St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

SCREW VUEP2 3.5X14MM

Facility

$3,350.00

Service Code	HCPCS C1713
Hospital Charge Code	64903805
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,517.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,842.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,010.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,675.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,926.25
Rate for Payer: EmblemHealth Commercial	$1,675.00
Rate for Payer: Fidelis Medicare Advantage	$3,517.50
Rate for Payer: Group Health Inc Commercial	$1,675.00
Rate for Payer: Group Health Inc Medicare	$1,172.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,675.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,675.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,177.50

SCREW VUEP2 4.5X30MM

Facility

$3,550.00

Service Code	HCPCS C1713
Hospital Charge Code	64903807
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,727.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,952.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,130.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,775.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,041.25
Rate for Payer: EmblemHealth Commercial	$1,775.00
Rate for Payer: Fidelis Medicare Advantage	$3,727.50
Rate for Payer: Group Health Inc Commercial	$1,775.00
Rate for Payer: Group Health Inc Medicare	$1,242.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,775.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,307.50

SCREW VUEP2 4.5X30MM

Facility

$3,550.00

Service Code	HCPCS C1713
Hospital Charge Code	64903807
Hospital Revenue Code	278
Min. Negotiated Rate	$1,775.00
Max. Negotiated Rate	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,775.00

SCREW VUEP2 4.5X34MM

Facility

$3,550.00

Service Code	HCPCS C1713
Hospital Charge Code	64903809
Hospital Revenue Code	278
Min. Negotiated Rate	$1,775.00
Max. Negotiated Rate	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,775.00

SCREW VUEP2 4.5X34MM

Facility

$3,550.00

Service Code	HCPCS C1713
Hospital Charge Code	64903809
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,727.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,952.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,130.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,775.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,041.25
Rate for Payer: EmblemHealth Commercial	$1,775.00
Rate for Payer: Fidelis Medicare Advantage	$3,727.50
Rate for Payer: Group Health Inc Commercial	$1,775.00
Rate for Payer: Group Health Inc Medicare	$1,242.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,775.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,307.50

SCREW VUEP2 4.5X36MM

Facility

$3,550.00

Service Code	HCPCS C1713
Hospital Charge Code	64903811
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,727.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,952.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,130.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,775.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,041.25
Rate for Payer: EmblemHealth Commercial	$1,775.00
Rate for Payer: Fidelis Medicare Advantage	$3,727.50
Rate for Payer: Group Health Inc Commercial	$1,775.00
Rate for Payer: Group Health Inc Medicare	$1,242.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,775.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,307.50

SCREW VUEP2 4.5X36MM

Facility

$3,550.00

Service Code	HCPCS C1713
Hospital Charge Code	64903811
Hospital Revenue Code	278
Min. Negotiated Rate	$1,775.00
Max. Negotiated Rate	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,775.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,775.00

SCREW WASHR T8 & T10 2.4/2.7/3.5

Facility

$150.00

Service Code	HCPCS C1713
Hospital Charge Code	64906677
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$157.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$82.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$90.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$75.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$86.25
Rate for Payer: EmblemHealth Commercial	$75.00
Rate for Payer: Fidelis Medicare Advantage	$157.50
Rate for Payer: Group Health Inc Commercial	$75.00
Rate for Payer: Group Health Inc Medicare	$52.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.00
Rate for Payer: Hamaspik Choice Inc Medicare	$75.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$97.50

SCREW WASHR T8 & T10 2.4/2.7/3.5

Facility

$150.00

Service Code	HCPCS C1713
Hospital Charge Code	64906677
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.00
Rate for Payer: Hamaspik Choice Inc Medicare	$75.00

SCREW WASTED 5.5 X 50

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64905111
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW WASTED 5.5 X 50

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64905111
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: EmblemHealth Commercial	$2,377.18
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW, X-CORE MINI LOCK, ENDCAP

Facility

$1,310.00

Service Code	HCPCS C1713
Hospital Charge Code	64905583
Hospital Revenue Code	278
Min. Negotiated Rate	$655.00
Max. Negotiated Rate	$655.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$655.00
Rate for Payer: Hamaspik Choice Inc Medicare	$655.00

SCREW, X-CORE MINI LOCK, ENDCAP

Facility

$1,310.00

Service Code	HCPCS C1713
Hospital Charge Code	64905583
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,375.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$720.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$786.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$655.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$753.25
Rate for Payer: EmblemHealth Commercial	$655.00
Rate for Payer: Fidelis Medicare Advantage	$1,375.50
Rate for Payer: Group Health Inc Commercial	$655.00
Rate for Payer: Group Health Inc Medicare	$458.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$655.00
Rate for Payer: Hamaspik Choice Inc Medicare	$655.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$851.50

SCREW XIA3 5.0 X 40

Facility

$4,557.18

Service Code	HCPCS C1713
Hospital Charge Code	64903941
Hospital Revenue Code	278
Min. Negotiated Rate	$2,278.59
Max. Negotiated Rate	$2,278.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,278.59
Rate for Payer: Hamaspik Choice Inc Medicare	$2,278.59

SCREW XIA3 5.0 X 40

Facility

$4,557.18

Service Code	HCPCS C1713
Hospital Charge Code	64903941
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,785.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,506.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,734.31
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,278.59
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,620.38
Rate for Payer: EmblemHealth Commercial	$2,278.59
Rate for Payer: Fidelis Medicare Advantage	$4,785.04
Rate for Payer: Group Health Inc Commercial	$2,278.59
Rate for Payer: Group Health Inc Medicare	$1,595.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,278.59
Rate for Payer: Hamaspik Choice Inc Medicare	$2,278.59
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,962.17

SCREW XIA3 PA 5.5MM X 40MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902283
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 5.5MM X 40MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902283
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: EmblemHealth Commercial	$2,377.18
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 5.5MM X 45MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902325
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: EmblemHealth Commercial	$2,377.18
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 5.5MM X 45MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902325
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 6.5MM X 35MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902345
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 6.5MM X 35MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902345
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: EmblemHealth Commercial	$2,377.18
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 6.5MM X 40MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902343
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 6.5MM X 40MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902343
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: EmblemHealth Commercial	$2,377.18
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

SCREW XIA3 PA 6.5MM X 45MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902331
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.18
Max. Negotiated Rate	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18

SCREW XIA3 PA 6.5MM X 45MM

Facility

$4,754.35

Service Code	HCPCS C1713
Hospital Charge Code	64902331
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,992.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,614.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,852.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,377.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,733.75
Rate for Payer: EmblemHealth Commercial	$2,377.18
Rate for Payer: Fidelis Medicare Advantage	$4,992.07
Rate for Payer: Group Health Inc Commercial	$2,377.18
Rate for Payer: Group Health Inc Medicare	$1,664.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,377.18
Rate for Payer: Hamaspik Choice Inc Medicare	$2,377.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,090.33

Know your out-of-pocket cost for care.

All Charges