St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER 6 H PLT R POST LATERAL

Facility OP

$2,672.00

Service Code	HCPCS C1713
Hospital Charge Code	40205319
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,805.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,469.60
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	$1,336.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,536.40
Rate for Payer: Fidelis Medicare Advantage	$2,805.60
Rate for Payer: Group Health Inc Commercial	$1,336.00
Rate for Payer: Group Health Inc Medicare	$935.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,336.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,736.80

STRYKER 6X11MM TIB BEARING INSERT

Facility IP

$3,984.00

Service Code	HCPCS C1776
Hospital Charge Code	40208086
Hospital Revenue Code	278
Min. Negotiated Rate	$1,992.00
Max. Negotiated Rate	$1,992.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,992.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,992.00

STRYKER 6X11MM TIB BEARING INSERT

Facility OP

$3,984.00

Service Code	HCPCS C1776
Hospital Charge Code	40208086
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,183.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,191.20
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	$1,992.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,290.80
Rate for Payer: Fidelis Medicare Advantage	$4,183.20
Rate for Payer: Group Health Inc Commercial	$1,992.00
Rate for Payer: Group Health Inc Medicare	$1,394.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,992.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,992.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,589.60

STRYKER 7 HOLE Y-PLATE

Facility IP

$3,048.00

Service Code	HCPCS C1713
Hospital Charge Code	40006560
Hospital Revenue Code	278
Min. Negotiated Rate	$1,524.00
Max. Negotiated Rate	$1,524.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.00

STRYKER 7 HOLE Y-PLATE

Facility OP

$3,048.00

Service Code	HCPCS C1713
Hospital Charge Code	40006560
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,200.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,676.40
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	$1,524.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,752.60
Rate for Payer: Fidelis Medicare Advantage	$3,200.40
Rate for Payer: Group Health Inc Commercial	$1,524.00
Rate for Payer: Group Health Inc Medicare	$1,066.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,981.20

STRYKER 7X12X14 4 AVSAS

Facility OP

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40009294
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 7X12X14 4 AVSAS

Facility IP

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40009294
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 8-HL OLECRAN PLT RT

Facility IP

$2,144.00

Service Code	HCPCS C1713
Hospital Charge Code	40004617
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.00
Max. Negotiated Rate	$1,072.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,072.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,072.00

STRYKER 8-HL OLECRAN PLT RT

Facility OP

$2,144.00

Service Code	HCPCS C1713
Hospital Charge Code	40004617
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,251.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,179.20
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	$1,072.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,232.80
Rate for Payer: Fidelis Medicare Advantage	$2,251.20
Rate for Payer: Group Health Inc Commercial	$1,072.00
Rate for Payer: Group Health Inc Medicare	$750.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,072.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,072.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,393.60

STRYKER 8 HOLE PLATE

Facility IP

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	40205562
Hospital Revenue Code	278
Min. Negotiated Rate	$550.00
Max. Negotiated Rate	$550.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$550.00
Rate for Payer: Hamaspik Choice Inc Medicare	$550.00

STRYKER 8 HOLE PLATE

Facility OP

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	40205562
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,155.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$605.00
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	$550.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$632.50
Rate for Payer: Fidelis Medicare Advantage	$1,155.00
Rate for Payer: Group Health Inc Commercial	$550.00
Rate for Payer: Group Health Inc Medicare	$385.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$550.00
Rate for Payer: Hamaspik Choice Inc Medicare	$550.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$715.00

STRYKER 8 HOLE PLATE SHORT/NARROW

Facility OP

$2,781.00

Service Code	HCPCS C1713
Hospital Charge Code	40204480
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

STRYKER 8 HOLE PLATE SHORT/NARROW

Facility IP

$2,781.00

Service Code	HCPCS C1713
Hospital Charge Code	40204480
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

STRYKER 90 DEGREE POST

Facility OP

$288.40

Service Code	HCPCS C1713
Hospital Charge Code	40209431
Hospital Revenue Code	278
Min. Negotiated Rate	$100.94
Max. Negotiated Rate	$302.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$158.62
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	$144.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$165.83
Rate for Payer: Fidelis Medicare Advantage	$302.82
Rate for Payer: Group Health Inc Commercial	$144.20
Rate for Payer: Group Health Inc Medicare	$100.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$144.20
Rate for Payer: Hamaspik Choice Inc Medicare	$144.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$187.46

STRYKER 90 DEGREE POST

Facility IP

$288.40

Service Code	HCPCS C1713
Hospital Charge Code	40209431
Hospital Revenue Code	278
Min. Negotiated Rate	$144.20
Max. Negotiated Rate	$144.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$144.20
Rate for Payer: Hamaspik Choice Inc Medicare	$144.20

STRYKER 90 DEGREE POST

Facility OP

$424.80

Service Code	HCPCS C1713
Hospital Charge Code	40006504
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$446.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$233.64
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	$212.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.26
Rate for Payer: Fidelis Medicare Advantage	$446.04
Rate for Payer: Group Health Inc Commercial	$212.40
Rate for Payer: Group Health Inc Medicare	$148.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.40
Rate for Payer: Hamaspik Choice Inc Medicare	$212.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.12

STRYKER 90 DEGREE POST

Facility IP

$424.80

Service Code	HCPCS C1713
Hospital Charge Code	40006504
Hospital Revenue Code	278
Min. Negotiated Rate	$212.40
Max. Negotiated Rate	$212.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.40
Rate for Payer: Hamaspik Choice Inc Medicare	$212.40

STRYKER 9X400 LFT RECON NAIL

Facility IP

$3,504.20

Service Code	HCPCS C1713
Hospital Charge Code	40205723
Hospital Revenue Code	278
Min. Negotiated Rate	$1,752.10
Max. Negotiated Rate	$1,752.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,752.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,752.10

STRYKER 9X400 LFT RECON NAIL

Facility OP

$3,504.20

Service Code	HCPCS C1713
Hospital Charge Code	40205723
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,679.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,927.31
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	$1,752.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,014.92
Rate for Payer: Fidelis Medicare Advantage	$3,679.41
Rate for Payer: Group Health Inc Commercial	$1,752.10
Rate for Payer: Group Health Inc Medicare	$1,226.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,752.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,752.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,277.73

STRYKER 9X420MM RECON NAIL R2 LFT

Facility OP

$3,504.20

Service Code	HCPCS C1713
Hospital Charge Code	40205748
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,679.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,927.31
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	$1,752.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,014.92
Rate for Payer: Fidelis Medicare Advantage	$3,679.41
Rate for Payer: Group Health Inc Commercial	$1,752.10
Rate for Payer: Group Health Inc Medicare	$1,226.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,752.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,752.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,277.73

STRYKER 9X420MM RECON NAIL R2 LFT

Facility IP

$3,504.20

Service Code	HCPCS C1713
Hospital Charge Code	40205748
Hospital Revenue Code	278
Min. Negotiated Rate	$1,752.10
Max. Negotiated Rate	$1,752.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,752.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,752.10

STRYKER ANATOMICAL LFT PLT

Facility OP

$1,440.60

Service Code	HCPCS C1713
Hospital Charge Code	40205206
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,512.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$792.33
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	$720.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$828.34
Rate for Payer: Fidelis Medicare Advantage	$1,512.63
Rate for Payer: Group Health Inc Commercial	$720.30
Rate for Payer: Group Health Inc Medicare	$504.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$720.30
Rate for Payer: Hamaspik Choice Inc Medicare	$720.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$936.39

STRYKER ANATOMICAL LFT PLT

Facility IP

$1,440.60

Service Code	HCPCS C1713
Hospital Charge Code	40205206
Hospital Revenue Code	278
Min. Negotiated Rate	$720.30
Max. Negotiated Rate	$720.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$720.30
Rate for Payer: Hamaspik Choice Inc Medicare	$720.30

STRYKER APEX HA COATED 180X40MM

Facility OP

$394.00

Service Code	HCPCS C1713
Hospital Charge Code	40200701
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$413.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$216.70
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	$197.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$226.55
Rate for Payer: Fidelis Medicare Advantage	$413.70
Rate for Payer: Group Health Inc Commercial	$197.00
Rate for Payer: Group Health Inc Medicare	$137.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$197.00
Rate for Payer: Hamaspik Choice Inc Medicare	$197.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$256.10

STRYKER APEX HA COATED 180X40MM

Facility IP

$394.00

Service Code	HCPCS C1713
Hospital Charge Code	40200701
Hospital Revenue Code	278
Min. Negotiated Rate	$197.00
Max. Negotiated Rate	$197.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$197.00
Rate for Payer: Hamaspik Choice Inc Medicare	$197.00

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