St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CORRECT SKIN COLOR DEFECTS

Facility

$1,505.35

Service Code	HCPCS 11920
Hospital Charge Code	42201691
Hospital Revenue Code	360
Rate for Payer: Cash Price	$726.29

CORRECT SKIN COLOR DEFECTS

Facility

$1,505.35

Service Code	HCPCS 11920
Hospital Charge Code	42201691
Hospital Revenue Code	360
Min. Negotiated Rate	$508.40
Max. Negotiated Rate	$2,915.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$780.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$726.29
Rate for Payer: Aetna Government	$726.29
Rate for Payer: Affinity Essential Plan 1&2	$508.40
Rate for Payer: Affinity Essential Plan 3&4	$508.40
Rate for Payer: Affinity Medicaid/CHP/HARP	$508.40
Rate for Payer: Brighton Health Commercial	$1,129.01
Rate for Payer: Cash Price	$726.29
Rate for Payer: Cash Price	$726.29
Rate for Payer: Cash Price	$726.29
Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus	$726.29
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,477.75
Rate for Payer: Elderplan Medicare Advantage	$726.29
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Essential Plan Aliesa	$617.35
Rate for Payer: Fidelis Essential Plan QHP	$646.40
Rate for Payer: Fidelis Medicare Advantage	$726.29
Rate for Payer: Fidelis Qualified Health Plan	$646.40
Rate for Payer: Group Health Inc Commercial	$726.29
Rate for Payer: Group Health Inc Medicare	$726.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$752.68
Rate for Payer: Hamaspik Choice Inc Medicare	$726.29
Rate for Payer: Healthfirst Medicare Advantage	$617.35
Rate for Payer: Healthfirst QHP	$726.29
Rate for Payer: Humana Medicare	$740.82
Rate for Payer: Senior Whole Health Medicare Advantage	$726.29
Rate for Payer: United Healthcare Commercial	$1,113.00
Rate for Payer: United Healthcare Medicare Advantage	$726.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$726.29
Rate for Payer: Wellcare CHP/FHP/Medicaid	$581.03
Rate for Payer: Wellcare Medicare	$689.98

CORTICAL BONE SCREW 120 / 40 MM

Facility

$230.00

Service Code	HCPCS C1713
Hospital Charge Code	40209591
Hospital Revenue Code	278
Min. Negotiated Rate	$115.00
Max. Negotiated Rate	$115.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.00
Rate for Payer: Hamaspik Choice Inc Medicare	$115.00

CORTICAL BONE SCREW 120 / 40 MM

Facility

$230.00

Service Code	HCPCS C1713
Hospital Charge Code	40209591
Hospital Revenue Code	278
Min. Negotiated Rate	$80.50
Max. Negotiated Rate	$241.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$138.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$115.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.25
Rate for Payer: EmblemHealth Commercial	$115.00
Rate for Payer: Fidelis Medicare Advantage	$241.50
Rate for Payer: Group Health Inc Commercial	$115.00
Rate for Payer: Group Health Inc Medicare	$80.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.00
Rate for Payer: Hamaspik Choice Inc Medicare	$115.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$149.50

CORTICAL SCREW 3.5X20MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007035
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X20MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007035
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X22MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007036
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X22MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007036
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X24MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007037
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X24MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007037
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X26MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007038
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X26MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007038
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X28MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007039
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X28MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007039
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X30MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007040
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X30MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007040
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5 X 32 MM

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	40005313
Hospital Revenue Code	278
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.00
Rate for Payer: EmblemHealth Commercial	$40.00
Rate for Payer: Fidelis Medicare Advantage	$84.00
Rate for Payer: Group Health Inc Commercial	$40.00
Rate for Payer: Group Health Inc Medicare	$28.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.00
Rate for Payer: Hamaspik Choice Inc Medicare	$40.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.00

CORTICAL SCREW 3.5 X 32 MM

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	40005313
Hospital Revenue Code	278
Min. Negotiated Rate	$40.00
Max. Negotiated Rate	$40.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.00
Rate for Payer: Hamaspik Choice Inc Medicare	$40.00

CORTICAL SCREW 3.5X32MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007041
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X32MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007041
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X34MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007042
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X34MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007042
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X36MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007043
Hospital Revenue Code	278
Min. Negotiated Rate	$72.68
Max. Negotiated Rate	$218.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$124.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$103.83
Rate for Payer: Cigna LocalPlus Benefit Plan	$119.40
Rate for Payer: EmblemHealth Commercial	$103.83
Rate for Payer: Fidelis Medicare Advantage	$218.04
Rate for Payer: Group Health Inc Commercial	$103.83
Rate for Payer: Group Health Inc Medicare	$72.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$134.98

CORTICAL SCREW 3.5X36MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007043
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

CORTICAL SCREW 3.5X38MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007044
Hospital Revenue Code	278
Min. Negotiated Rate	$103.83
Max. Negotiated Rate	$103.83
Rate for Payer: Hamaspik Choice Inc Medicaid	$103.83
Rate for Payer: Hamaspik Choice Inc Medicare	$103.83

Know your out-of-pocket cost for care.

All Charges