St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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

CORTICAL SCREW 3.5X40MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007045
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 3.5X40MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007045
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 48 MM

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	40005312
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 3.5 X 48 MM

Facility

$102.50

Service Code	HCPCS C1713
Hospital Charge Code	40201325
Hospital Revenue Code	278
Min. Negotiated Rate	$51.25
Max. Negotiated Rate	$51.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$51.25
Rate for Payer: Hamaspik Choice Inc Medicare	$51.25

CORTICAL SCREW 3.5 X 48 MM

Facility

$102.50

Service Code	HCPCS C1713
Hospital Charge Code	40201325
Hospital Revenue Code	278
Min. Negotiated Rate	$35.88
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$56.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$61.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$51.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$58.94
Rate for Payer: EmblemHealth Commercial	$51.25
Rate for Payer: Fidelis Medicare Advantage	$107.62
Rate for Payer: Group Health Inc Commercial	$51.25
Rate for Payer: Group Health Inc Medicare	$35.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$51.25
Rate for Payer: Hamaspik Choice Inc Medicare	$51.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$66.62

CORTICAL SCREW 3.5 X 48 MM

Facility

$80.00

Service Code	HCPCS C1713
Hospital Charge Code	40005312
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 3.5X50MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007046
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 3.5X50MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007046
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 3.5X55MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007047
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 3.5X55MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007047
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 3.5X60MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007048
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 3.5X60MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007048
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 3.5X65MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007049
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 3.5X65MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007049
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 3.5X70MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007050
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 3.5X70MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007050
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 3.5 X 75MM

Facility

$278.10

Service Code	HCPCS C1713
Hospital Charge Code	40201326
Hospital Revenue Code	278
Min. Negotiated Rate	$97.34
Max. Negotiated Rate	$292.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.96
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$166.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$139.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.91
Rate for Payer: EmblemHealth Commercial	$139.05
Rate for Payer: Fidelis Medicare Advantage	$292.00
Rate for Payer: Group Health Inc Commercial	$139.05
Rate for Payer: Group Health Inc Medicare	$97.34
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.05
Rate for Payer: Hamaspik Choice Inc Medicare	$139.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.76

CORTICAL SCREW 3.5 X 75MM

Facility

$278.10

Service Code	HCPCS C1713
Hospital Charge Code	40201326
Hospital Revenue Code	278
Min. Negotiated Rate	$139.05
Max. Negotiated Rate	$139.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.05
Rate for Payer: Hamaspik Choice Inc Medicare	$139.05

CORTICAL SCREW 3.5X75MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007051
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 3.5X75MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007051
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 80 MM

Facility

$58.35

Service Code	HCPCS C1713
Hospital Charge Code	40201327
Hospital Revenue Code	278
Min. Negotiated Rate	$20.42
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$35.01
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.55
Rate for Payer: EmblemHealth Commercial	$29.18
Rate for Payer: Fidelis Medicare Advantage	$61.27
Rate for Payer: Group Health Inc Commercial	$29.18
Rate for Payer: Group Health Inc Medicare	$20.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.18
Rate for Payer: Hamaspik Choice Inc Medicare	$29.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$37.93

CORTICAL SCREW 3.5 X 80 MM

Facility

$58.35

Service Code	HCPCS C1713
Hospital Charge Code	40201327
Hospital Revenue Code	278
Min. Negotiated Rate	$29.18
Max. Negotiated Rate	$29.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.18
Rate for Payer: Hamaspik Choice Inc Medicare	$29.18

CORTICAL SCREW 3.5X80MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007052
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 3.5X80MM SELF-TAP

Facility

$207.66

Service Code	HCPCS C1713
Hospital Charge Code	40007052
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