St. Barnabas Hospital

All Charges

Charge

Type

Price

STRY 14 HOLE RT PLATE

Facility IP

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008279
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

STRY 1.4 K-WIRE FIX

Facility IP

$466.00

Service Code	HCPCS C1769
Hospital Charge Code	40204731
Hospital Revenue Code	278
Min. Negotiated Rate	$233.00
Max. Negotiated Rate	$233.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00

STRY 1.4 K-WIRE FIX

Facility OP

$466.00

Service Code	HCPCS C1769
Hospital Charge Code	40204731
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$489.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$256.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$233.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$267.95
Rate for Payer: Fidelis Medicare Advantage	$489.30
Rate for Payer: Group Health Inc Commercial	$233.00
Rate for Payer: Group Health Inc Medicare	$163.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$302.90

STRY 14MM BLSTRYKER 1 ATO

Facility OP

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009292
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,811.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,520.38
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	$2,291.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,634.94
Rate for Payer: Fidelis Medicare Advantage	$4,811.62
Rate for Payer: Group Health Inc Commercial	$2,291.25
Rate for Payer: Group Health Inc Medicare	$1,603.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,978.62

STRY 14MM BLSTRYKER 1 ATO

Facility IP

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009292
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.25
Max. Negotiated Rate	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25

STRY 1.5X3MM SCR CROSS PIN SLF TP

Facility OP

$90.64

Service Code	HCPCS C1713
Hospital Charge Code	40203416
Hospital Revenue Code	278
Min. Negotiated Rate	$31.72
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$49.85
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	$45.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$52.12
Rate for Payer: Fidelis Medicare Advantage	$95.17
Rate for Payer: Group Health Inc Commercial	$45.32
Rate for Payer: Group Health Inc Medicare	$31.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.32
Rate for Payer: Hamaspik Choice Inc Medicare	$45.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$58.92

STRY 1.5X3MM SCR CROSS PIN SLF TP

Facility IP

$90.64

Service Code	HCPCS C1713
Hospital Charge Code	40203416
Hospital Revenue Code	278
Min. Negotiated Rate	$45.32
Max. Negotiated Rate	$45.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.32
Rate for Payer: Hamaspik Choice Inc Medicare	$45.32

STRY 1.5 X 4MM SCREW

Facility IP

$406.32

Service Code	HCPCS C1713
Hospital Charge Code	40204205
Hospital Revenue Code	278
Min. Negotiated Rate	$203.16
Max. Negotiated Rate	$203.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.16
Rate for Payer: Hamaspik Choice Inc Medicare	$203.16

STRY 1.5 X 4MM SCREW

Facility OP

$406.32

Service Code	HCPCS C1713
Hospital Charge Code	40204205
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$426.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$223.48
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	$203.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$233.63
Rate for Payer: Fidelis Medicare Advantage	$426.64
Rate for Payer: Group Health Inc Commercial	$203.16
Rate for Payer: Group Health Inc Medicare	$142.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.16
Rate for Payer: Hamaspik Choice Inc Medicare	$203.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$264.11

STRY 1.5 X 4MM_SCREW

Facility OP

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204209
Hospital Revenue Code	278
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$172.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.20
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	$82.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.30
Rate for Payer: Fidelis Medicare Advantage	$172.20
Rate for Payer: Group Health Inc Commercial	$82.00
Rate for Payer: Group Health Inc Medicare	$57.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$106.60

STRY 1.5 X 4MM_SCREW

Facility IP

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204209
Hospital Revenue Code	278
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$82.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00

STRY_1.5 X 4MM SCREW

Facility OP

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204215
Hospital Revenue Code	278
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$172.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.20
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	$82.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.30
Rate for Payer: Fidelis Medicare Advantage	$172.20
Rate for Payer: Group Health Inc Commercial	$82.00
Rate for Payer: Group Health Inc Medicare	$57.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$106.60

STRY_1.5 X 4MM SCREW

Facility IP

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204215
Hospital Revenue Code	278
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$82.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00

STRY 160MM ESZ ROD

Facility IP

$2,558.20

Service Code	HCPCS C1713
Hospital Charge Code	40003443
Hospital Revenue Code	278
Min. Negotiated Rate	$1,279.10
Max. Negotiated Rate	$1,279.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,279.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,279.10

STRY 160MM ESZ ROD

Facility OP

$2,558.20

Service Code	HCPCS C1713
Hospital Charge Code	40003443
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,686.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,407.01
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	$1,279.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,470.96
Rate for Payer: Fidelis Medicare Advantage	$2,686.11
Rate for Payer: Group Health Inc Commercial	$1,279.10
Rate for Payer: Group Health Inc Medicare	$895.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,279.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,279.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,662.83

STRY 16MM BLSTRYKER 1 ATO

Facility IP

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009293
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.25
Max. Negotiated Rate	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25

STRY 16MM BLSTRYKER 1 ATO

Facility OP

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009293
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,811.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,520.38
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	$2,291.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,634.94
Rate for Payer: Fidelis Medicare Advantage	$4,811.62
Rate for Payer: Group Health Inc Commercial	$2,291.25
Rate for Payer: Group Health Inc Medicare	$1,603.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,978.62

STRY 1.6MM TWIST DRILL 35MM

Facility OP

$235.80

Hospital Charge Code	40204714
Hospital Revenue Code	272
Min. Negotiated Rate	$82.53
Max. Negotiated Rate	$188.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$129.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$117.90
Rate for Payer: Aetna Government	$117.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$188.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$160.34
Rate for Payer: Group Health Inc Commercial	$117.90
Rate for Payer: Group Health Inc Medicare	$82.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$117.90
Rate for Payer: Hamaspik Choice Inc Medicare	$117.90

STRY 2.0 ASNIS MCRO CAN BIT 1.7MM

Facility OP

$339.00

Hospital Charge Code	40203451
Hospital Revenue Code	272
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$271.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.50
Rate for Payer: Aetna Government	$169.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.52
Rate for Payer: Group Health Inc Commercial	$169.50
Rate for Payer: Group Health Inc Medicare	$118.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.50
Rate for Payer: Hamaspik Choice Inc Medicare	$169.50

STRY 2.0 ASNIS MICRO CAN BIT1.7MM

Facility OP

$339.00

Hospital Charge Code	40204733
Hospital Revenue Code	272
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$271.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$186.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$169.50
Rate for Payer: Aetna Government	$169.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$271.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.52
Rate for Payer: Group Health Inc Commercial	$169.50
Rate for Payer: Group Health Inc Medicare	$118.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$169.50
Rate for Payer: Hamaspik Choice Inc Medicare	$169.50

STRY 2.0X10MM BN SCREW CROSS PIN

Facility IP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204718
Hospital Revenue Code	278
Min. Negotiated Rate	$42.84
Max. Negotiated Rate	$42.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.84
Rate for Payer: Hamaspik Choice Inc Medicare	$42.84

STRY 2.0X10MM BN SCREW CROSS PIN

Facility OP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204718
Hospital Revenue Code	278
Min. Negotiated Rate	$29.99
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$47.12
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	$42.84
Rate for Payer: Cigna LocalPlus Benefit Plan	$49.27
Rate for Payer: Fidelis Medicare Advantage	$89.96
Rate for Payer: Group Health Inc Commercial	$42.84
Rate for Payer: Group Health Inc Medicare	$29.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.84
Rate for Payer: Hamaspik Choice Inc Medicare	$42.84
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$55.69

STRY 2.0X10MM LCK SCREW CROSS PIN

Facility IP

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204717
Hospital Revenue Code	278
Min. Negotiated Rate	$78.19
Max. Negotiated Rate	$78.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19

STRY 2.0X10MM LCK SCREW CROSS PIN

Facility OP

$156.38

Service Code	HCPCS C1713
Hospital Charge Code	40204717
Hospital Revenue Code	278
Min. Negotiated Rate	$54.73
Max. Negotiated Rate	$164.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.01
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	$78.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.92
Rate for Payer: Fidelis Medicare Advantage	$164.20
Rate for Payer: Group Health Inc Commercial	$78.19
Rate for Payer: Group Health Inc Medicare	$54.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.19
Rate for Payer: Hamaspik Choice Inc Medicare	$78.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.65

STRY 2.0X12MM BONE SCREW CRSS PIN

Facility IP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204716
Hospital Revenue Code	278
Min. Negotiated Rate	$42.84
Max. Negotiated Rate	$42.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$42.84
Rate for Payer: Hamaspik Choice Inc Medicare	$42.84

Price Transparency.

All Charges