St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW NCB CORT 4.0 X 90MM ST

Facility

$278.10

Service Code	HCPCS C1713
Hospital Charge Code	64905601
Hospital Revenue Code	278
Min. Negotiated Rate	$97.34
Max. Negotiated Rate	$292.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$166.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$139.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.91
Rate for Payer: EmblemHealth Commercial	$139.05
Rate for Payer: Fidelis Medicare Advantage	$292.00
Rate for Payer: Group Health Inc Commercial	$139.05
Rate for Payer: Group Health Inc Medicare	$97.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.05
Rate for Payer: Hamaspik Choice Inc Medicare	$139.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.76

SCREW, NCB LOCKING CAP

Facility

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	40204573
Hospital Revenue Code	278
Min. Negotiated Rate	$244.00
Max. Negotiated Rate	$244.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00

SCREW, NCB LOCKING CAP

Facility

$398.63

Service Code	HCPCS C1713
Hospital Charge Code	64905482
Hospital Revenue Code	278
Min. Negotiated Rate	$199.32
Max. Negotiated Rate	$199.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$199.32
Rate for Payer: Hamaspik Choice Inc Medicare	$199.32

SCREW, NCB LOCKING CAP

Facility

$318.90

Service Code	HCPCS C1713
Hospital Charge Code	40006599
Hospital Revenue Code	278
Min. Negotiated Rate	$111.62
Max. Negotiated Rate	$334.84
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$175.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$191.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$159.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$183.37
Rate for Payer: EmblemHealth Commercial	$159.45
Rate for Payer: Fidelis Medicare Advantage	$334.84
Rate for Payer: Group Health Inc Commercial	$159.45
Rate for Payer: Group Health Inc Medicare	$111.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$159.45
Rate for Payer: Hamaspik Choice Inc Medicare	$159.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$207.28

SCREW, NCB LOCKING CAP

Facility

$488.00

Service Code	HCPCS C1713
Hospital Charge Code	40204573
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$512.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$268.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$292.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$244.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$280.60
Rate for Payer: EmblemHealth Commercial	$244.00
Rate for Payer: Fidelis Medicare Advantage	$512.40
Rate for Payer: Group Health Inc Commercial	$244.00
Rate for Payer: Group Health Inc Medicare	$170.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$244.00
Rate for Payer: Hamaspik Choice Inc Medicare	$244.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$317.20

SCREW, NCB LOCKING CAP

Facility

$318.90

Service Code	HCPCS C1713
Hospital Charge Code	40006599
Hospital Revenue Code	278
Min. Negotiated Rate	$159.45
Max. Negotiated Rate	$159.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$159.45
Rate for Payer: Hamaspik Choice Inc Medicare	$159.45

SCREW, NCB LOCKING CAP

Facility

$398.63

Service Code	HCPCS C1713
Hospital Charge Code	64905482
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$418.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$219.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$239.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$199.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$229.21
Rate for Payer: EmblemHealth Commercial	$199.32
Rate for Payer: Fidelis Medicare Advantage	$418.56
Rate for Payer: Group Health Inc Commercial	$199.32
Rate for Payer: Group Health Inc Medicare	$139.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$199.32
Rate for Payer: Hamaspik Choice Inc Medicare	$199.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$259.11

SCREW NEURO 1.5 X 4MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	64903214
Hospital Revenue Code	278
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$259.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$148.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$123.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.31
Rate for Payer: EmblemHealth Commercial	$123.75
Rate for Payer: Fidelis Medicare Advantage	$259.88
Rate for Payer: Group Health Inc Commercial	$123.75
Rate for Payer: Group Health Inc Medicare	$86.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.75
Rate for Payer: Hamaspik Choice Inc Medicare	$123.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$160.88

SCREW NEURO 1.5 X 4MM

Facility

$247.50

Service Code	HCPCS C1713
Hospital Charge Code	64903214
Hospital Revenue Code	278
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.75
Rate for Payer: Hamaspik Choice Inc Medicare	$123.75

SCREW NEURO C-P SLF DRL 1.5X5MM

Facility

$29.65

Service Code	HCPCS C1713
Hospital Charge Code	64901866
Hospital Revenue Code	278
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$16.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$17.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.82
Rate for Payer: Cigna LocalPlus Benefit Plan	$17.05
Rate for Payer: EmblemHealth Commercial	$14.82
Rate for Payer: Fidelis Medicare Advantage	$31.13
Rate for Payer: Group Health Inc Commercial	$14.82
Rate for Payer: Group Health Inc Medicare	$10.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.82
Rate for Payer: Hamaspik Choice Inc Medicare	$14.82
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$19.27

SCREW NEURO C-P SLF DRL 1.5X5MM

Facility

$29.65

Service Code	HCPCS C1713
Hospital Charge Code	64901866
Hospital Revenue Code	278
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$14.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.82
Rate for Payer: Hamaspik Choice Inc Medicare	$14.82

SCREW N-LOCK 4.75

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64906967
Hospital Revenue Code	278
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$196.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$112.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$107.81
Rate for Payer: EmblemHealth Commercial	$93.75
Rate for Payer: Fidelis Medicare Advantage	$196.88
Rate for Payer: Group Health Inc Commercial	$93.75
Rate for Payer: Group Health Inc Medicare	$65.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$121.88

SCREW N-LOCK 4.75

Facility

$187.50

Service Code	HCPCS C1713
Hospital Charge Code	64906967
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.75
Rate for Payer: Hamaspik Choice Inc Medicare	$93.75

SCREW NOLOCK CORT 3.5

Facility

$285.00

Service Code	HCPCS C1713
Hospital Charge Code	64907035
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$142.50
Rate for Payer: Hamaspik Choice Inc Medicare	$142.50

SCREW NOLOCK CORT 3.5

Facility

$285.00

Service Code	HCPCS C1713
Hospital Charge Code	64907035
Hospital Revenue Code	278
Min. Negotiated Rate	$99.75
Max. Negotiated Rate	$299.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$156.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$171.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$142.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$163.88
Rate for Payer: EmblemHealth Commercial	$142.50
Rate for Payer: Fidelis Medicare Advantage	$299.25
Rate for Payer: Group Health Inc Commercial	$142.50
Rate for Payer: Group Health Inc Medicare	$99.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$142.50
Rate for Payer: Hamaspik Choice Inc Medicare	$142.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$185.25

SCREW NONBIAS 12MM

Facility

$3,755.80

Service Code	HCPCS C1713
Hospital Charge Code	64902603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,877.90
Max. Negotiated Rate	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,877.90

SCREW NONBIAS 12MM

Facility

$3,755.80

Service Code	HCPCS C1713
Hospital Charge Code	64902603
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,943.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,065.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,253.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,877.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,159.58
Rate for Payer: EmblemHealth Commercial	$1,877.90
Rate for Payer: Fidelis Medicare Advantage	$3,943.59
Rate for Payer: Group Health Inc Commercial	$1,877.90
Rate for Payer: Group Health Inc Medicare	$1,314.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,877.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,441.27

SCREW NONBIAS 14MM

Facility

$3,755.80

Service Code	HCPCS C1713
Hospital Charge Code	64902500
Hospital Revenue Code	278
Min. Negotiated Rate	$1,877.90
Max. Negotiated Rate	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,877.90

SCREW NONBIAS 14MM

Facility

$3,755.80

Service Code	HCPCS C1713
Hospital Charge Code	64902500
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,943.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,065.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,253.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,877.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,159.58
Rate for Payer: EmblemHealth Commercial	$1,877.90
Rate for Payer: Fidelis Medicare Advantage	$3,943.59
Rate for Payer: Group Health Inc Commercial	$1,877.90
Rate for Payer: Group Health Inc Medicare	$1,314.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,877.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,877.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,441.27

SCREW, NONDRILL FREE 2.0X7MM

Facility

$135.70

Service Code	HCPCS C1713
Hospital Charge Code	64905717
Hospital Revenue Code	278
Min. Negotiated Rate	$47.50
Max. Negotiated Rate	$142.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$81.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$78.03
Rate for Payer: EmblemHealth Commercial	$67.85
Rate for Payer: Fidelis Medicare Advantage	$142.48
Rate for Payer: Group Health Inc Commercial	$67.85
Rate for Payer: Group Health Inc Medicare	$47.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.85
Rate for Payer: Hamaspik Choice Inc Medicare	$67.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$88.20

SCREW, NONDRILL FREE 2.0X7MM

Facility

$135.70

Service Code	HCPCS C1713
Hospital Charge Code	64905717
Hospital Revenue Code	278
Min. Negotiated Rate	$67.85
Max. Negotiated Rate	$67.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.85
Rate for Payer: Hamaspik Choice Inc Medicare	$67.85

SCREW NONLOCK 2.0

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64907030
Hospital Revenue Code	278
Min. Negotiated Rate	$231.25
Max. Negotiated Rate	$231.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25

SCREW NONLOCK 2.0

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64907030
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$485.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$254.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$277.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$231.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$265.94
Rate for Payer: EmblemHealth Commercial	$231.25
Rate for Payer: Fidelis Medicare Advantage	$485.62
Rate for Payer: Group Health Inc Commercial	$231.25
Rate for Payer: Group Health Inc Medicare	$161.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$231.25
Rate for Payer: Hamaspik Choice Inc Medicare	$231.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$300.62

SCREW NON-LOCK 2.3 X 13MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64901980
Hospital Revenue Code	278
Min. Negotiated Rate	$62.56
Max. Negotiated Rate	$187.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$98.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$107.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.78
Rate for Payer: EmblemHealth Commercial	$89.38
Rate for Payer: Fidelis Medicare Advantage	$187.69
Rate for Payer: Group Health Inc Commercial	$89.38
Rate for Payer: Group Health Inc Medicare	$62.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$116.19

SCREW NON-LOCK 2.3 X 13MM

Facility

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64901980
Hospital Revenue Code	278
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$89.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38

Know your out-of-pocket cost for care.

All Charges