St. Barnabas Hospital

All Charges

Charge

Type

Price

STR T2 REC NAIL R1.5 TI LT 11X380

Facility OP

$3,803.80

Service Code	HCPCS C1713
Hospital Charge Code	40204663
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,993.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,092.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,901.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,187.18
Rate for Payer: Fidelis Medicare Advantage	$3,993.99
Rate for Payer: Group Health Inc Commercial	$1,901.90
Rate for Payer: Group Health Inc Medicare	$1,331.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,901.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,472.47

STRUT FAST FIX MED FOR TSF

Facility IP

$3,349.50

Service Code	HCPCS C1713
Hospital Charge Code	64901935
Hospital Revenue Code	278
Min. Negotiated Rate	$1,674.75
Max. Negotiated Rate	$1,674.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,674.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,674.75

STRUT FAST FIX MED FOR TSF

Facility OP

$3,349.50

Service Code	HCPCS C1713
Hospital Charge Code	64901935
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,516.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,842.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,674.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,925.96
Rate for Payer: Fidelis Medicare Advantage	$3,516.98
Rate for Payer: Group Health Inc Commercial	$1,674.75
Rate for Payer: Group Health Inc Medicare	$1,172.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,674.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,674.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,177.18

STRUT FAST FIX SHORT FOR TSF

Facility OP

$3,349.50

Service Code	HCPCS C1713
Hospital Charge Code	64901936
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,516.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,842.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,674.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,925.96
Rate for Payer: Fidelis Medicare Advantage	$3,516.98
Rate for Payer: Group Health Inc Commercial	$1,674.75
Rate for Payer: Group Health Inc Medicare	$1,172.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,674.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,674.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,177.18

STRUT FAST FIX SHORT FOR TSF

Facility IP

$3,349.50

Service Code	HCPCS C1713
Hospital Charge Code	64901936
Hospital Revenue Code	278
Min. Negotiated Rate	$1,674.75
Max. Negotiated Rate	$1,674.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,674.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,674.75

STRUT FEMORAL CORTICAL (CS1)

Facility OP

$1,168.00

Service Code	HCPCS C1776
Hospital Charge Code	64906330
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,226.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$642.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$584.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$671.60
Rate for Payer: Fidelis Medicare Advantage	$1,226.40
Rate for Payer: Group Health Inc Commercial	$584.00
Rate for Payer: Group Health Inc Medicare	$408.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$584.00
Rate for Payer: Hamaspik Choice Inc Medicare	$584.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$759.20

STRUT FEMORAL CORTICAL (CS1)

Facility IP

$1,168.00

Service Code	HCPCS C1776
Hospital Charge Code	64906330
Hospital Revenue Code	278
Min. Negotiated Rate	$584.00
Max. Negotiated Rate	$584.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$584.00
Rate for Payer: Hamaspik Choice Inc Medicare	$584.00

STRUT HEXAPOD

Facility OP

$5,172.50

Hospital Charge Code	64907390
Hospital Revenue Code	270
Min. Negotiated Rate	$1,810.38
Max. Negotiated Rate	$4,138.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,844.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,586.25
Rate for Payer: Aetna Government	$2,586.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,138.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,517.30
Rate for Payer: Group Health Inc Commercial	$2,586.25
Rate for Payer: Group Health Inc Medicare	$1,810.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,586.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,586.25

STRUT HEXAPOD MD

Facility IP

$9,667.50

Service Code	HCPCS C1713
Hospital Charge Code	64907404
Hospital Revenue Code	278
Min. Negotiated Rate	$4,833.75
Max. Negotiated Rate	$4,833.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,833.75
Rate for Payer: Hamaspik Choice Inc Medicare	$4,833.75

STRUT HEXAPOD MD

Facility OP

$9,667.50

Service Code	HCPCS C1713
Hospital Charge Code	64907404
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$10,150.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,317.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,833.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,558.81
Rate for Payer: Fidelis Medicare Advantage	$10,150.88
Rate for Payer: Group Health Inc Commercial	$4,833.75
Rate for Payer: Group Health Inc Medicare	$3,383.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,833.75
Rate for Payer: Hamaspik Choice Inc Medicare	$4,833.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,283.88

STRUT STATIC MD

Facility IP

$140.48

Service Code	HCPCS C1713
Hospital Charge Code	64907401
Hospital Revenue Code	278
Min. Negotiated Rate	$70.24
Max. Negotiated Rate	$70.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.24
Rate for Payer: Hamaspik Choice Inc Medicare	$70.24

STRUT STATIC MD

Facility OP

$140.48

Service Code	HCPCS C1713
Hospital Charge Code	64907401
Hospital Revenue Code	278
Min. Negotiated Rate	$49.17
Max. Negotiated Rate	$147.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.78
Rate for Payer: Fidelis Medicare Advantage	$147.50
Rate for Payer: Group Health Inc Commercial	$70.24
Rate for Payer: Group Health Inc Medicare	$49.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.24
Rate for Payer: Hamaspik Choice Inc Medicare	$70.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$91.31

STR XIA TITAN BLOCKER

Facility IP

$317.00

Service Code	HCPCS C1713
Hospital Charge Code	40001659
Hospital Revenue Code	278
Min. Negotiated Rate	$158.50
Max. Negotiated Rate	$158.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.50
Rate for Payer: Hamaspik Choice Inc Medicare	$158.50

STR XIA TITAN BLOCKER

Facility OP

$317.00

Service Code	HCPCS C1713
Hospital Charge Code	40001659
Hospital Revenue Code	278
Min. Negotiated Rate	$110.95
Max. Negotiated Rate	$332.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$174.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$158.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$182.28
Rate for Payer: Fidelis Medicare Advantage	$332.85
Rate for Payer: Group Health Inc Commercial	$158.50
Rate for Payer: Group Health Inc Medicare	$110.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.50
Rate for Payer: Hamaspik Choice Inc Medicare	$158.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$206.05

STRY 10 HOLE CURVED PLATE MIDFACE

Facility OP

$428.16

Service Code	HCPCS C1713
Hospital Charge Code	40203415
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$449.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$214.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$246.19
Rate for Payer: Fidelis Medicare Advantage	$449.57
Rate for Payer: Group Health Inc Commercial	$214.08
Rate for Payer: Group Health Inc Medicare	$149.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$214.08
Rate for Payer: Hamaspik Choice Inc Medicare	$214.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$278.30

STRY 10 HOLE CURVED PLATE MIDFACE

Facility IP

$428.16

Service Code	HCPCS C1713
Hospital Charge Code	40203415
Hospital Revenue Code	278
Min. Negotiated Rate	$214.08
Max. Negotiated Rate	$214.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$214.08
Rate for Payer: Hamaspik Choice Inc Medicare	$214.08

STRY 12 HOLE PLATE

Facility OP

$903.50

Service Code	HCPCS C1713
Hospital Charge Code	40004609
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$948.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$496.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$451.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$519.51
Rate for Payer: Fidelis Medicare Advantage	$948.68
Rate for Payer: Group Health Inc Commercial	$451.75
Rate for Payer: Group Health Inc Medicare	$316.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$451.75
Rate for Payer: Hamaspik Choice Inc Medicare	$451.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$587.28

STRY 12 HOLE PLATE

Facility IP

$903.50

Service Code	HCPCS C1713
Hospital Charge Code	40004609
Hospital Revenue Code	278
Min. Negotiated Rate	$451.75
Max. Negotiated Rate	$451.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$451.75
Rate for Payer: Hamaspik Choice Inc Medicare	$451.75

STRY 12 HOLE TIBIAL PLATE

Facility IP

$4,894.30

Service Code	HCPCS C1713
Hospital Charge Code	40005201
Hospital Revenue Code	278
Min. Negotiated Rate	$2,447.15
Max. Negotiated Rate	$2,447.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,447.15
Rate for Payer: Hamaspik Choice Inc Medicare	$2,447.15

STRY 12 HOLE TIBIAL PLATE

Facility OP

$4,894.30

Service Code	HCPCS C1713
Hospital Charge Code	40005201
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,139.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,691.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,447.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,814.22
Rate for Payer: Fidelis Medicare Advantage	$5,139.02
Rate for Payer: Group Health Inc Commercial	$2,447.15
Rate for Payer: Group Health Inc Medicare	$1,713.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,447.15
Rate for Payer: Hamaspik Choice Inc Medicare	$2,447.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,181.30

STRY 1/3 TUB PLATE 7 HL

Facility IP

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	40008278
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$450.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$450.00
Rate for Payer: Hamaspik Choice Inc Medicare	$450.00

STRY 1/3 TUB PLATE 7 HL

Facility OP

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	40008278
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$945.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$495.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$450.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$517.50
Rate for Payer: Fidelis Medicare Advantage	$945.00
Rate for Payer: Group Health Inc Commercial	$450.00
Rate for Payer: Group Health Inc Medicare	$315.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$450.00
Rate for Payer: Hamaspik Choice Inc Medicare	$450.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$585.00

STRY 1.3X79MM DRILL, 12MM STOP

Facility OP

$198.20

Service Code	HCPCS C1713
Hospital Charge Code	40008290
Hospital Revenue Code	278
Min. Negotiated Rate	$69.37
Max. Negotiated Rate	$208.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$99.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.96
Rate for Payer: Fidelis Medicare Advantage	$208.11
Rate for Payer: Group Health Inc Commercial	$99.10
Rate for Payer: Group Health Inc Medicare	$69.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.10
Rate for Payer: Hamaspik Choice Inc Medicare	$99.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$128.83

STRY 1.3X79MM DRILL, 12MM STOP

Facility IP

$198.20

Service Code	HCPCS C1713
Hospital Charge Code	40008290
Hospital Revenue Code	278
Min. Negotiated Rate	$99.10
Max. Negotiated Rate	$99.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.10
Rate for Payer: Hamaspik Choice Inc Medicare	$99.10

STRY 14 HOLE RT PLATE

Facility OP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008279
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: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
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

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