St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER CLAMP 5 HOLE

Facility IP

$830.00

Service Code	HCPCS C1713
Hospital Charge Code	40203339
Hospital Revenue Code	278
Min. Negotiated Rate	$415.00
Max. Negotiated Rate	$415.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$415.00
Rate for Payer: Hamaspik Choice Inc Medicare	$415.00

STRYKER CLAMP 5 HOLE

Facility OP

$830.00

Service Code	HCPCS C1713
Hospital Charge Code	40203339
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$871.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$456.50
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	$415.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$477.25
Rate for Payer: Fidelis Medicare Advantage	$871.50
Rate for Payer: Group Health Inc Commercial	$415.00
Rate for Payer: Group Health Inc Medicare	$290.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$415.00
Rate for Payer: Hamaspik Choice Inc Medicare	$415.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$539.50

STRYKER CLAMP 5 HOLE

Facility OP

$830.00

Hospital Charge Code	40009321
Hospital Revenue Code	272
Min. Negotiated Rate	$290.50
Max. Negotiated Rate	$664.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$456.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$415.00
Rate for Payer: Aetna Government	$415.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$664.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$564.40
Rate for Payer: Group Health Inc Commercial	$415.00
Rate for Payer: Group Health Inc Medicare	$290.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$415.00
Rate for Payer: Hamaspik Choice Inc Medicare	$415.00

STRYKER CLAMP GOLD/BLUE

Facility OP

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40203359
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$829.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
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	$395.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$454.25
Rate for Payer: Fidelis Medicare Advantage	$829.50
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$513.50

STRYKER CLAMP GOLD/BLUE

Facility IP

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40203359
Hospital Revenue Code	278
Min. Negotiated Rate	$395.00
Max. Negotiated Rate	$395.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

STRYKER CLAMP GOLD/BLUE

Facility OP

$790.00

Hospital Charge Code	40009342
Hospital Revenue Code	272
Min. Negotiated Rate	$276.50
Max. Negotiated Rate	$632.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$395.00
Rate for Payer: Aetna Government	$395.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$537.20
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

STRYKER CLAMP PIN TO ROD

Facility OP

$790.00

Hospital Charge Code	40009333
Hospital Revenue Code	272
Min. Negotiated Rate	$276.50
Max. Negotiated Rate	$632.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$395.00
Rate for Payer: Aetna Government	$395.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$537.20
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

STRYKER CLAMP PIN TO ROD

Facility OP

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40203350
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$829.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
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	$395.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$454.25
Rate for Payer: Fidelis Medicare Advantage	$829.50
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$513.50

STRYKER CLAMP PIN TO ROD

Facility IP

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40203350
Hospital Revenue Code	278
Min. Negotiated Rate	$395.00
Max. Negotiated Rate	$395.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

STRYKER CLAMP ROD TO ROD

Facility IP

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40203351
Hospital Revenue Code	278
Min. Negotiated Rate	$395.00
Max. Negotiated Rate	$395.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

STRYKER CLAMP ROD TO ROD

Facility OP

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	40203351
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$829.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
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	$395.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$454.25
Rate for Payer: Fidelis Medicare Advantage	$829.50
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$513.50

STRYKER CLAMP ROD TO ROD

Facility OP

$790.00

Hospital Charge Code	40009334
Hospital Revenue Code	272
Min. Negotiated Rate	$276.50
Max. Negotiated Rate	$632.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$434.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$395.00
Rate for Payer: Aetna Government	$395.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$632.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$537.20
Rate for Payer: Group Health Inc Commercial	$395.00
Rate for Payer: Group Health Inc Medicare	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$395.00
Rate for Payer: Hamaspik Choice Inc Medicare	$395.00

STRYKER CLAMP SINGLE

Facility OP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40203357
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$546.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
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	$260.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.00
Rate for Payer: Fidelis Medicare Advantage	$546.00
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$338.00

STRYKER CLAMP SINGLE

Facility OP

$520.00

Hospital Charge Code	40009340
Hospital Revenue Code	272
Min. Negotiated Rate	$182.00
Max. Negotiated Rate	$416.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$260.00
Rate for Payer: Aetna Government	$260.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$416.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$353.60
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

STRYKER CLAMP SINGLE

Facility IP

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40203357
Hospital Revenue Code	278
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$260.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

STRYKER CLOSED CLIP

Facility OP

$82.50

Hospital Charge Code	40200530
Hospital Revenue Code	270
Min. Negotiated Rate	$28.88
Max. Negotiated Rate	$66.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$45.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$41.25
Rate for Payer: Aetna Government	$41.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$66.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.10
Rate for Payer: Group Health Inc Commercial	$41.25
Rate for Payer: Group Health Inc Medicare	$28.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$41.25
Rate for Payer: Hamaspik Choice Inc Medicare	$41.25

STRYKER CMF CUSTOMIZED IMPLNT KIT

Facility OP

$25,554.00

Hospital Charge Code	40203400
Hospital Revenue Code	272
Min. Negotiated Rate	$8,943.90
Max. Negotiated Rate	$20,443.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$14,054.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$12,777.00
Rate for Payer: Aetna Government	$12,777.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20,443.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$17,376.72
Rate for Payer: Group Health Inc Commercial	$12,777.00
Rate for Payer: Group Health Inc Medicare	$8,943.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$12,777.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12,777.00

STRYKER COMP. PLATE PLY

Facility OP

$2,109.00

Service Code	HCPCS C1713
Hospital Charge Code	40205764
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,214.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,159.95
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	$1,054.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,212.68
Rate for Payer: Fidelis Medicare Advantage	$2,214.45
Rate for Payer: Group Health Inc Commercial	$1,054.50
Rate for Payer: Group Health Inc Medicare	$738.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,054.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,054.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,370.85

STRYKER COMP. PLATE PLY

Facility IP

$2,109.00

Service Code	HCPCS C1713
Hospital Charge Code	40205764
Hospital Revenue Code	278
Min. Negotiated Rate	$1,054.50
Max. Negotiated Rate	$1,054.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,054.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,054.50

STRYKER CORTICAL 2.7MMX14 656414

Facility OP

$328.00

Service Code	HCPCS C1713
Hospital Charge Code	40005357
Hospital Revenue Code	278
Min. Negotiated Rate	$114.80
Max. Negotiated Rate	$344.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$180.40
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	$164.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.60
Rate for Payer: Fidelis Medicare Advantage	$344.40
Rate for Payer: Group Health Inc Commercial	$164.00
Rate for Payer: Group Health Inc Medicare	$114.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$164.00
Rate for Payer: Hamaspik Choice Inc Medicare	$164.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$213.20

STRYKER CORTICAL 2.7MMX14 656414

Facility IP

$328.00

Service Code	HCPCS C1713
Hospital Charge Code	40005357
Hospital Revenue Code	278
Min. Negotiated Rate	$164.00
Max. Negotiated Rate	$164.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$164.00
Rate for Payer: Hamaspik Choice Inc Medicare	$164.00

STRYKER CORTICAL SCREW 4.5X

Facility IP

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40205681
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44

STRYKER CORTICAL SCREW 4.5X

Facility OP

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40205681
Hospital Revenue Code	278
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.28
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	$28.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.71
Rate for Payer: Fidelis Medicare Advantage	$59.72
Rate for Payer: Group Health Inc Commercial	$28.44
Rate for Payer: Group Health Inc Medicare	$19.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.97

STRYKER COUNTER SINK

Facility OP

$210.00

Hospital Charge Code	40205493
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

STRYKER CROSSLINK 35-44MM

Facility IP

$3,996.58

Service Code	HCPCS C1776
Hospital Charge Code	40205236
Hospital Revenue Code	278
Min. Negotiated Rate	$1,998.29
Max. Negotiated Rate	$1,998.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,998.29
Rate for Payer: Hamaspik Choice Inc Medicare	$1,998.29

Price Transparency.

All Charges