St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER 2.7X14MM LOCKING SCREW

Facility OP

$203.00

Service Code	HCPCS C1713
Hospital Charge Code	40205215
Hospital Revenue Code	278
Min. Negotiated Rate	$71.05
Max. Negotiated Rate	$213.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$111.65
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	$101.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$116.72
Rate for Payer: Fidelis Medicare Advantage	$213.15
Rate for Payer: Group Health Inc Commercial	$101.50
Rate for Payer: Group Health Inc Medicare	$71.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.50
Rate for Payer: Hamaspik Choice Inc Medicare	$101.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$131.95

STRYKER 2.7X16MM BONE SCREW

Facility OP

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205607
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 2.7X16MM BONE SCREW

Facility IP

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205607
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 HOLE DOGBONE PLATE W/O

Facility OP

$268.80

Service Code	HCPCS C1713
Hospital Charge Code	40005350
Hospital Revenue Code	278
Min. Negotiated Rate	$94.08
Max. Negotiated Rate	$282.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.84
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	$134.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$154.56
Rate for Payer: Fidelis Medicare Advantage	$282.24
Rate for Payer: Group Health Inc Commercial	$134.40
Rate for Payer: Group Health Inc Medicare	$94.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.40
Rate for Payer: Hamaspik Choice Inc Medicare	$134.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$174.72

STRYKER 2 HOLE DOGBONE PLATE W/O

Facility IP

$268.80

Service Code	HCPCS C1713
Hospital Charge Code	40005350
Hospital Revenue Code	278
Min. Negotiated Rate	$134.40
Max. Negotiated Rate	$134.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.40
Rate for Payer: Hamaspik Choice Inc Medicare	$134.40

STRYKER 30 DEGREE ANGLED POST

Facility OP

$257.76

Service Code	HCPCS C1713
Hospital Charge Code	40006503
Hospital Revenue Code	278
Min. Negotiated Rate	$90.22
Max. Negotiated Rate	$270.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.77
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	$128.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$148.21
Rate for Payer: Fidelis Medicare Advantage	$270.65
Rate for Payer: Group Health Inc Commercial	$128.88
Rate for Payer: Group Health Inc Medicare	$90.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.88
Rate for Payer: Hamaspik Choice Inc Medicare	$128.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$167.54

STRYKER 30 DEGREE ANGLED POST

Facility IP

$257.76

Service Code	HCPCS C1713
Hospital Charge Code	40006503
Hospital Revenue Code	278
Min. Negotiated Rate	$128.88
Max. Negotiated Rate	$128.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.88
Rate for Payer: Hamaspik Choice Inc Medicare	$128.88

STRYKER 30 DGREE ANGLED POST

Facility IP

$242.20

Service Code	HCPCS C1713
Hospital Charge Code	40209414
Hospital Revenue Code	278
Min. Negotiated Rate	$121.10
Max. Negotiated Rate	$121.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.10
Rate for Payer: Hamaspik Choice Inc Medicare	$121.10

STRYKER 30 DGREE ANGLED POST

Facility OP

$242.20

Service Code	HCPCS C1713
Hospital Charge Code	40209414
Hospital Revenue Code	278
Min. Negotiated Rate	$84.77
Max. Negotiated Rate	$254.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$133.21
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	$121.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$139.26
Rate for Payer: Fidelis Medicare Advantage	$254.31
Rate for Payer: Group Health Inc Commercial	$121.10
Rate for Payer: Group Health Inc Medicare	$84.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.10
Rate for Payer: Hamaspik Choice Inc Medicare	$121.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$157.43

STRYKER 32MM FEM HEAD

Facility OP

$3,596.00

Service Code	HCPCS C1776
Hospital Charge Code	40029620
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,775.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,977.80
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	$1,798.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,067.70
Rate for Payer: Fidelis Medicare Advantage	$3,775.80
Rate for Payer: Group Health Inc Commercial	$1,798.00
Rate for Payer: Group Health Inc Medicare	$1,258.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,798.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,798.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,337.40

STRYKER 32MM FEM HEAD

Facility IP

$3,596.00

Service Code	HCPCS C1776
Hospital Charge Code	40029620
Hospital Revenue Code	278
Min. Negotiated Rate	$1,798.00
Max. Negotiated Rate	$1,798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,798.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,798.00

STRYKER 3.2MMX22MM TWIN FIX SCRW

Facility IP

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205650
Hospital Revenue Code	278
Min. Negotiated Rate	$303.10
Max. Negotiated Rate	$303.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10

STRYKER 3.2MMX22MM TWIN FIX SCRW

Facility OP

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205650
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$636.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$333.41
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	$303.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$348.56
Rate for Payer: Fidelis Medicare Advantage	$636.51
Rate for Payer: Group Health Inc Commercial	$303.10
Rate for Payer: Group Health Inc Medicare	$212.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$394.03

STRYKER 3.5MM SZ 1 RECTGLR PLATE

Facility OP

$1,056.00

Service Code	HCPCS C1713
Hospital Charge Code	40205757
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,108.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$580.80
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	$528.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$607.20
Rate for Payer: Fidelis Medicare Advantage	$1,108.80
Rate for Payer: Group Health Inc Commercial	$528.00
Rate for Payer: Group Health Inc Medicare	$369.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$528.00
Rate for Payer: Hamaspik Choice Inc Medicare	$528.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$686.40

STRYKER 3.5MM SZ 1 RECTGLR PLATE

Facility IP

$1,056.00

Service Code	HCPCS C1713
Hospital Charge Code	40205757
Hospital Revenue Code	278
Min. Negotiated Rate	$528.00
Max. Negotiated Rate	$528.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$528.00
Rate for Payer: Hamaspik Choice Inc Medicare	$528.00

STRYKER 3.5 NL X75

Facility IP

$32.00

Service Code	HCPCS C1776
Hospital Charge Code	40201059
Hospital Revenue Code	278
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$16.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.00
Rate for Payer: Hamaspik Choice Inc Medicare	$16.00

STRYKER 3.5 NL X75

Facility OP

$32.00

Service Code	HCPCS C1776
Hospital Charge Code	40201059
Hospital Revenue Code	278
Min. Negotiated Rate	$11.20
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.60
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	$16.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.40
Rate for Payer: Fidelis Medicare Advantage	$33.60
Rate for Payer: Group Health Inc Commercial	$16.00
Rate for Payer: Group Health Inc Medicare	$11.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.00
Rate for Payer: Hamaspik Choice Inc Medicare	$16.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.80

STRYKER 3.5X12MM LOCKING SCREW

Facility IP

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204476
Hospital Revenue Code	278
Min. Negotiated Rate	$250.75
Max. Negotiated Rate	$250.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

STRYKER 3.5X12MM LOCKING SCREW

Facility OP

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204476
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
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	$250.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.36
Rate for Payer: Fidelis Medicare Advantage	$526.58
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.98

STRYKER 3.5X14 NON BIASED SCREW

Facility OP

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204464
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,154.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,652.55
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	$1,502.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,727.67
Rate for Payer: Fidelis Medicare Advantage	$3,154.87
Rate for Payer: Group Health Inc Commercial	$1,502.32
Rate for Payer: Group Health Inc Medicare	$1,051.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,953.02

STRYKER 3.5X14 NON BIASED SCREW

Facility IP

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204464
Hospital Revenue Code	278
Min. Negotiated Rate	$1,502.32
Max. Negotiated Rate	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32

STRYKER 3.5X16 NON BIASED SCREW

Facility IP

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204463
Hospital Revenue Code	278
Min. Negotiated Rate	$1,502.32
Max. Negotiated Rate	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32

STRYKER 3.5X16 NON BIASED SCREW

Facility OP

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204463
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,154.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,652.55
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	$1,502.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,727.67
Rate for Payer: Fidelis Medicare Advantage	$3,154.87
Rate for Payer: Group Health Inc Commercial	$1,502.32
Rate for Payer: Group Health Inc Medicare	$1,051.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,953.02

STRYKER 3.5X24 MEDIAL BIAS SCREW

Facility IP

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204465
Hospital Revenue Code	278
Min. Negotiated Rate	$1,502.32
Max. Negotiated Rate	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32

STRYKER 3.5X24 MEDIAL BIAS SCREW

Facility OP

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204465
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,154.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,652.55
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	$1,502.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,727.67
Rate for Payer: Fidelis Medicare Advantage	$3,154.87
Rate for Payer: Group Health Inc Commercial	$1,502.32
Rate for Payer: Group Health Inc Medicare	$1,051.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,953.02

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