St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$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 5.25X10MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64905604
Hospital Revenue Code	278
Min. Negotiated Rate	$685.32
Max. Negotiated Rate	$685.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32

SCREW, OCCIPITAL 5.25X10MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64905604
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,439.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$753.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$822.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$685.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$788.11
Rate for Payer: EmblemHealth Commercial	$685.32
Rate for Payer: Fidelis Medicare Advantage	$1,439.16
Rate for Payer: Group Health Inc Commercial	$685.32
Rate for Payer: Group Health Inc Medicare	$479.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$890.91

SCREW OCCIPITAL 5.25 X 6MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64904825
Hospital Revenue Code	278
Min. Negotiated Rate	$685.32
Max. Negotiated Rate	$685.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32

SCREW OCCIPITAL 5.25 X 6MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64905174
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,439.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$753.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$822.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$685.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$788.11
Rate for Payer: EmblemHealth Commercial	$685.32
Rate for Payer: Fidelis Medicare Advantage	$1,439.16
Rate for Payer: Group Health Inc Commercial	$685.32
Rate for Payer: Group Health Inc Medicare	$479.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$890.91

SCREW OCCIPITAL 5.25 X 6MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64905174
Hospital Revenue Code	278
Min. Negotiated Rate	$685.32
Max. Negotiated Rate	$685.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32

SCREW OCCIPITAL 5.25 X 6MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64904825
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,439.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$753.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$822.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$685.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$788.11
Rate for Payer: EmblemHealth Commercial	$685.32
Rate for Payer: Fidelis Medicare Advantage	$1,439.16
Rate for Payer: Group Health Inc Commercial	$685.32
Rate for Payer: Group Health Inc Medicare	$479.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$890.91

SCREW OCCIPITAL 5.25 X 8MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64905176
Hospital Revenue Code	278
Min. Negotiated Rate	$685.32
Max. Negotiated Rate	$685.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32

SCREW OCCIPITAL 5.25 X 8MM

Facility

$1,370.63

Service Code	HCPCS C1713
Hospital Charge Code	64905176
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,439.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$753.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$822.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$685.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$788.11
Rate for Payer: EmblemHealth Commercial	$685.32
Rate for Payer: Fidelis Medicare Advantage	$1,439.16
Rate for Payer: Group Health Inc Commercial	$685.32
Rate for Payer: Group Health Inc Medicare	$479.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$685.32
Rate for Payer: Hamaspik Choice Inc Medicare	$685.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$890.91

SCREW ORTHO

Facility

$866.25

Service Code	HCPCS C1713
Hospital Charge Code	64907144
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 ORTHO

Facility

$866.25

Service Code	HCPCS C1713
Hospital Charge Code	64907144
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 ORTHO 4

Facility

$1,012.50

Service Code	HCPCS C1713
Hospital Charge Code	64907177
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,063.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$556.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$607.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$506.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$582.19
Rate for Payer: EmblemHealth Commercial	$506.25
Rate for Payer: Fidelis Medicare Advantage	$1,063.12
Rate for Payer: Group Health Inc Commercial	$506.25
Rate for Payer: Group Health Inc Medicare	$354.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$506.25
Rate for Payer: Hamaspik Choice Inc Medicare	$506.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$658.12

SCREW ORTHO 4

Facility

$1,012.50

Service Code	HCPCS C1713
Hospital Charge Code	64907177
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$506.25
Rate for Payer: Hamaspik Choice Inc Medicare	$506.25

SCREW OVERDRILL AO 2.7X122MM

Facility

$241.15

Service Code	HCPCS C1713
Hospital Charge Code	64906304
Hospital Revenue Code	278
Min. Negotiated Rate	$84.40
Max. Negotiated Rate	$253.21
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$144.69
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.66
Rate for Payer: EmblemHealth Commercial	$120.58
Rate for Payer: Fidelis Medicare Advantage	$253.21
Rate for Payer: Group Health Inc Commercial	$120.58
Rate for Payer: Group Health Inc Medicare	$84.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.58
Rate for Payer: Hamaspik Choice Inc Medicare	$120.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.75

SCREW OVERDRILL AO 2.7X122MM

Facility

$241.15

Service Code	HCPCS C1713
Hospital Charge Code	64906304
Hospital Revenue Code	278
Min. Negotiated Rate	$120.58
Max. Negotiated Rate	$120.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.58
Rate for Payer: Hamaspik Choice Inc Medicare	$120.58

SCREW PARTIAL THREAD 207.040

Facility

$35.00

Service Code	HCPCS C1713
Hospital Charge Code	40205516
Hospital Revenue Code	278
Min. Negotiated Rate	$12.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$21.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.12
Rate for Payer: EmblemHealth Commercial	$17.50
Rate for Payer: Fidelis Medicare Advantage	$36.75
Rate for Payer: Group Health Inc Commercial	$17.50
Rate for Payer: Group Health Inc Medicare	$12.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$22.75

SCREW PARTIAL THREAD 207.040

Facility

$35.00

Service Code	HCPCS C1713
Hospital Charge Code	40205516
Hospital Revenue Code	278
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50

SCREW PEEK INTERF

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64907432
Hospital Revenue Code	278
Min. Negotiated Rate	$312.50
Max. Negotiated Rate	$312.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50

SCREW PEEK INTERF

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64907432
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$656.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$343.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$375.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$359.38
Rate for Payer: EmblemHealth Commercial	$312.50
Rate for Payer: Fidelis Medicare Advantage	$656.25
Rate for Payer: Group Health Inc Commercial	$312.50
Rate for Payer: Group Health Inc Medicare	$218.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$312.50
Rate for Payer: Hamaspik Choice Inc Medicare	$312.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$406.25

SCREW PERIPRO LOCKING 5

Facility

$498.12

Service Code	HCPCS C1713
Hospital Charge Code	64906889
Hospital Revenue Code	278
Min. Negotiated Rate	$249.06
Max. Negotiated Rate	$249.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$249.06
Rate for Payer: Hamaspik Choice Inc Medicare	$249.06

SCREW PERIPRO LOCKING 5

Facility

$498.12

Service Code	HCPCS C1713
Hospital Charge Code	64906889
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$523.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$273.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$298.87
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$249.06
Rate for Payer: Cigna LocalPlus Benefit Plan	$286.42
Rate for Payer: EmblemHealth Commercial	$249.06
Rate for Payer: Fidelis Medicare Advantage	$523.03
Rate for Payer: Group Health Inc Commercial	$249.06
Rate for Payer: Group Health Inc Medicare	$174.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$249.06
Rate for Payer: Hamaspik Choice Inc Medicare	$249.06
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$323.78

SCREW PLYX NO LOCK

Facility

$285.00

Service Code	HCPCS C1713
Hospital Charge Code	64907327
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 PLYX NO LOCK

Facility

$285.00

Service Code	HCPCS C1713
Hospital Charge Code	64907327
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 POLY 3.5 X 10

Facility

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64904827
Hospital Revenue Code	278
Min. Negotiated Rate	$1,748.75
Max. Negotiated Rate	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,748.75

SCREW POLY 3.5 X 10

Facility

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64904827
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,672.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,923.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,098.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,748.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,011.06
Rate for Payer: EmblemHealth Commercial	$1,748.75
Rate for Payer: Fidelis Medicare Advantage	$3,672.38
Rate for Payer: Group Health Inc Commercial	$1,748.75
Rate for Payer: Group Health Inc Medicare	$1,224.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,748.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,748.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,273.38

Know your out-of-pocket cost for care.

All Charges