St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW NON-LOCK 2.3 X 22MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	64901987
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$84.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.50
Rate for Payer: EmblemHealth Commercial	$70.00
Rate for Payer: Fidelis Medicare Advantage	$147.00
Rate for Payer: Group Health Inc Commercial	$70.00
Rate for Payer: Group Health Inc Medicare	$49.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$91.00

SCREW NON-LOCK 2.3 X 22MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	64901987
Hospital Revenue Code	278
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00

SCREW NONLOCK 2.3 X 22MM

Facility

$216.00

Service Code	HCPCS C1713
Hospital Charge Code	64906841
Hospital Revenue Code	278
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$108.00
Rate for Payer: Hamaspik Choice Inc Medicare	$108.00

SCREW NONLOCK 2.3 X 22MM

Facility

$216.00

Service Code	HCPCS C1713
Hospital Charge Code	64906841
Hospital Revenue Code	278
Min. Negotiated Rate	$75.60
Max. Negotiated Rate	$226.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$118.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$129.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$108.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$124.20
Rate for Payer: EmblemHealth Commercial	$108.00
Rate for Payer: Fidelis Medicare Advantage	$226.80
Rate for Payer: Group Health Inc Commercial	$108.00
Rate for Payer: Group Health Inc Medicare	$75.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$108.00
Rate for Payer: Hamaspik Choice Inc Medicare	$108.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$140.40

SCREW NONLOCK 2.4 STRY

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64907021
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 2.4 STRY

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64907021
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 NONLOCK 2.7 STRY

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64907027
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 2.7 STRY

Facility

$462.50

Service Code	HCPCS C1713
Hospital Charge Code	64907027
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 NONLOCK 3.5 X 12MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	64906842
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

SCREW NONLOCK 3.5 X 12MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	64906842
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$108.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.50
Rate for Payer: EmblemHealth Commercial	$90.00
Rate for Payer: Fidelis Medicare Advantage	$189.00
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.00

SCREW NONLOCK 3.5 X 14MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	64906839
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

SCREW NONLOCK 3.5 X 14MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	64906839
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$108.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.50
Rate for Payer: EmblemHealth Commercial	$90.00
Rate for Payer: Fidelis Medicare Advantage	$189.00
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.00

SCREW NON LOCK 3.5X16

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	64902938
Hospital Revenue Code	278
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.50
Rate for Payer: Hamaspik Choice Inc Medicare	$262.50

SCREW NON LOCK 3.5X16

Facility

$525.00

Service Code	HCPCS C1713
Hospital Charge Code	64902938
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$551.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$288.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$315.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$262.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$301.88
Rate for Payer: EmblemHealth Commercial	$262.50
Rate for Payer: Fidelis Medicare Advantage	$551.25
Rate for Payer: Group Health Inc Commercial	$262.50
Rate for Payer: Group Health Inc Medicare	$183.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.50
Rate for Payer: Hamaspik Choice Inc Medicare	$262.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$341.25

SCREW NON LOCKING 2.7X16

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903931
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 NON LOCKING 2.7X16

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	64903931
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, NON-LOCK PLATE 3.5X16MM

Facility

$320.49

Service Code	HCPCS C1713
Hospital Charge Code	40004426
Hospital Revenue Code	278
Min. Negotiated Rate	$160.24
Max. Negotiated Rate	$160.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.24
Rate for Payer: Hamaspik Choice Inc Medicare	$160.24

SCREW, NON-LOCK PLATE 3.5X16MM

Facility

$320.49

Service Code	HCPCS C1713
Hospital Charge Code	40004426
Hospital Revenue Code	278
Min. Negotiated Rate	$112.17
Max. Negotiated Rate	$336.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$176.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$192.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$160.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.28
Rate for Payer: EmblemHealth Commercial	$160.24
Rate for Payer: Fidelis Medicare Advantage	$336.51
Rate for Payer: Group Health Inc Commercial	$160.24
Rate for Payer: Group Health Inc Medicare	$112.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.24
Rate for Payer: Hamaspik Choice Inc Medicare	$160.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$208.32

SCREW OC 4.5Z14MM

Facility

$505.75

Service Code	HCPCS C1713
Hospital Charge Code	64906473
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$531.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$278.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$303.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$252.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$290.81
Rate for Payer: EmblemHealth Commercial	$252.88
Rate for Payer: Fidelis Medicare Advantage	$531.04
Rate for Payer: Group Health Inc Commercial	$252.88
Rate for Payer: Group Health Inc Medicare	$177.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$252.88
Rate for Payer: Hamaspik Choice Inc Medicare	$252.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$328.74

SCREW OC 4.5Z14MM

Facility

$505.75

Service Code	HCPCS C1713
Hospital Charge Code	64906473
Hospital Revenue Code	278
Min. Negotiated Rate	$252.88
Max. Negotiated Rate	$252.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$252.88
Rate for Payer: Hamaspik Choice Inc Medicare	$252.88

SCREW, OCCIPITAL 4.5X10MM

Facility

$1,264.38

Service Code	HCPCS C1713
Hospital Charge Code	64905602
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$695.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$758.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$727.02
Rate for Payer: EmblemHealth Commercial	$632.19
Rate for Payer: Fidelis Medicare Advantage	$1,327.60
Rate for Payer: Group Health Inc Commercial	$632.19
Rate for Payer: Group Health Inc Medicare	$442.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$632.19
Rate for Payer: Hamaspik Choice Inc Medicare	$632.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$821.85

SCREW, OCCIPITAL 4.5X10MM

Facility

$1,264.38

Service Code	HCPCS C1713
Hospital Charge Code	64905602
Hospital Revenue Code	278
Min. Negotiated Rate	$632.19
Max. Negotiated Rate	$632.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$632.19
Rate for Payer: Hamaspik Choice Inc Medicare	$632.19

SCREW OCCIPITAL 4.5 X 6

Facility

$1,264.38

Service Code	HCPCS C1713
Hospital Charge Code	64904823
Hospital Revenue Code	278
Min. Negotiated Rate	$632.19
Max. Negotiated Rate	$632.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$632.19
Rate for Payer: Hamaspik Choice Inc Medicare	$632.19

SCREW OCCIPITAL 4.5 X 6

Facility

$1,264.38

Service Code	HCPCS C1713
Hospital Charge Code	64904823
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$695.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$758.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$727.02
Rate for Payer: EmblemHealth Commercial	$632.19
Rate for Payer: Fidelis Medicare Advantage	$1,327.60
Rate for Payer: Group Health Inc Commercial	$632.19
Rate for Payer: Group Health Inc Medicare	$442.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$632.19
Rate for Payer: Hamaspik Choice Inc Medicare	$632.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$821.85

SCREW OCCIPITAL 4.5 X 8MM

Facility

$1,264.38

Service Code	HCPCS C1713
Hospital Charge Code	64904824
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$695.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$758.63
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$727.02
Rate for Payer: EmblemHealth Commercial	$632.19
Rate for Payer: Fidelis Medicare Advantage	$1,327.60
Rate for Payer: Group Health Inc Commercial	$632.19
Rate for Payer: Group Health Inc Medicare	$442.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$632.19
Rate for Payer: Hamaspik Choice Inc Medicare	$632.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$821.85

Know your out-of-pocket cost for care.

All Charges