Inc Medicare	$228.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$296.63

SCREW LCKNG FL THRD 3.5

Facility

$570.45

Service Code	HCPCS C1713
Hospital Charge Code	64907411
Hospital Revenue Code	278
Min. Negotiated Rate	$285.22
Max. Negotiated Rate	$285.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.22
Rate for Payer: Hamaspik Choice Inc Medicare	$285.22

SCREW LCKNG FL THRD 3.5

Facility

$570.45

Service Code	HCPCS C1713
Hospital Charge Code	64907411
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$598.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$342.27
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$285.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$328.01
Rate for Payer: EmblemHealth Commercial	$285.22
Rate for Payer: Fidelis Medicare Advantage	$598.97
Rate for Payer: Group Health Inc Commercial	$285.22
Rate for Payer: Group Health Inc Medicare	$199.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.22
Rate for Payer: Hamaspik Choice Inc Medicare	$285.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$370.79

SCREW LCKNG T8 FL THRD 2.4X30MML

Facility

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906421
Hospital Revenue Code	278
Min. Negotiated Rate	$78.84
Max. Negotiated Rate	$236.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$135.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$112.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.52
Rate for Payer: EmblemHealth Commercial	$112.62
Rate for Payer: Fidelis Medicare Advantage	$236.51
Rate for Payer: Group Health Inc Commercial	$112.62
Rate for Payer: Group Health Inc Medicare	$78.84
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	$146.41

SCREW LCKNG T8 FL THRD 2.4X30MML

Facility

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906421
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 T8 FL THRD 2.7X28MML

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906527
Hospital Revenue Code	278
Min. Negotiated Rate	$225.25
Max. Negotiated Rate	$225.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25

SCREW LCKNG T8 FL THRD 2.7X28MML

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906527
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$270.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$225.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.04
Rate for Payer: EmblemHealth Commercial	$225.25
Rate for Payer: Fidelis Medicare Advantage	$473.02
Rate for Payer: Group Health Inc Commercial	$225.25
Rate for Payer: Group Health Inc Medicare	$157.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.82

SCREW LCKNG TRRD FULL 2.4XL14MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906585
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$247.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$270.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$225.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.04
Rate for Payer: EmblemHealth Commercial	$225.25
Rate for Payer: Fidelis Medicare Advantage	$473.02
Rate for Payer: Group Health Inc Commercial	$225.25
Rate for Payer: Group Health Inc Medicare	$157.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$292.82

SCREW LCKNG TRRD FULL 2.4XL14MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	64906585
Hospital Revenue Code	278
Min. Negotiated Rate	$225.25
Max. Negotiated Rate	$225.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.25
Rate for Payer: Hamaspik Choice Inc Medicare	$225.25

SCREW LCK T10 F THRD 2.7MM,30MML

Facility

$250.75

Service Code	HCPCS C1713
Hospital Charge Code	64906435
Hospital Revenue Code	278
Min. Negotiated Rate	$125.38
Max. Negotiated Rate	$125.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.38
Rate for Payer: Hamaspik Choice Inc Medicare	$125.38

SCREW LCK T10 F THRD 2.7MM,30MML

Facility

$250.75

Service Code	HCPCS C1713
Hospital Charge Code	64906435
Hospital Revenue Code	278
Min. Negotiated Rate	$87.76
Max. Negotiated Rate	$263.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$150.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$125.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$144.18
Rate for Payer: EmblemHealth Commercial	$125.38
Rate for Payer: Fidelis Medicare Advantage	$263.29
Rate for Payer: Group Health Inc Commercial	$125.38
Rate for Payer: Group Health Inc Medicare	$87.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.38
Rate for Payer: Hamaspik Choice Inc Medicare	$125.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.99

SCREW LCK T10 FULL THR 3.5/L46MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005933
Hospital Revenue Code	278
Min. Negotiated Rate	$250.75
Max. Negotiated Rate	$250.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

SCREW LCK T10 FULL THR 3.5/L46MM

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40005933
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$300.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.36
Rate for Payer: EmblemHealth Commercial	$250.75
Rate for Payer: Fidelis Medicare Advantage	$526.58
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.98

SCREW LCK T10 FULL THRD 2.7,L55

Facility

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906813
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$479.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$251.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$273.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$228.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$262.41
Rate for Payer: EmblemHealth Commercial	$228.18
Rate for Payer: Fidelis Medicare Advantage	$479.18
Rate for Payer: Group Health Inc Commercial	$228.18
Rate for Payer: Group Health Inc Medicare	$159.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$228.18
Rate for Payer: Hamaspik Choice Inc Medicare	$228.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$296.63

SCREW LCK T10 FULL THRD 2.7,L55

Facility

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906813
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

SCREW LCK T2 F/T 5X100 MM 5100S

Facility

$312.32

Service Code	HCPCS C1713
Hospital Charge Code	64906705
Hospital Revenue Code	278
Min. Negotiated Rate	$109.31
Max. Negotiated Rate	$327.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.78
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$187.39
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.58
Rate for Payer: EmblemHealth Commercial	$156.16
Rate for Payer: Fidelis Medicare Advantage	$327.94
Rate for Payer: Group Health Inc Commercial	$156.16
Rate for Payer: Group Health Inc Medicare	$109.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.16
Rate for Payer: Hamaspik Choice Inc Medicare	$156.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$203.01

SCREW LCK T2 F/T 5X100 MM 5100S

Facility

$312.32

Service Code	HCPCS C1713
Hospital Charge Code	64906705
Hospital Revenue Code	278
Min. Negotiated Rate	$156.16
Max. Negotiated Rate	$156.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.16
Rate for Payer: Hamaspik Choice Inc Medicare	$156.16

SCREW LCK T8 FL 1/3 2.4MM L10MM

Facility

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906433
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 T8 FL 1/3 2.4MM L10MM

Facility

$225.25

Service Code	HCPCS C1713
Hospital Charge Code	64906433
Hospital Revenue Code	278
Min. Negotiated Rate	$78.84
Max. Negotiated Rate	$236.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$123.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$135.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$112.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.52
Rate for Payer: EmblemHealth Commercial	$112.62
Rate for Payer: Fidelis Medicare Advantage	$236.51
Rate for Payer: Group Health Inc Commercial	$112.62
Rate for Payer: Group Health Inc Medicare	$78.84
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	$146.41

SCREW LCK T8 FULL THRD 2.4,L36MM

Facility

$204.97

Service Code	HCPCS C1713
Hospital Charge Code	64906315
Hospital Revenue Code	278
Min. Negotiated Rate	$71.74
Max. Negotiated Rate	$215.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$112.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$122.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$117.86
Rate for Payer: EmblemHealth Commercial	$102.48
Rate for Payer: Fidelis Medicare Advantage	$215.22
Rate for Payer: Group Health Inc Commercial	$102.48
Rate for Payer: Group Health Inc Medicare	$71.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.48
Rate for Payer: Hamaspik Choice Inc Medicare	$102.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$133.23

SCREW LCK T8 FULL THRD 2.4,L36MM

Facility

$204.97

Service Code	HCPCS C1713
Hospital Charge Code	64906315
Hospital Revenue Code	278
Min. Negotiated Rate	$102.48
Max. Negotiated Rate	$102.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.48
Rate for Payer: Hamaspik Choice Inc Medicare	$102.48

SCREW LEVERAGE 2.6X5

Facility

$689.43

Service Code	HCPCS C1713
Hospital Charge Code	64903866
Hospital Revenue Code	278
Min. Negotiated Rate	$344.72
Max. Negotiated Rate	$344.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$344.72
Rate for Payer: Hamaspik Choice Inc Medicare	$344.72

SCREW LEVERAGE 2.6X5

Facility

$689.43

Service Code	HCPCS C1713
Hospital Charge Code	64903866
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$723.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$379.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$413.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$344.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$396.42
Rate for Payer: EmblemHealth Commercial	$344.72
Rate for Payer: Fidelis Medicare Advantage	$723.90
Rate for Payer: Group Health Inc Commercial	$344.72
Rate for Payer: Group Health Inc Medicare	$241.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$344.72
Rate for Payer: Hamaspik Choice Inc Medicare	$344.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$448.13

SCREW LEVERAGE 2.6X6

Facility

$685.00

Service Code	HCPCS C1713
Hospital Charge Code	64903865
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$719.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$376.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$411.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$342.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$393.88
Rate for Payer: EmblemHealth Commercial	$342.50
Rate for Payer: Fidelis Medicare Advantage	$719.25
Rate for Payer: Group Health Inc Commercial	$342.50
Rate for Payer: Group Health Inc Medicare	$239.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.50
Rate for Payer: Hamaspik Choice Inc Medicare	$342.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$445.25

SCREW LEVERAGE 2.6X6

Facility

$685.00

Service Code	HCPCS C1713
Hospital Charge Code	64903865
Hospital Revenue Code	278
Min. Negotiated Rate	$342.50
Max. Negotiated Rate	$342.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$342.50
Rate for Payer: Hamaspik Choice Inc Medicare	$342.50

Know your out-of-pocket cost for care.

All Charges