St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW LOCKING CROSS PIN 2.0MM

Facility

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	40200150
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 LOCKING D5X32.5

Facility

$693.00

Service Code	HCPCS C1713
Hospital Charge Code	64906935
Hospital Revenue Code	278
Min. Negotiated Rate	$346.50
Max. Negotiated Rate	$346.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$346.50
Rate for Payer: Hamaspik Choice Inc Medicare	$346.50

SCREW LOCKING D5X32.5

Facility

$693.00

Service Code	HCPCS C1713
Hospital Charge Code	64906935
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$727.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$381.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$415.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$346.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$398.48
Rate for Payer: EmblemHealth Commercial	$346.50
Rate for Payer: Fidelis Medicare Advantage	$727.65
Rate for Payer: Group Health Inc Commercial	$346.50
Rate for Payer: Group Health Inc Medicare	$242.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$346.50
Rate for Payer: Hamaspik Choice Inc Medicare	$346.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$450.45

SCREW LOCKING D5X35L (2360-5035S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906346
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25

SCREW LOCKING D5X35L (2360-5035S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906346
Hospital Revenue Code	278
Min. Negotiated Rate	$121.28
Max. Negotiated Rate	$363.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$190.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$207.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$173.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$199.24
Rate for Payer: EmblemHealth Commercial	$173.25
Rate for Payer: Fidelis Medicare Advantage	$363.82
Rate for Payer: Group Health Inc Commercial	$173.25
Rate for Payer: Group Health Inc Medicare	$121.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$225.22

SCREW LOCKING D5X40L (2360-5040S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906348
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25

SCREW LOCKING D5X40L (2360-5040S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906348
Hospital Revenue Code	278
Min. Negotiated Rate	$121.28
Max. Negotiated Rate	$363.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$190.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$207.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$173.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$199.24
Rate for Payer: EmblemHealth Commercial	$173.25
Rate for Payer: Fidelis Medicare Advantage	$363.82
Rate for Payer: Group Health Inc Commercial	$173.25
Rate for Payer: Group Health Inc Medicare	$121.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$225.22

SCREW LOCKING D5X45L (2360-5045S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906350
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25

SCREW LOCKING D5X45L (2360-5045S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906350
Hospital Revenue Code	278
Min. Negotiated Rate	$121.28
Max. Negotiated Rate	$363.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$190.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$207.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$173.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$199.24
Rate for Payer: EmblemHealth Commercial	$173.25
Rate for Payer: Fidelis Medicare Advantage	$363.82
Rate for Payer: Group Health Inc Commercial	$173.25
Rate for Payer: Group Health Inc Medicare	$121.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$225.22

SCREW LOCKING D5X50L(2360-5050S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906352
Hospital Revenue Code	278
Min. Negotiated Rate	$121.28
Max. Negotiated Rate	$363.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$190.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$207.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$173.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$199.24
Rate for Payer: EmblemHealth Commercial	$173.25
Rate for Payer: Fidelis Medicare Advantage	$363.82
Rate for Payer: Group Health Inc Commercial	$173.25
Rate for Payer: Group Health Inc Medicare	$121.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$225.22

SCREW LOCKING D5X50L(2360-5050S)

Facility

$346.50

Service Code	HCPCS C1713
Hospital Charge Code	64906352
Hospital Revenue Code	278
Min. Negotiated Rate	$173.25
Max. Negotiated Rate	$173.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$173.25
Rate for Payer: Hamaspik Choice Inc Medicare	$173.25

SCREW LOCKING D5 X L45MM

Facility

$693.00

Service Code	HCPCS C1713
Hospital Charge Code	64906834
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$727.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$381.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$415.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$346.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$398.48
Rate for Payer: EmblemHealth Commercial	$346.50
Rate for Payer: Fidelis Medicare Advantage	$727.65
Rate for Payer: Group Health Inc Commercial	$346.50
Rate for Payer: Group Health Inc Medicare	$242.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$346.50
Rate for Payer: Hamaspik Choice Inc Medicare	$346.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$450.45

SCREW LOCKING D5 X L45MM

Facility

$693.00

Service Code	HCPCS C1713
Hospital Charge Code	64906834
Hospital Revenue Code	278
Min. Negotiated Rate	$346.50
Max. Negotiated Rate	$346.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$346.50
Rate for Payer: Hamaspik Choice Inc Medicare	$346.50

SCREW LOCKING D5 X L85

Facility

$866.25

Service Code	HCPCS C1713
Hospital Charge Code	64907007
Hospital Revenue Code	278
Min. Negotiated Rate	$433.12
Max. Negotiated Rate	$433.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$433.12
Rate for Payer: Hamaspik Choice Inc Medicare	$433.12

SCREW LOCKING D5 X L85

Facility

$866.25

Service Code	HCPCS C1713
Hospital Charge Code	64907007
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$909.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$476.44
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$519.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$433.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$498.09
Rate for Payer: EmblemHealth Commercial	$433.12
Rate for Payer: Fidelis Medicare Advantage	$909.56
Rate for Payer: Group Health Inc Commercial	$433.12
Rate for Payer: Group Health Inc Medicare	$303.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$433.12
Rate for Payer: Hamaspik Choice Inc Medicare	$433.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$563.06

SCREW LOCKING FL THRD 2.7 L42

Facility

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906859
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 LOCKING FL THRD 2.7 L42

Facility

$456.36

Service Code	HCPCS C1713
Hospital Charge Code	64906859
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 LOCKING NEW 2.7X12

Facility

$162.50

Service Code	HCPCS C1713
Hospital Charge Code	64903745
Hospital Revenue Code	278
Min. Negotiated Rate	$56.88
Max. Negotiated Rate	$170.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$97.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.44
Rate for Payer: EmblemHealth Commercial	$81.25
Rate for Payer: Fidelis Medicare Advantage	$170.62
Rate for Payer: Group Health Inc Commercial	$81.25
Rate for Payer: Group Health Inc Medicare	$56.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.62

SCREW LOCKING NEW 2.7X12

Facility

$162.50

Service Code	HCPCS C1713
Hospital Charge Code	64903745
Hospital Revenue Code	278
Min. Negotiated Rate	$81.25
Max. Negotiated Rate	$81.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.25
Rate for Payer: Hamaspik Choice Inc Medicare	$81.25

SCREW LOCKING NEW 2.7X14

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903747
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$96.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: EmblemHealth Commercial	$80.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

SCREW LOCKING NEW 2.7X14

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903747
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

SCREW LOCKING NEW 7.7X16

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903749
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$96.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: EmblemHealth Commercial	$80.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

SCREW LOCKING NEW 7.7X16

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903749
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

SCREW LOCKING PERI 5.0MM/L20MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64904089
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 LOCKING PERI 5.0MM/L20MM

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	64904089
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

Know your out-of-pocket cost for care.

All Charges