St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER DRIVE TARGATING (HOWMEDIC

Facility OP

$390.00

Hospital Charge Code	40029613
Hospital Revenue Code	272
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$312.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.00
Rate for Payer: Aetna Government	$195.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$265.20
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

STRYKER EASY CLIP 8MM

Facility OP

$2,250.00

Hospital Charge Code	40206249
Hospital Revenue Code	270
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,800.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,237.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,125.00
Rate for Payer: Aetna Government	$1,125.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,800.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,530.00
Rate for Payer: Group Health Inc Commercial	$1,125.00
Rate for Payer: Group Health Inc Medicare	$787.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,125.00

STRYKER END TAP 3.5MM

Facility OP

$229.00

Hospital Charge Code	40205482
Hospital Revenue Code	270
Min. Negotiated Rate	$80.15
Max. Negotiated Rate	$183.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$125.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$114.50
Rate for Payer: Aetna Government	$114.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$183.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$155.72
Rate for Payer: Group Health Inc Commercial	$114.50
Rate for Payer: Group Health Inc Medicare	$80.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.50
Rate for Payer: Hamaspik Choice Inc Medicare	$114.50

STRYKER FEMORAL HEAD #5 RGHT

Facility IP

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205670
Hospital Revenue Code	278
Min. Negotiated Rate	$4,428.00
Max. Negotiated Rate	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00

STRYKER FEMORAL HEAD #5 RGHT

Facility OP

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205670
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$9,298.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,870.80
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	$4,428.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,092.20
Rate for Payer: Fidelis Medicare Advantage	$9,298.80
Rate for Payer: Group Health Inc Commercial	$4,428.00
Rate for Payer: Group Health Inc Medicare	$3,099.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,756.40

STRYKER FEMORAL NAIL

Facility IP

$24.60

Service Code	HCPCS C1713
Hospital Charge Code	40029599
Hospital Revenue Code	278
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.30
Rate for Payer: Hamaspik Choice Inc Medicare	$12.30

STRYKER FEMORAL NAIL

Facility OP

$24.60

Service Code	HCPCS C1713
Hospital Charge Code	40029599
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.53
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	$12.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.14
Rate for Payer: Fidelis Medicare Advantage	$25.83
Rate for Payer: Group Health Inc Commercial	$12.30
Rate for Payer: Group Health Inc Medicare	$8.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.30
Rate for Payer: Hamaspik Choice Inc Medicare	$12.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.99

STRYKER FEMORAL NAIL 9X340MM

Facility IP

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,557.50
Max. Negotiated Rate	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50

STRYKER FEMORAL NAIL 9X340MM

Facility OP

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205567
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,270.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,713.25
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	$1,557.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,791.12
Rate for Payer: Fidelis Medicare Advantage	$3,270.75
Rate for Payer: Group Health Inc Commercial	$1,557.50
Rate for Payer: Group Health Inc Medicare	$1,090.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,024.75

STRYKER FEMORAL NAIL AR T2 12X340

Facility IP

$2,648.00

Service Code	HCPCS C1713
Hospital Charge Code	40205948
Hospital Revenue Code	278
Min. Negotiated Rate	$1,324.00
Max. Negotiated Rate	$1,324.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,324.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,324.00

STRYKER FEMORAL NAIL AR T2 12X340

Facility OP

$2,648.00

Service Code	HCPCS C1713
Hospital Charge Code	40205948
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,780.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,456.40
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	$1,324.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,522.60
Rate for Payer: Fidelis Medicare Advantage	$2,780.40
Rate for Payer: Group Health Inc Commercial	$1,324.00
Rate for Payer: Group Health Inc Medicare	$926.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,324.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,324.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,721.20

STRYKER FEMORAL NAIL T2 10X400MM

Facility IP

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205648
Hospital Revenue Code	278
Min. Negotiated Rate	$1,557.50
Max. Negotiated Rate	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50

STRYKER FEMORAL NAIL T2 10X400MM

Facility OP

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205648
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,270.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,713.25
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	$1,557.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,791.12
Rate for Payer: Fidelis Medicare Advantage	$3,270.75
Rate for Payer: Group Health Inc Commercial	$1,557.50
Rate for Payer: Group Health Inc Medicare	$1,090.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,024.75

STRYKER FEMORAL N AR T2 12X380MM

Facility OP

$2,966.60

Service Code	HCPCS C1776
Hospital Charge Code	40208119
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,114.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.63
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	$1,483.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.80
Rate for Payer: Fidelis Medicare Advantage	$3,114.93
Rate for Payer: Group Health Inc Commercial	$1,483.30
Rate for Payer: Group Health Inc Medicare	$1,038.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.29

STRYKER FEMORAL N AR T2 12X380MM

Facility IP

$2,966.60

Service Code	HCPCS C1776
Hospital Charge Code	40208119
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.30
Max. Negotiated Rate	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.30

STRYKER FRACTURE PLT, 4 HOLES

Facility IP

$570.22

Service Code	HCPCS C1713
Hospital Charge Code	40203428
Hospital Revenue Code	278
Min. Negotiated Rate	$285.11
Max. Negotiated Rate	$285.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.11
Rate for Payer: Hamaspik Choice Inc Medicare	$285.11

STRYKER FRACTURE PLT, 4 HOLES

Facility OP

$570.22

Service Code	HCPCS C1713
Hospital Charge Code	40203428
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$598.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.62
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	$285.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$327.88
Rate for Payer: Fidelis Medicare Advantage	$598.73
Rate for Payer: Group Health Inc Commercial	$285.11
Rate for Payer: Group Health Inc Medicare	$199.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.11
Rate for Payer: Hamaspik Choice Inc Medicare	$285.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$370.64

STRYKER GAMMA3 10X320MM 125D LFT

Facility OP

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205425
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.71
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	$2,116.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.52
Rate for Payer: Fidelis Medicare Advantage	$4,443.81
Rate for Payer: Group Health Inc Commercial	$2,116.10
Rate for Payer: Group Health Inc Medicare	$1,481.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.93

STRYKER GAMMA3 10X320MM 125D LFT

Facility IP

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205425
Hospital Revenue Code	278
Min. Negotiated Rate	$2,116.10
Max. Negotiated Rate	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10

STRYKER GAMMA 3, 3.5MM HEX SCREW

Facility OP

$1,456.00

Service Code	HCPCS C1713
Hospital Charge Code	40206232
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,528.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$800.80
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	$728.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$837.20
Rate for Payer: Fidelis Medicare Advantage	$1,528.80
Rate for Payer: Group Health Inc Commercial	$728.00
Rate for Payer: Group Health Inc Medicare	$509.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$728.00
Rate for Payer: Hamaspik Choice Inc Medicare	$728.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$946.40

STRYKER GAMMA 3, 3.5MM HEX SCREW

Facility IP

$1,456.00

Service Code	HCPCS C1713
Hospital Charge Code	40206232
Hospital Revenue Code	278
Min. Negotiated Rate	$728.00
Max. Negotiated Rate	$728.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$728.00
Rate for Payer: Hamaspik Choice Inc Medicare	$728.00

STRYKER GAMMA3 LFT 11X340X125D

Facility IP

$3,245.20

Service Code	HCPCS C1776
Hospital Charge Code	40208157
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.60
Max. Negotiated Rate	$1,622.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,622.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,622.60

STRYKER GAMMA3 LFT 11X340X125D

Facility OP

$3,245.20

Service Code	HCPCS C1776
Hospital Charge Code	40208157
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,407.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,784.86
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	$1,622.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,865.99
Rate for Payer: Fidelis Medicare Advantage	$3,407.46
Rate for Payer: Group Health Inc Commercial	$1,622.60
Rate for Payer: Group Health Inc Medicare	$1,135.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,622.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,622.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,109.38

STRYKER GAMMA NAIL 11X320MM

Facility OP

$3,441.20

Service Code	HCPCS C1713
Hospital Charge Code	40205586
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,613.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,892.66
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	$1,720.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,978.69
Rate for Payer: Fidelis Medicare Advantage	$3,613.26
Rate for Payer: Group Health Inc Commercial	$1,720.60
Rate for Payer: Group Health Inc Medicare	$1,204.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,720.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,720.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,236.78

STRYKER GAMMA NAIL 11X320MM

Facility IP

$3,441.20

Service Code	HCPCS C1713
Hospital Charge Code	40205586
Hospital Revenue Code	278
Min. Negotiated Rate	$1,720.60
Max. Negotiated Rate	$1,720.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,720.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,720.60

Price Transparency.

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