St. Barnabas Hospital

All Charges

Charge

Type

Price

STRY EASYCLP CMPR STPL 15X15X15MM

Facility OP

$4,620.00

Hospital Charge Code	40008268
Hospital Revenue Code	279
Min. Negotiated Rate	$1,617.00
Max. Negotiated Rate	$3,696.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,541.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,310.00
Rate for Payer: Aetna Government	$2,310.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,696.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,141.60
Rate for Payer: Group Health Inc Commercial	$2,310.00
Rate for Payer: Group Health Inc Medicare	$1,617.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,310.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,310.00

STRY FEM DIS FIX PEG

Facility OP

$1,226.00

Service Code	HCPCS C1776
Hospital Charge Code	40206081
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,287.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$674.30
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	$613.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$704.95
Rate for Payer: Fidelis Medicare Advantage	$1,287.30
Rate for Payer: Group Health Inc Commercial	$613.00
Rate for Payer: Group Health Inc Medicare	$429.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$613.00
Rate for Payer: Hamaspik Choice Inc Medicare	$613.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$796.90

STRY FEM DIS FIX PEG

Facility IP

$1,226.00

Service Code	HCPCS C1776
Hospital Charge Code	40206081
Hospital Revenue Code	278
Min. Negotiated Rate	$613.00
Max. Negotiated Rate	$613.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$613.00
Rate for Payer: Hamaspik Choice Inc Medicare	$613.00

STRY FRACTURE PLT, 4 HOLES W/BAR

Facility IP

$591.36

Service Code	HCPCS C1713
Hospital Charge Code	40203425
Hospital Revenue Code	278
Min. Negotiated Rate	$295.68
Max. Negotiated Rate	$295.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$295.68
Rate for Payer: Hamaspik Choice Inc Medicare	$295.68

STRY FRACTURE PLT, 4 HOLES W/BAR

Facility OP

$591.36

Service Code	HCPCS C1713
Hospital Charge Code	40203425
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$620.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$325.25
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	$295.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$340.03
Rate for Payer: Fidelis Medicare Advantage	$620.93
Rate for Payer: Group Health Inc Commercial	$295.68
Rate for Payer: Group Health Inc Medicare	$206.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$295.68
Rate for Payer: Hamaspik Choice Inc Medicare	$295.68
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$384.38

STRY GUIDEWIRE W/CALIBRA 3.2X300

Facility OP

$100.45

Service Code	HCPCS C1769
Hospital Charge Code	40203696
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$105.47
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.25
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	$50.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.76
Rate for Payer: Fidelis Medicare Advantage	$105.47
Rate for Payer: Group Health Inc Commercial	$50.22
Rate for Payer: Group Health Inc Medicare	$35.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.22
Rate for Payer: Hamaspik Choice Inc Medicare	$50.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.29

STRY GUIDEWIRE W/CALIBRA 3.2X300

Facility IP

$100.45

Service Code	HCPCS C1769
Hospital Charge Code	40203696
Hospital Revenue Code	278
Min. Negotiated Rate	$50.22
Max. Negotiated Rate	$50.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.22
Rate for Payer: Hamaspik Choice Inc Medicare	$50.22

STRY HERL SCR NON-LCK 2.7X18MM

Facility OP

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	40204244
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$525.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.00
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	$250.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$287.50
Rate for Payer: Fidelis Medicare Advantage	$525.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.00

STRY HERL SCR NON-LCK 2.7X18MM

Facility IP

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	40204244
Hospital Revenue Code	278
Min. Negotiated Rate	$250.00
Max. Negotiated Rate	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00

STRY HOLE BLRANON PLA PLA

Facility IP

$2,140.00

Service Code	HCPCS C1713
Hospital Charge Code	40009286
Hospital Revenue Code	278
Min. Negotiated Rate	$1,070.00
Max. Negotiated Rate	$1,070.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,070.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,070.00

STRY HOLE BLRANON PLA PLA

Facility OP

$2,140.00

Service Code	HCPCS C1713
Hospital Charge Code	40009286
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,247.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,177.00
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	$1,070.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,230.50
Rate for Payer: Fidelis Medicare Advantage	$2,247.00
Rate for Payer: Group Health Inc Commercial	$1,070.00
Rate for Payer: Group Health Inc Medicare	$749.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,070.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,070.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,391.00

STRY HYDROSET BLJECTABLE CE

Facility OP

$5,212.00

Hospital Charge Code	40009734
Hospital Revenue Code	272
Min. Negotiated Rate	$1,824.20
Max. Negotiated Rate	$4,169.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,866.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2,606.00
Rate for Payer: Aetna Government	$2,606.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,169.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,544.16
Rate for Payer: Group Health Inc Commercial	$2,606.00
Rate for Payer: Group Health Inc Medicare	$1,824.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,606.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,606.00

STRY INTERM SHORT PLT RT

Facility OP

$2,888.00

Service Code	HCPCS C1713
Hospital Charge Code	40203437
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,032.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,588.40
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	$1,444.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,660.60
Rate for Payer: Fidelis Medicare Advantage	$3,032.40
Rate for Payer: Group Health Inc Commercial	$1,444.00
Rate for Payer: Group Health Inc Medicare	$1,010.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,444.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,877.20

STRY INTERM SHORT PLT RT

Facility IP

$2,888.00

Service Code	HCPCS C1713
Hospital Charge Code	40203437
Hospital Revenue Code	278
Min. Negotiated Rate	$1,444.00
Max. Negotiated Rate	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,444.00

STRY INTERM STAND PLT LT

Facility IP

$2,781.00

Service Code	HCPCS C1713
Hospital Charge Code	40204208
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.50
Max. Negotiated Rate	$1,390.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,390.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,390.50

STRY INTERM STAND PLT LT

Facility OP

$2,781.00

Service Code	HCPCS C1713
Hospital Charge Code	40204208
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,920.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,529.55
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	$1,390.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,599.08
Rate for Payer: Fidelis Medicare Advantage	$2,920.05
Rate for Payer: Group Health Inc Commercial	$1,390.50
Rate for Payer: Group Health Inc Medicare	$973.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,390.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,390.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,807.65

STRYK 12 HOLE TIBIAL PLT

Facility IP

$4,894.30

Service Code	HCPCS C1713
Hospital Charge Code	40008271
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

STRYK 12 HOLE TIBIAL PLT

Facility OP

$4,894.30

Service Code	HCPCS C1713
Hospital Charge Code	40008271
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

STRYK ANK SOL TRY 4.0X40 CANN SCR

Facility OP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204472
Hospital Revenue Code	278
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.60
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	$156.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.40
Rate for Payer: Fidelis Medicare Advantage	$327.60
Rate for Payer: Group Health Inc Commercial	$156.00
Rate for Payer: Group Health Inc Medicare	$109.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.80

STRYK ANK SOL TRY 4.0X40 CANN SCR

Facility IP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204472
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$156.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00

STRYK AXOS III 3.5X38MM LOCK SCRW

Facility OP

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204704
Hospital Revenue Code	278
Min. Negotiated Rate	$22.40
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.20
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	$32.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.80
Rate for Payer: Fidelis Medicare Advantage	$67.20
Rate for Payer: Group Health Inc Commercial	$32.00
Rate for Payer: Group Health Inc Medicare	$22.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.60

STRYK AXOS III 3.5X38MM LOCK SCRW

Facility IP

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204704
Hospital Revenue Code	278
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$32.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00

STRYKE APEX PIN 6X150

Facility IP

$267.40

Service Code	HCPCS C1713
Hospital Charge Code	40202745
Hospital Revenue Code	278
Min. Negotiated Rate	$133.70
Max. Negotiated Rate	$133.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.70
Rate for Payer: Hamaspik Choice Inc Medicare	$133.70

STRYKE APEX PIN 6X150

Facility OP

$267.40

Service Code	HCPCS C1713
Hospital Charge Code	40202745
Hospital Revenue Code	278
Min. Negotiated Rate	$93.59
Max. Negotiated Rate	$280.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.07
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	$133.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.76
Rate for Payer: Fidelis Medicare Advantage	$280.77
Rate for Payer: Group Health Inc Commercial	$133.70
Rate for Payer: Group Health Inc Medicare	$93.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.70
Rate for Payer: Hamaspik Choice Inc Medicare	$133.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.81

STRYKER 10.5 X 115MM LAG SCREW

Facility IP

$682.00

Service Code	HCPCS C1713
Hospital Charge Code	40205342
Hospital Revenue Code	278
Min. Negotiated Rate	$341.00
Max. Negotiated Rate	$341.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$341.00
Rate for Payer: Hamaspik Choice Inc Medicare	$341.00

Price Transparency.

All Charges