St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER 10X400MMX130DEG LONG NAIL

Facility OP

$4,529.00

Service Code	HCPCS C1713
Hospital Charge Code	40205790
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,755.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,490.95
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	$2,264.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,604.18
Rate for Payer: Fidelis Medicare Advantage	$4,755.45
Rate for Payer: Group Health Inc Commercial	$2,264.50
Rate for Payer: Group Health Inc Medicare	$1,585.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,264.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,264.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,943.85

STRYKER 10X400X125 LG N RT

Facility OP

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205331
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.71
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	$2,116.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.52
Rate for Payer: Fidelis Medicare Advantage	$4,443.81
Rate for Payer: Group Health Inc Commercial	$2,116.10
Rate for Payer: Group Health Inc Medicare	$1,481.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.93

STRYKER 10X400X125 LG N RT

Facility IP

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205331
Hospital Revenue Code	278
Min. Negotiated Rate	$2,116.10
Max. Negotiated Rate	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10

STRYKER 10X420X125 LNG NAIL RGHT

Facility OP

$4,232.00

Service Code	HCPCS C1713
Hospital Charge Code	40209805
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.60
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	$2,116.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.40
Rate for Payer: Fidelis Medicare Advantage	$4,443.60
Rate for Payer: Group Health Inc Commercial	$2,116.00
Rate for Payer: Group Health Inc Medicare	$1,481.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.80

STRYKER 10X420X125 LNG NAIL RGHT

Facility IP

$4,232.00

Service Code	HCPCS C1713
Hospital Charge Code	40209805
Hospital Revenue Code	278
Min. Negotiated Rate	$2,116.00
Max. Negotiated Rate	$2,116.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.00

STRYKER 11X360MM FEMORAL NAIL LFT

Facility OP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40205912
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,919.40
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	$2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,052.10
Rate for Payer: Fidelis Medicare Advantage	$5,573.40
Rate for Payer: Group Health Inc Commercial	$2,654.00
Rate for Payer: Group Health Inc Medicare	$1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,450.20

STRYKER 11X360MM FEMORAL NAIL LFT

Facility IP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40205912
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

STRYKER 12MM X 400MM NAIL

Facility IP

$1,705.00

Service Code	HCPCS C1713
Hospital Charge Code	40201585
Hospital Revenue Code	278
Min. Negotiated Rate	$852.50
Max. Negotiated Rate	$852.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.50
Rate for Payer: Hamaspik Choice Inc Medicare	$852.50

STRYKER 12MM X 400MM NAIL

Facility OP

$1,705.00

Service Code	HCPCS C1713
Hospital Charge Code	40201585
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,790.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$937.75
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	$852.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$980.38
Rate for Payer: Fidelis Medicare Advantage	$1,790.25
Rate for Payer: Group Health Inc Commercial	$852.50
Rate for Payer: Group Health Inc Medicare	$596.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.50
Rate for Payer: Hamaspik Choice Inc Medicare	$852.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,108.25

STRYKER 1.2MM XS T-PLATE

Facility OP

$365.40

Service Code	HCPCS C1713
Hospital Charge Code	40209608
Hospital Revenue Code	278
Min. Negotiated Rate	$127.89
Max. Negotiated Rate	$383.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$200.97
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	$182.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$210.10
Rate for Payer: Fidelis Medicare Advantage	$383.67
Rate for Payer: Group Health Inc Commercial	$182.70
Rate for Payer: Group Health Inc Medicare	$127.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$182.70
Rate for Payer: Hamaspik Choice Inc Medicare	$182.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$237.51

STRYKER 1.2MM XS T-PLATE

Facility IP

$365.40

Service Code	HCPCS C1713
Hospital Charge Code	40209608
Hospital Revenue Code	278
Min. Negotiated Rate	$182.70
Max. Negotiated Rate	$182.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$182.70
Rate for Payer: Hamaspik Choice Inc Medicare	$182.70

STRYKER 1/2 PIN 5X150X40

Facility OP

$277.44

Service Code	HCPCS C1713
Hospital Charge Code	40006501
Hospital Revenue Code	278
Min. Negotiated Rate	$97.10
Max. Negotiated Rate	$291.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.59
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	$138.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.53
Rate for Payer: Fidelis Medicare Advantage	$291.31
Rate for Payer: Group Health Inc Commercial	$138.72
Rate for Payer: Group Health Inc Medicare	$97.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.72
Rate for Payer: Hamaspik Choice Inc Medicare	$138.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.34

STRYKER 1/2 PIN 5X150X40

Facility IP

$277.44

Service Code	HCPCS C1713
Hospital Charge Code	40006501
Hospital Revenue Code	278
Min. Negotiated Rate	$138.72
Max. Negotiated Rate	$138.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.72
Rate for Payer: Hamaspik Choice Inc Medicare	$138.72

STRYKER 1.2 S/D SCREW

Facility OP

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40207046
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

STRYKER 1.2 S/D SCREW

Facility IP

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40207046
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

STRYKER 12X12MM CAGE

Facility IP

$1,830.00

Service Code	HCPCS L8699
Hospital Charge Code	40001658
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$915.00
Rate for Payer: Hamaspik Choice Inc Medicare	$915.00

STRYKER 12X12MM CAGE

Facility OP

$1,830.00

Service Code	HCPCS L8699
Hospital Charge Code	40001658
Hospital Revenue Code	278
Min. Negotiated Rate	$640.50
Max. Negotiated Rate	$1,921.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,006.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$915.00
Rate for Payer: Aetna Government	$915.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,052.25
Rate for Payer: Fidelis Medicare Advantage	$1,921.50
Rate for Payer: Group Health Inc Commercial	$915.00
Rate for Payer: Group Health Inc Medicare	$640.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$915.00
Rate for Payer: Hamaspik Choice Inc Medicare	$915.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,189.50

STRYKER 12 X 14 X 9 MM

Facility IP

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40001791
Hospital Revenue Code	278
Min. Negotiated Rate	$2,921.17
Max. Negotiated Rate	$2,921.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,921.17
Rate for Payer: Hamaspik Choice Inc Medicare	$2,921.17

STRYKER 12 X 14 X 9 MM

Facility OP

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40001791
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,134.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,213.29
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	$2,921.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,359.35
Rate for Payer: Fidelis Medicare Advantage	$6,134.46
Rate for Payer: Group Health Inc Commercial	$2,921.17
Rate for Payer: Group Health Inc Medicare	$2,044.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,921.17
Rate for Payer: Hamaspik Choice Inc Medicare	$2,921.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,797.52

STRYKER 1.2 X 5 MM SELF TAP SCREW

Facility OP

$106.48

Service Code	HCPCS C1713
Hospital Charge Code	40203414
Hospital Revenue Code	278
Min. Negotiated Rate	$37.27
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.56
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	$53.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.23
Rate for Payer: Fidelis Medicare Advantage	$111.80
Rate for Payer: Group Health Inc Commercial	$53.24
Rate for Payer: Group Health Inc Medicare	$37.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.24
Rate for Payer: Hamaspik Choice Inc Medicare	$53.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.21

STRYKER 1.2 X 5 MM SELF TAP SCREW

Facility IP

$106.48

Service Code	HCPCS C1713
Hospital Charge Code	40203414
Hospital Revenue Code	278
Min. Negotiated Rate	$53.24
Max. Negotiated Rate	$53.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.24
Rate for Payer: Hamaspik Choice Inc Medicare	$53.24

STRYKER 1/3 4 HOLE TUBULAR PLATE

Facility IP

$99.40

Service Code	HCPCS C1713
Hospital Charge Code	40205714
Hospital Revenue Code	278
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$49.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.70
Rate for Payer: Hamaspik Choice Inc Medicare	$49.70

STRYKER 1/3 4 HOLE TUBULAR PLATE

Facility OP

$99.40

Service Code	HCPCS C1713
Hospital Charge Code	40205714
Hospital Revenue Code	278
Min. Negotiated Rate	$34.79
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.67
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	$49.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.16
Rate for Payer: Fidelis Medicare Advantage	$104.37
Rate for Payer: Group Health Inc Commercial	$49.70
Rate for Payer: Group Health Inc Medicare	$34.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.70
Rate for Payer: Hamaspik Choice Inc Medicare	$49.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$64.61

STRYKER 1350 4 HOLE PLATE

Facility OP

$904.80

Service Code	HCPCS C1713
Hospital Charge Code	40204668
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$950.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$497.64
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	$452.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$520.26
Rate for Payer: Fidelis Medicare Advantage	$950.04
Rate for Payer: Group Health Inc Commercial	$452.40
Rate for Payer: Group Health Inc Medicare	$316.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$452.40
Rate for Payer: Hamaspik Choice Inc Medicare	$452.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$588.12

STRYKER 1350 4 HOLE PLATE

Facility IP

$904.80

Service Code	HCPCS C1713
Hospital Charge Code	40204668
Hospital Revenue Code	278
Min. Negotiated Rate	$452.40
Max. Negotiated Rate	$452.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$452.40
Rate for Payer: Hamaspik Choice Inc Medicare	$452.40

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