St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW SZ 1.2MMX7MM

Facility

$145.80

Service Code	HCPCS C1713
Hospital Charge Code	40209564
Hospital Revenue Code	278
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$153.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.19
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$87.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$72.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$83.84
Rate for Payer: EmblemHealth Commercial	$72.90
Rate for Payer: Fidelis Medicare Advantage	$153.09
Rate for Payer: Group Health Inc Commercial	$72.90
Rate for Payer: Group Health Inc Medicare	$51.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.90
Rate for Payer: Hamaspik Choice Inc Medicare	$72.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$94.77

SCREW TAP

Facility

$1,183.00

Service Code	HCPCS C1713
Hospital Charge Code	64907137
Hospital Revenue Code	278
Min. Negotiated Rate	$591.50
Max. Negotiated Rate	$591.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$591.50
Rate for Payer: Hamaspik Choice Inc Medicare	$591.50

SCREW TAP

Facility

$1,183.00

Service Code	HCPCS C1713
Hospital Charge Code	64907137
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,242.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$650.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$709.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$591.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$680.22
Rate for Payer: EmblemHealth Commercial	$591.50
Rate for Payer: Fidelis Medicare Advantage	$1,242.15
Rate for Payer: Group Health Inc Commercial	$591.50
Rate for Payer: Group Health Inc Medicare	$414.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$591.50
Rate for Payer: Hamaspik Choice Inc Medicare	$591.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$768.95

SCREW TAP SLFDRILL 1.7 X .75MM

Facility

$855.60

Service Code	HCPCS C1713
Hospital Charge Code	64906928
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$898.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$470.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$513.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$427.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$491.97
Rate for Payer: EmblemHealth Commercial	$427.80
Rate for Payer: Fidelis Medicare Advantage	$898.38
Rate for Payer: Group Health Inc Commercial	$427.80
Rate for Payer: Group Health Inc Medicare	$299.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$427.80
Rate for Payer: Hamaspik Choice Inc Medicare	$427.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$556.14

SCREW TAP SLFDRILL 1.7 X .75MM

Facility

$855.60

Service Code	HCPCS C1713
Hospital Charge Code	64906928
Hospital Revenue Code	278
Min. Negotiated Rate	$427.80
Max. Negotiated Rate	$427.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$427.80
Rate for Payer: Hamaspik Choice Inc Medicare	$427.80

SCREW THREAD 4.0 X 45 LONG

Facility

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	64906359
Hospital Revenue Code	278
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$173.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$99.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$82.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.88
Rate for Payer: EmblemHealth Commercial	$82.50
Rate for Payer: Fidelis Medicare Advantage	$173.25
Rate for Payer: Group Health Inc Commercial	$82.50
Rate for Payer: Group Health Inc Medicare	$57.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.25

SCREW THREAD 4.0 X 45 LONG

Facility

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	64906359
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50

SCREW TI65

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64903761
Hospital Revenue Code	278
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$307.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12

SCREW TI65

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64903761
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$644.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$368.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$307.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.19
Rate for Payer: EmblemHealth Commercial	$307.12
Rate for Payer: Fidelis Medicare Advantage	$644.96
Rate for Payer: Group Health Inc Commercial	$307.12
Rate for Payer: Group Health Inc Medicare	$214.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$399.26

SCREW TI ASNIS II CANN 6.5X60MM

Facility

$491.40

Service Code	HCPCS C1713
Hospital Charge Code	40005925
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$515.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$270.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$294.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$245.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$282.56
Rate for Payer: EmblemHealth Commercial	$245.70
Rate for Payer: Fidelis Medicare Advantage	$515.97
Rate for Payer: Group Health Inc Commercial	$245.70
Rate for Payer: Group Health Inc Medicare	$171.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.70
Rate for Payer: Hamaspik Choice Inc Medicare	$245.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$319.41

SCREW TI ASNIS II CANN 6.5X60MM

Facility

$491.40

Service Code	HCPCS C1713
Hospital Charge Code	40005925
Hospital Revenue Code	278
Min. Negotiated Rate	$245.70
Max. Negotiated Rate	$245.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.70
Rate for Payer: Hamaspik Choice Inc Medicare	$245.70

SCREW TI ASNIS III CANU 6.5X110

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64905795
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$644.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$368.55
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$307.12
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.19
Rate for Payer: EmblemHealth Commercial	$307.12
Rate for Payer: Fidelis Medicare Advantage	$644.96
Rate for Payer: Group Health Inc Commercial	$307.12
Rate for Payer: Group Health Inc Medicare	$214.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$399.26

SCREW TI ASNIS III CANU 6.5X110

Facility

$614.25

Service Code	HCPCS C1713
Hospital Charge Code	64905795
Hospital Revenue Code	278
Min. Negotiated Rate	$307.12
Max. Negotiated Rate	$307.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$307.12
Rate for Payer: Hamaspik Choice Inc Medicare	$307.12

SCREW TRANSLATION

Facility

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64907328
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

SCREW TRANSLATION

Facility

$3,497.50

Service Code	HCPCS C1713
Hospital Charge Code	64907328
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 TULIP AND LAM HOOK

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903803
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 TULIP AND LAM HOOK

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	64903803
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 TWIST OFF 2.0 X 11

Facility

$1,307.50

Service Code	HCPCS C1713
Hospital Charge Code	64905438
Hospital Revenue Code	278
Min. Negotiated Rate	$653.75
Max. Negotiated Rate	$653.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$653.75

SCREW TWIST OFF 2.0 X 11

Facility

$1,307.50

Service Code	HCPCS C1713
Hospital Charge Code	64905438
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,372.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$719.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$784.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$653.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$751.81
Rate for Payer: EmblemHealth Commercial	$653.75
Rate for Payer: Fidelis Medicare Advantage	$1,372.88
Rate for Payer: Group Health Inc Commercial	$653.75
Rate for Payer: Group Health Inc Medicare	$457.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$653.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$849.88

SCREW,UNIII AXS 1.5 X 4MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	64905048
Hospital Revenue Code	278
Min. Negotiated Rate	$102.50
Max. Negotiated Rate	$102.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.50
Rate for Payer: Hamaspik Choice Inc Medicare	$102.50

SCREW,UNIII AXS 1.5 X 4MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	64905048
Hospital Revenue Code	278
Min. Negotiated Rate	$71.75
Max. Negotiated Rate	$215.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$112.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$123.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$117.88
Rate for Payer: EmblemHealth Commercial	$102.50
Rate for Payer: Fidelis Medicare Advantage	$215.25
Rate for Payer: Group Health Inc Commercial	$102.50
Rate for Payer: Group Health Inc Medicare	$71.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.50
Rate for Payer: Hamaspik Choice Inc Medicare	$102.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$133.25

SCREW VACIABLE ANGLE 4 X 12 SELF

Facility

$1,400.75

Service Code	HCPCS C1713
Hospital Charge Code	64904433
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,470.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$770.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$840.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$700.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$805.43
Rate for Payer: EmblemHealth Commercial	$700.38
Rate for Payer: Fidelis Medicare Advantage	$1,470.79
Rate for Payer: Group Health Inc Commercial	$700.38
Rate for Payer: Group Health Inc Medicare	$490.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$700.38
Rate for Payer: Hamaspik Choice Inc Medicare	$700.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$910.49

SCREW VACIABLE ANGLE 4 X 12 SELF

Facility

$1,400.75

Service Code	HCPCS C1713
Hospital Charge Code	64904433
Hospital Revenue Code	278
Min. Negotiated Rate	$700.38
Max. Negotiated Rate	$700.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$700.38
Rate for Payer: Hamaspik Choice Inc Medicare	$700.38

SCREW VAL

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	64907392
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$367.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$192.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$210.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$175.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$201.25
Rate for Payer: EmblemHealth Commercial	$175.00
Rate for Payer: Fidelis Medicare Advantage	$367.50
Rate for Payer: Group Health Inc Commercial	$175.00
Rate for Payer: Group Health Inc Medicare	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.00
Rate for Payer: Hamaspik Choice Inc Medicare	$175.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$227.50

SCREW VAL

Facility

$350.00

Service Code	HCPCS C1713
Hospital Charge Code	64907392
Hospital Revenue Code	278
Min. Negotiated Rate	$175.00
Max. Negotiated Rate	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.00
Rate for Payer: Hamaspik Choice Inc Medicare	$175.00

Know your out-of-pocket cost for care.

All Charges