St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER 18X0 DEG END CAPS

Facility IP

$576.56

Service Code	HCPCS C1776
Hospital Charge Code	40205238
Hospital Revenue Code	278
Min. Negotiated Rate	$288.28
Max. Negotiated Rate	$288.28
Rate for Payer: Hamaspik Choice Inc Medicaid	$288.28
Rate for Payer: Hamaspik Choice Inc Medicare	$288.28

STRYKER 18X0 DEG END CAPS

Facility OP

$576.56

Service Code	HCPCS C1776
Hospital Charge Code	40205238
Hospital Revenue Code	278
Min. Negotiated Rate	$201.80
Max. Negotiated Rate	$605.39
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$317.11
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	$288.28
Rate for Payer: Cigna LocalPlus Benefit Plan	$331.52
Rate for Payer: Fidelis Medicare Advantage	$605.39
Rate for Payer: Group Health Inc Commercial	$288.28
Rate for Payer: Group Health Inc Medicare	$201.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$288.28
Rate for Payer: Hamaspik Choice Inc Medicare	$288.28
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$374.76

STRYKER 2.0 K-WIRE

Facility OP

$164.00

Hospital Charge Code	40005300
Hospital Revenue Code	272
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$131.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$82.00
Rate for Payer: Aetna Government	$82.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$111.52
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

STRYKER 2.0 OLIVE WIRES

Facility OP

$90.00

Service Code	HCPCS C1713
Hospital Charge Code	40008261
Hospital Revenue Code	278
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$49.50
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	$45.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$51.75
Rate for Payer: Fidelis Medicare Advantage	$94.50
Rate for Payer: Group Health Inc Commercial	$45.00
Rate for Payer: Group Health Inc Medicare	$31.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.00
Rate for Payer: Hamaspik Choice Inc Medicare	$45.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$58.50

STRYKER 2.0 OLIVE WIRES

Facility IP

$90.00

Service Code	HCPCS C1713
Hospital Charge Code	40008261
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.00
Rate for Payer: Hamaspik Choice Inc Medicare	$45.00

STRYKER 2.0X5MM BONE SCR CRSS PIN

Facility IP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204671
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

STRYKER 2.0X5MM BONE SCR CRSS PIN

Facility OP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204671
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

STRYKER 2.0X8MM BONE SCR CRSS PIN

Facility OP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204672
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

STRYKER 2.0X8MM BONE SCR CRSS PIN

Facility IP

$85.68

Service Code	HCPCS C1713
Hospital Charge Code	40204672
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

STRYKER 2.3X6MM BONE SCREW CROSS

Facility IP

$104.94

Service Code	HCPCS C1713
Hospital Charge Code	40203411
Hospital Revenue Code	278
Min. Negotiated Rate	$52.47
Max. Negotiated Rate	$52.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.47
Rate for Payer: Hamaspik Choice Inc Medicare	$52.47

STRYKER 2.3X6MM BONE SCREW CROSS

Facility OP

$104.94

Service Code	HCPCS C1713
Hospital Charge Code	40203411
Hospital Revenue Code	278
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.72
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	$52.47
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.34
Rate for Payer: Fidelis Medicare Advantage	$110.19
Rate for Payer: Group Health Inc Commercial	$52.47
Rate for Payer: Group Health Inc Medicare	$36.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.47
Rate for Payer: Hamaspik Choice Inc Medicare	$52.47
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$68.21

STRYKER 2.5 DRILL BIT

Facility OP

$816.00

Hospital Charge Code	40005301
Hospital Revenue Code	272
Min. Negotiated Rate	$285.60
Max. Negotiated Rate	$652.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$448.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$408.00
Rate for Payer: Aetna Government	$408.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$652.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$554.88
Rate for Payer: Group Health Inc Commercial	$408.00
Rate for Payer: Group Health Inc Medicare	$285.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$408.00
Rate for Payer: Hamaspik Choice Inc Medicare	$408.00

STRYKER 26MM C TAPER FEM HEAD

Facility OP

$1,801.60

Service Code	HCPCS C1776
Hospital Charge Code	40029616
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,891.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$990.88
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	$900.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,035.92
Rate for Payer: Fidelis Medicare Advantage	$1,891.68
Rate for Payer: Group Health Inc Commercial	$900.80
Rate for Payer: Group Health Inc Medicare	$630.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$900.80
Rate for Payer: Hamaspik Choice Inc Medicare	$900.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,171.04

STRYKER 26MM C TAPER FEM HEAD

Facility IP

$1,801.60

Service Code	HCPCS C1776
Hospital Charge Code	40029616
Hospital Revenue Code	278
Min. Negotiated Rate	$900.80
Max. Negotiated Rate	$900.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$900.80
Rate for Payer: Hamaspik Choice Inc Medicare	$900.80

STRYKER 2.7 LOCKING SCREW

Facility OP

$219.00

Service Code	HCPCS C1713
Hospital Charge Code	40205605
Hospital Revenue Code	278
Min. Negotiated Rate	$76.65
Max. Negotiated Rate	$229.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$120.45
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	$109.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$125.92
Rate for Payer: Fidelis Medicare Advantage	$229.95
Rate for Payer: Group Health Inc Commercial	$109.50
Rate for Payer: Group Health Inc Medicare	$76.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.50
Rate for Payer: Hamaspik Choice Inc Medicare	$109.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$142.35

STRYKER 2.7 LOCKING SCREW

Facility IP

$219.00

Service Code	HCPCS C1713
Hospital Charge Code	40205605
Hospital Revenue Code	278
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$109.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.50
Rate for Payer: Hamaspik Choice Inc Medicare	$109.50

STRYKER 2.7MM BONE SCREW

Facility OP

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	40205646
Hospital Revenue Code	278
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$173.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.75
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	$82.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.88
Rate for Payer: Fidelis Medicare Advantage	$173.25
Rate for Payer: Group Health Inc Commercial	$82.50
Rate for Payer: Group Health Inc Medicare	$57.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.25

STRYKER 2.7MM BONE SCREW

Facility IP

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	40205646
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50

STRYKER 2.7MM DRILL

Facility OP

$401.00

Service Code	HCPCS C1713
Hospital Charge Code	40205542
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$421.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.55
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	$200.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.58
Rate for Payer: Fidelis Medicare Advantage	$421.05
Rate for Payer: Group Health Inc Commercial	$200.50
Rate for Payer: Group Health Inc Medicare	$140.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.50
Rate for Payer: Hamaspik Choice Inc Medicare	$200.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.65

STRYKER 2.7MM DRILL

Facility IP

$401.00

Service Code	HCPCS C1713
Hospital Charge Code	40205542
Hospital Revenue Code	278
Min. Negotiated Rate	$200.50
Max. Negotiated Rate	$200.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.50
Rate for Payer: Hamaspik Choice Inc Medicare	$200.50

STRYKER 2.7 NON LCKNG

Facility IP

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205952
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50

STRYKER 2.7 NON LCKNG

Facility OP

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205952
Hospital Revenue Code	278
Min. Negotiated Rate	$61.25
Max. Negotiated Rate	$183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$96.25
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	$87.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.62
Rate for Payer: Fidelis Medicare Advantage	$183.75
Rate for Payer: Group Health Inc Commercial	$87.50
Rate for Payer: Group Health Inc Medicare	$61.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$113.75

STRYKER 2.7 X 12 H XXL VOLAR PLT

Facility OP

$2,688.00

Service Code	HCPCS C1713
Hospital Charge Code	40205563
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,822.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,478.40
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	$1,344.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,545.60
Rate for Payer: Fidelis Medicare Advantage	$2,822.40
Rate for Payer: Group Health Inc Commercial	$1,344.00
Rate for Payer: Group Health Inc Medicare	$940.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,344.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,344.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,747.20

STRYKER 2.7 X 12 H XXL VOLAR PLT

Facility IP

$2,688.00

Service Code	HCPCS C1713
Hospital Charge Code	40205563
Hospital Revenue Code	278
Min. Negotiated Rate	$1,344.00
Max. Negotiated Rate	$1,344.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,344.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,344.00

STRYKER 2.7X14MM LOCKING SCREW

Facility IP

$203.00

Service Code	HCPCS C1713
Hospital Charge Code	40205215
Hospital Revenue Code	278
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.50
Rate for Payer: Hamaspik Choice Inc Medicare	$101.50

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