St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER ASNIS M/S 3.0MM 34/7

Facility OP

$310.80

Service Code	HCPCS C1713
Hospital Charge Code	40206220
Hospital Revenue Code	278
Min. Negotiated Rate	$108.78
Max. Negotiated Rate	$326.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$170.94
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	$155.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$178.71
Rate for Payer: Fidelis Medicare Advantage	$326.34
Rate for Payer: Group Health Inc Commercial	$155.40
Rate for Payer: Group Health Inc Medicare	$108.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.40
Rate for Payer: Hamaspik Choice Inc Medicare	$155.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.02

STRYKER ASNIS SCRW CANN 6.5X55MM

Facility OP

$427.00

Service Code	HCPCS C1776
Hospital Charge Code	40208173
Hospital Revenue Code	278
Min. Negotiated Rate	$149.45
Max. Negotiated Rate	$448.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.85
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	$213.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.52
Rate for Payer: Fidelis Medicare Advantage	$448.35
Rate for Payer: Group Health Inc Commercial	$213.50
Rate for Payer: Group Health Inc Medicare	$149.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.50
Rate for Payer: Hamaspik Choice Inc Medicare	$213.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.55

STRYKER ASNIS SCRW CANN 6.5X55MM

Facility IP

$427.00

Service Code	HCPCS C1776
Hospital Charge Code	40208173
Hospital Revenue Code	278
Min. Negotiated Rate	$213.50
Max. Negotiated Rate	$213.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.50
Rate for Payer: Hamaspik Choice Inc Medicare	$213.50

STRYKER ASYMMETRIC PATELLA

Facility IP

$2,193.60

Service Code	HCPCS C1776
Hospital Charge Code	40209937
Hospital Revenue Code	278
Min. Negotiated Rate	$1,096.80
Max. Negotiated Rate	$1,096.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,096.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,096.80

STRYKER ASYMMETRIC PATELLA

Facility OP

$2,193.60

Service Code	HCPCS C1776
Hospital Charge Code	40209937
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,303.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,206.48
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	$1,096.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,261.32
Rate for Payer: Fidelis Medicare Advantage	$2,303.28
Rate for Payer: Group Health Inc Commercial	$1,096.80
Rate for Payer: Group Health Inc Medicare	$767.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,096.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,096.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,425.84

STRYKER AXSOS 12-HL LT TIB PLATE

Facility IP

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204701
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 AXSOS 12-HL LT TIB PLATE

Facility OP

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204701
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 AXSOS 12 HL PROXIMAL PLAT

Facility IP

$4,590.90

Service Code	HCPCS C1713
Hospital Charge Code	40204709
Hospital Revenue Code	278
Min. Negotiated Rate	$2,295.45
Max. Negotiated Rate	$2,295.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.45
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.45

STRYKER AXSOS 12 HL PROXIMAL PLAT

Facility OP

$4,590.90

Service Code	HCPCS C1713
Hospital Charge Code	40204709
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,820.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,525.00
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	$2,295.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,639.77
Rate for Payer: Fidelis Medicare Advantage	$4,820.44
Rate for Payer: Group Health Inc Commercial	$2,295.45
Rate for Payer: Group Health Inc Medicare	$1,606.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.45
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,984.08

STRYKER AXSOS LOCK SCREW 4.0X50MM

Facility OP

$401.60

Service Code	HCPCS C1713
Hospital Charge Code	40204706
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$421.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.88
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	$200.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.92
Rate for Payer: Fidelis Medicare Advantage	$421.68
Rate for Payer: Group Health Inc Commercial	$200.80
Rate for Payer: Group Health Inc Medicare	$140.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.80
Rate for Payer: Hamaspik Choice Inc Medicare	$200.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$261.04

STRYKER AXSOS LOCK SCREW 4.0X50MM

Facility IP

$401.60

Service Code	HCPCS C1713
Hospital Charge Code	40204706
Hospital Revenue Code	278
Min. Negotiated Rate	$200.80
Max. Negotiated Rate	$200.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.80
Rate for Payer: Hamaspik Choice Inc Medicare	$200.80

STRYKER AXSOS LOCK SCREW 4.0X70MM

Facility IP

$448.80

Service Code	HCPCS C1713
Hospital Charge Code	40204707
Hospital Revenue Code	278
Min. Negotiated Rate	$224.40
Max. Negotiated Rate	$224.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.40
Rate for Payer: Hamaspik Choice Inc Medicare	$224.40

STRYKER AXSOS LOCK SCREW 4.0X70MM

Facility OP

$448.80

Service Code	HCPCS C1713
Hospital Charge Code	40204707
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$471.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.84
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	$224.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$258.06
Rate for Payer: Fidelis Medicare Advantage	$471.24
Rate for Payer: Group Health Inc Commercial	$224.40
Rate for Payer: Group Health Inc Medicare	$157.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.40
Rate for Payer: Hamaspik Choice Inc Medicare	$224.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$291.72

STRYKER AXSOS NONLOCK SCRW 3.5X28

Facility OP

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204702
Hospital Revenue Code	278
Min. Negotiated Rate	$24.99
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$39.27
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	$35.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.06
Rate for Payer: Fidelis Medicare Advantage	$74.97
Rate for Payer: Group Health Inc Commercial	$35.70
Rate for Payer: Group Health Inc Medicare	$24.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.70
Rate for Payer: Hamaspik Choice Inc Medicare	$35.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$46.41

STRYKER AXSOS NONLOCK SCRW 3.5X28

Facility IP

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204702
Hospital Revenue Code	278
Min. Negotiated Rate	$35.70
Max. Negotiated Rate	$35.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.70
Rate for Payer: Hamaspik Choice Inc Medicare	$35.70

STRYKER AXSOS NONLOCK SCRW 3.5X36

Facility IP

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204703
Hospital Revenue Code	278
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$32.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00

STRYKER AXSOS NONLOCK SCRW 3.5X36

Facility OP

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204703
Hospital Revenue Code	278
Min. Negotiated Rate	$22.40
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.20
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	$32.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.80
Rate for Payer: Fidelis Medicare Advantage	$67.20
Rate for Payer: Group Health Inc Commercial	$32.00
Rate for Payer: Group Health Inc Medicare	$22.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.60

STRYKER AXSOS NONLOCK SCRW 3.5X44

Facility IP

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204705
Hospital Revenue Code	278
Min. Negotiated Rate	$35.70
Max. Negotiated Rate	$35.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.70
Rate for Payer: Hamaspik Choice Inc Medicare	$35.70

STRYKER AXSOS NONLOCK SCRW 3.5X44

Facility OP

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204705
Hospital Revenue Code	278
Min. Negotiated Rate	$24.99
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$39.27
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	$35.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.06
Rate for Payer: Fidelis Medicare Advantage	$74.97
Rate for Payer: Group Health Inc Commercial	$35.70
Rate for Payer: Group Health Inc Medicare	$24.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.70
Rate for Payer: Hamaspik Choice Inc Medicare	$35.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$46.41

STRYKER B/CABLE SLEEVE SET 2.0MM

Facility IP

$702.49

Service Code	HCPCS C1713
Hospital Charge Code	40205364
Hospital Revenue Code	278
Min. Negotiated Rate	$351.24
Max. Negotiated Rate	$351.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$351.24
Rate for Payer: Hamaspik Choice Inc Medicare	$351.24

STRYKER B/CABLE SLEEVE SET 2.0MM

Facility OP

$702.49

Service Code	HCPCS C1713
Hospital Charge Code	40205364
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$737.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$386.37
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	$351.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$403.93
Rate for Payer: Fidelis Medicare Advantage	$737.61
Rate for Payer: Group Health Inc Commercial	$351.24
Rate for Payer: Group Health Inc Medicare	$245.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$351.24
Rate for Payer: Hamaspik Choice Inc Medicare	$351.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$456.62

STRYKER BED PER DAY

Facility OP

$128.29

Hospital Charge Code	40207820
Hospital Revenue Code	270
Min. Negotiated Rate	$44.90
Max. Negotiated Rate	$102.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$70.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$64.14
Rate for Payer: Aetna Government	$64.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$87.24
Rate for Payer: Group Health Inc Commercial	$64.14
Rate for Payer: Group Health Inc Medicare	$44.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.14
Rate for Payer: Hamaspik Choice Inc Medicare	$64.14

STRYKER BIO 4 INJECTABLE

Facility OP

$10,650.00

Service Code	HCPCS C1762
Hospital Charge Code	40204466
Hospital Revenue Code	278
Min. Negotiated Rate	$1,879.82
Max. Negotiated Rate	$11,182.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,857.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,879.82
Rate for Payer: Aetna Government	$1,879.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,325.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,123.75
Rate for Payer: Fidelis Medicare Advantage	$11,182.50
Rate for Payer: Group Health Inc Commercial	$5,325.00
Rate for Payer: Group Health Inc Medicare	$3,727.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,325.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,922.50

STRYKER BIO 4 INJECTABLE

Facility IP

$10,650.00

Service Code	HCPCS C1762
Hospital Charge Code	40204466
Hospital Revenue Code	278
Min. Negotiated Rate	$5,325.00
Max. Negotiated Rate	$5,325.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,325.00

STRYKER BLADE SCREW

Facility OP

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	40205502
Hospital Revenue Code	278
Min. Negotiated Rate	$118.09
Max. Negotiated Rate	$354.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$185.57
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	$168.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$194.00
Rate for Payer: Fidelis Medicare Advantage	$354.27
Rate for Payer: Group Health Inc Commercial	$168.70
Rate for Payer: Group Health Inc Medicare	$118.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.70
Rate for Payer: Hamaspik Choice Inc Medicare	$168.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$219.31

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