St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW STNDRD 5.0 X 25MM

Facility

$2,412.50

Service Code	HCPCS C1713
Hospital Charge Code	64905305
Hospital Revenue Code	278
Min. Negotiated Rate	$1,206.25
Max. Negotiated Rate	$1,206.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,206.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,206.25

SCREW STNDRD 5.0 X 31MM

Facility

$2,412.50

Service Code	HCPCS C1713
Hospital Charge Code	64905306
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,533.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,326.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,447.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,206.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,387.19
Rate for Payer: EmblemHealth Commercial	$1,206.25
Rate for Payer: Fidelis Medicare Advantage	$2,533.12
Rate for Payer: Group Health Inc Commercial	$1,206.25
Rate for Payer: Group Health Inc Medicare	$844.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,206.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,206.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,568.12

SCREW STNDRD 5.0 X 31MM

Facility

$2,412.50

Service Code	HCPCS C1713
Hospital Charge Code	64905306
Hospital Revenue Code	278
Min. Negotiated Rate	$1,206.25
Max. Negotiated Rate	$1,206.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,206.25
Rate for Payer: Hamaspik Choice Inc Medicare	$1,206.25

SCREW STR NON-LK 2.7MM X 10MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	40204556
Hospital Revenue Code	278
Min. Negotiated Rate	$137.50
Max. Negotiated Rate	$137.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.50
Rate for Payer: Hamaspik Choice Inc Medicare	$137.50

SCREW STR NON-LK 2.7MM X 10MM

Facility

$275.00

Service Code	HCPCS C1713
Hospital Charge Code	40204556
Hospital Revenue Code	278
Min. Negotiated Rate	$96.25
Max. Negotiated Rate	$288.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$151.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$165.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$158.12
Rate for Payer: EmblemHealth Commercial	$137.50
Rate for Payer: Fidelis Medicare Advantage	$288.75
Rate for Payer: Group Health Inc Commercial	$137.50
Rate for Payer: Group Health Inc Medicare	$96.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.50
Rate for Payer: Hamaspik Choice Inc Medicare	$137.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$178.75

SCREW STR NON-LK 2.7MM X 12MM

Facility

$387.50

Service Code	HCPCS C1713
Hospital Charge Code	40204555
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$406.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$213.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$232.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$193.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$222.81
Rate for Payer: EmblemHealth Commercial	$193.75
Rate for Payer: Fidelis Medicare Advantage	$406.88
Rate for Payer: Group Health Inc Commercial	$193.75
Rate for Payer: Group Health Inc Medicare	$135.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$193.75
Rate for Payer: Hamaspik Choice Inc Medicare	$193.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$251.88

SCREW STR NON-LK 2.7MM X 12MM

Facility

$387.50

Service Code	HCPCS C1713
Hospital Charge Code	40204555
Hospital Revenue Code	278
Min. Negotiated Rate	$193.75
Max. Negotiated Rate	$193.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$193.75
Rate for Payer: Hamaspik Choice Inc Medicare	$193.75

SCREW STR NON-LK 2.7X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008250
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$180.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: EmblemHealth Commercial	$150.00
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

SCREW STR NON-LK 2.7X20MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008250
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

SCREW STRYKER BONE 2.7MMX18MM

Facility

$263.50

Service Code	HCPCS C1713
Hospital Charge Code	40204497
Hospital Revenue Code	278
Min. Negotiated Rate	$92.22
Max. Negotiated Rate	$276.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$158.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$151.51
Rate for Payer: EmblemHealth Commercial	$131.75
Rate for Payer: Fidelis Medicare Advantage	$276.68
Rate for Payer: Group Health Inc Commercial	$131.75
Rate for Payer: Group Health Inc Medicare	$92.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.75
Rate for Payer: Hamaspik Choice Inc Medicare	$131.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$171.28

SCREW STRYKER BONE 2.7MMX18MM

Facility

$263.50

Service Code	HCPCS C1713
Hospital Charge Code	40204497
Hospital Revenue Code	278
Min. Negotiated Rate	$131.75
Max. Negotiated Rate	$131.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.75
Rate for Payer: Hamaspik Choice Inc Medicare	$131.75

SCREW STRYKER LOCKING 2.4MMX14MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204491
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 STRYKER LOCKING 2.4MMX14MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204491
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 STRYKER LOCKING 2.4MMX16MM

Facility

$525.20

Service Code	HCPCS C1713
Hospital Charge Code	40204492
Hospital Revenue Code	278
Min. Negotiated Rate	$262.60
Max. Negotiated Rate	$262.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.60
Rate for Payer: Hamaspik Choice Inc Medicare	$262.60

SCREW STRYKER LOCKING 2.4MMX16MM

Facility

$525.20

Service Code	HCPCS C1713
Hospital Charge Code	40204492
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$551.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$288.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$315.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$262.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$301.99
Rate for Payer: EmblemHealth Commercial	$262.60
Rate for Payer: Fidelis Medicare Advantage	$551.46
Rate for Payer: Group Health Inc Commercial	$262.60
Rate for Payer: Group Health Inc Medicare	$183.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$262.60
Rate for Payer: Hamaspik Choice Inc Medicare	$262.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$341.38

SCREW STRYKER LOCKING 2.4MMX18MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40204481
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$546.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$312.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$260.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.00
Rate for Payer: EmblemHealth Commercial	$260.00
Rate for Payer: Fidelis Medicare Advantage	$546.00
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$338.00

SCREW STRYKER LOCKING 2.4MMX18MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40204481
Hospital Revenue Code	278
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$260.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

SCREW STRYKER LOCKING 2.7MMX10

Facility

$451.00

Service Code	HCPCS C1713
Hospital Charge Code	40204494
Hospital Revenue Code	278
Min. Negotiated Rate	$225.50
Max. Negotiated Rate	$225.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.50
Rate for Payer: Hamaspik Choice Inc Medicare	$225.50

SCREW STRYKER LOCKING 2.7MMX10

Facility

$451.00

Service Code	HCPCS C1713
Hospital Charge Code	40204494
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$473.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$248.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$270.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$225.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$259.32
Rate for Payer: EmblemHealth Commercial	$225.50
Rate for Payer: Fidelis Medicare Advantage	$473.55
Rate for Payer: Group Health Inc Commercial	$225.50
Rate for Payer: Group Health Inc Medicare	$157.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$225.50
Rate for Payer: Hamaspik Choice Inc Medicare	$225.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$293.15

SCREW STRYKER LOCKING 2.7MMX10MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40204483
Hospital Revenue Code	278
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$260.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

SCREW STRYKER LOCKING 2.7MMX10MM

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40204483
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$546.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$312.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$260.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.00
Rate for Payer: EmblemHealth Commercial	$260.00
Rate for Payer: Fidelis Medicare Advantage	$546.00
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$338.00

SCREW STRYKER LOCKING 2.7MMX14MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204485
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 STRYKER LOCKING 2.7MMX14MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204485
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 STRYKER LOCKING 2.7MMX8MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204493
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 STRYKER LOCKING 2.7MMX8MM

Facility

$450.50

Service Code	HCPCS C1713
Hospital Charge Code	40204493
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

Know your out-of-pocket cost for care.

All Charges