St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER APEX PIN 5X

Facility IP

$242.00

Service Code	HCPCS C1713
Hospital Charge Code	40205929
Hospital Revenue Code	278
Min. Negotiated Rate	$121.00
Max. Negotiated Rate	$121.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.00
Rate for Payer: Hamaspik Choice Inc Medicare	$121.00

STRYKER APEX PIN 5X

Facility OP

$242.00

Service Code	HCPCS C1713
Hospital Charge Code	40205929
Hospital Revenue Code	278
Min. Negotiated Rate	$84.70
Max. Negotiated Rate	$254.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$133.10
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	$121.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$139.15
Rate for Payer: Fidelis Medicare Advantage	$254.10
Rate for Payer: Group Health Inc Commercial	$121.00
Rate for Payer: Group Health Inc Medicare	$84.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.00
Rate for Payer: Hamaspik Choice Inc Medicare	$121.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$157.30

STRYKER APEX PIN 5 X 180 MM

Facility IP

$394.00

Service Code	HCPCS C1713
Hospital Charge Code	40200932
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

STRYKER APEX PIN 5 X 180 MM

Facility OP

$394.00

Service Code	HCPCS C1713
Hospital Charge Code	40200932
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 PIN 6X180MM

Facility IP

$267.40

Service Code	HCPCS C1713
Hospital Charge Code	40206237
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

STRYKER APEX PIN 6X180MM

Facility OP

$267.40

Service Code	HCPCS C1713
Hospital Charge Code	40206237
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 APEX PIN 6X200MM

Facility IP

$480.00

Service Code	HCPCS C1713
Hospital Charge Code	40206259
Hospital Revenue Code	278
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$240.00
Rate for Payer: Hamaspik Choice Inc Medicare	$240.00

STRYKER APEX PIN 6X200MM

Facility OP

$480.00

Service Code	HCPCS C1713
Hospital Charge Code	40206259
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$504.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$264.00
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	$240.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$276.00
Rate for Payer: Fidelis Medicare Advantage	$504.00
Rate for Payer: Group Health Inc Commercial	$240.00
Rate for Payer: Group Health Inc Medicare	$168.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$240.00
Rate for Payer: Hamaspik Choice Inc Medicare	$240.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$312.00

STRYKER ASNI III CANN SCREW

Facility IP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	40205818
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

STRYKER ASNI III CANN SCREW

Facility OP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	40205818
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
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	$195.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.25
Rate for Payer: Fidelis Medicare Advantage	$409.50
Rate for Payer: Group Health Inc Commercial	$195.00
Rate for Payer: Group Health Inc Medicare	$136.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.50

STRYKER ASNIS 111 THREADED GW

Facility IP

$153.00

Service Code	HCPCS C1769
Hospital Charge Code	40206070
Hospital Revenue Code	278
Min. Negotiated Rate	$76.50
Max. Negotiated Rate	$76.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.50
Rate for Payer: Hamaspik Choice Inc Medicare	$76.50

STRYKER ASNIS 111 THREADED GW

Facility OP

$153.00

Service Code	HCPCS C1769
Hospital Charge Code	40206070
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$160.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.15
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	$76.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$87.98
Rate for Payer: Fidelis Medicare Advantage	$160.65
Rate for Payer: Group Health Inc Commercial	$76.50
Rate for Payer: Group Health Inc Medicare	$53.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$76.50
Rate for Payer: Hamaspik Choice Inc Medicare	$76.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$99.45

STRYKER ASNIS CANN SCREW 4.0X24MM

Facility IP

$306.60

Service Code	HCPCS C1713
Hospital Charge Code	40205578
Hospital Revenue Code	278
Min. Negotiated Rate	$153.30
Max. Negotiated Rate	$153.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$153.30
Rate for Payer: Hamaspik Choice Inc Medicare	$153.30

STRYKER ASNIS CANN SCREW 4.0X24MM

Facility OP

$306.60

Service Code	HCPCS C1713
Hospital Charge Code	40205578
Hospital Revenue Code	278
Min. Negotiated Rate	$107.31
Max. Negotiated Rate	$321.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$168.63
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	$153.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$176.30
Rate for Payer: Fidelis Medicare Advantage	$321.93
Rate for Payer: Group Health Inc Commercial	$153.30
Rate for Payer: Group Health Inc Medicare	$107.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$153.30
Rate for Payer: Hamaspik Choice Inc Medicare	$153.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$199.29

STRYKER ASNIS CANN SCREW 4.0X30MM

Facility OP

$271.60

Service Code	HCPCS C1713
Hospital Charge Code	40205581
Hospital Revenue Code	278
Min. Negotiated Rate	$95.06
Max. Negotiated Rate	$285.18
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$149.38
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	$135.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$156.17
Rate for Payer: Fidelis Medicare Advantage	$285.18
Rate for Payer: Group Health Inc Commercial	$135.80
Rate for Payer: Group Health Inc Medicare	$95.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$135.80
Rate for Payer: Hamaspik Choice Inc Medicare	$135.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$176.54

STRYKER ASNIS CANN SCREW 4.0X30MM

Facility IP

$271.60

Service Code	HCPCS C1713
Hospital Charge Code	40205581
Hospital Revenue Code	278
Min. Negotiated Rate	$135.80
Max. Negotiated Rate	$135.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$135.80
Rate for Payer: Hamaspik Choice Inc Medicare	$135.80

STRYKER ASNISIII CANN SCR 4.0X34

Facility OP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204473
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

STRYKER ASNISIII CANN SCR 4.0X34

Facility IP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204473
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

STRYKER ASNISIII CANN SCR 4.0X36

Facility IP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204474
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

STRYKER ASNISIII CANN SCR 4.0X36

Facility OP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204474
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

STRYKER ASNISIII CAN SCR 4.0X32MM

Facility IP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204471
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

STRYKER ASNISIII CAN SCR 4.0X32MM

Facility OP

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204471
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

STRYKER ASNIS MICRO SCR 3.0X20MM

Facility IP

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40202639
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

STRYKER ASNIS MICRO SCR 3.0X20MM

Facility OP

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40202639
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
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	$90.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.50
Rate for Payer: Fidelis Medicare Advantage	$189.00
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.00

STRYKER ASNIS M/S 3.0MM 34/7

Facility IP

$310.80

Service Code	HCPCS C1713
Hospital Charge Code	40206220
Hospital Revenue Code	278
Min. Negotiated Rate	$155.40
Max. Negotiated Rate	$155.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.40
Rate for Payer: Hamaspik Choice Inc Medicare	$155.40

Price Transparency.

All Charges