St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER LOCKING SCREW 2.3X20MM

Facility OP

$124.60

Service Code	HCPCS C1776
Hospital Charge Code	40205252
Hospital Revenue Code	278
Min. Negotiated Rate	$43.61
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.53
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	$62.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.64
Rate for Payer: Fidelis Medicare Advantage	$130.83
Rate for Payer: Group Health Inc Commercial	$62.30
Rate for Payer: Group Health Inc Medicare	$43.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.30
Rate for Payer: Hamaspik Choice Inc Medicare	$62.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.99

STRYKER LOCKING SCREW 2.3 X 22MM

Facility OP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029597
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
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	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

STRYKER LOCKING SCREW 2.3 X 22MM

Facility IP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029597
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

STRYKER LOCKING SCREW 2.3 X 24MM

Facility IP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029598
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

STRYKER LOCKING SCREW 2.3 X 24MM

Facility OP

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029598
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
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	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

STRYKER LOCKING SCREW 2.7X10MM

Facility IP

$219.00

Service Code	HCPCS C1713
Hospital Charge Code	40205595
Hospital Revenue Code	278
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$109.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.50
Rate for Payer: Hamaspik Choice Inc Medicare	$109.50

STRYKER LOCKING SCREW 2.7X10MM

Facility OP

$219.00

Service Code	HCPCS C1713
Hospital Charge Code	40205595
Hospital Revenue Code	278
Min. Negotiated Rate	$76.65
Max. Negotiated Rate	$229.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$120.45
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	$109.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$125.92
Rate for Payer: Fidelis Medicare Advantage	$229.95
Rate for Payer: Group Health Inc Commercial	$109.50
Rate for Payer: Group Health Inc Medicare	$76.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.50
Rate for Payer: Hamaspik Choice Inc Medicare	$109.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$142.35

STRYKER LOCKING SCREW 3.5

Facility OP

$392.00

Service Code	HCPCS C1713
Hospital Charge Code	40205217
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$411.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$215.60
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	$196.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$225.40
Rate for Payer: Fidelis Medicare Advantage	$411.60
Rate for Payer: Group Health Inc Commercial	$196.00
Rate for Payer: Group Health Inc Medicare	$137.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$196.00
Rate for Payer: Hamaspik Choice Inc Medicare	$196.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$254.80

STRYKER LOCKING SCREW 3.5

Facility IP

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	40205279
Hospital Revenue Code	278
Min. Negotiated Rate	$215.00
Max. Negotiated Rate	$215.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.00
Rate for Payer: Hamaspik Choice Inc Medicare	$215.00

STRYKER LOCKING SCREW 3.5

Facility OP

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	40205279
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$451.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$236.50
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	$215.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$247.25
Rate for Payer: Fidelis Medicare Advantage	$451.50
Rate for Payer: Group Health Inc Commercial	$215.00
Rate for Payer: Group Health Inc Medicare	$150.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.00
Rate for Payer: Hamaspik Choice Inc Medicare	$215.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$279.50

STRYKER LOCKING SCREW 3.5

Facility IP

$392.00

Service Code	HCPCS C1713
Hospital Charge Code	40205217
Hospital Revenue Code	278
Min. Negotiated Rate	$196.00
Max. Negotiated Rate	$196.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$196.00
Rate for Payer: Hamaspik Choice Inc Medicare	$196.00

STRYKER LOCKING SCREW 3.5MM

Facility OP

$330.20

Service Code	HCPCS C1713
Hospital Charge Code	40205485
Hospital Revenue Code	278
Min. Negotiated Rate	$115.57
Max. Negotiated Rate	$346.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$181.61
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	$165.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$189.86
Rate for Payer: Fidelis Medicare Advantage	$346.71
Rate for Payer: Group Health Inc Commercial	$165.10
Rate for Payer: Group Health Inc Medicare	$115.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.10
Rate for Payer: Hamaspik Choice Inc Medicare	$165.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$214.63

STRYKER LOCKING SCREW 3.5MM

Facility IP

$330.20

Service Code	HCPCS C1713
Hospital Charge Code	40205485
Hospital Revenue Code	278
Min. Negotiated Rate	$165.10
Max. Negotiated Rate	$165.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.10
Rate for Payer: Hamaspik Choice Inc Medicare	$165.10

STRYKER LOCKING SCREW 3.5X20MM

Facility OP

$408.00

Service Code	HCPCS C1776
Hospital Charge Code	40205017
Hospital Revenue Code	278
Min. Negotiated Rate	$142.80
Max. Negotiated Rate	$428.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.40
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	$204.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$234.60
Rate for Payer: Fidelis Medicare Advantage	$428.40
Rate for Payer: Group Health Inc Commercial	$204.00
Rate for Payer: Group Health Inc Medicare	$142.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$265.20

STRYKER LOCKING SCREW 3.5X20MM

Facility IP

$408.00

Service Code	HCPCS C1776
Hospital Charge Code	40205017
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$204.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00

STRYKER LOCKING SCREW 3.5X36MM

Facility IP

$196.00

Service Code	HCPCS C1776
Hospital Charge Code	40205019
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00

STRYKER LOCKING SCREW 3.5X36MM

Facility OP

$196.00

Service Code	HCPCS C1776
Hospital Charge Code	40205019
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
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	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

STRYKER LOCKING SCREW 4.0

Facility IP

$212.80

Service Code	HCPCS C1713
Hospital Charge Code	40208115
Hospital Revenue Code	278
Min. Negotiated Rate	$106.40
Max. Negotiated Rate	$106.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.40
Rate for Payer: Hamaspik Choice Inc Medicare	$106.40

STRYKER LOCKING SCREW 4.0

Facility OP

$212.80

Service Code	HCPCS C1713
Hospital Charge Code	40208115
Hospital Revenue Code	278
Min. Negotiated Rate	$74.48
Max. Negotiated Rate	$223.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$117.04
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	$106.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.36
Rate for Payer: Fidelis Medicare Advantage	$223.44
Rate for Payer: Group Health Inc Commercial	$106.40
Rate for Payer: Group Health Inc Medicare	$74.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.40
Rate for Payer: Hamaspik Choice Inc Medicare	$106.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$138.32

STRYKER LOCKING SCREW 4.0MM

Facility IP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	40205457
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

STRYKER LOCKING SCREW 4.0MM

Facility OP

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	40205457
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
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	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

STRYKER LOCKING SCREW 4.0X16MM

Facility IP

$189.00

Service Code	HCPCS C1776
Hospital Charge Code	40208148
Hospital Revenue Code	278
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$94.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$94.50
Rate for Payer: Hamaspik Choice Inc Medicare	$94.50

STRYKER LOCKING SCREW 4.0X16MM

Facility OP

$189.00

Service Code	HCPCS C1776
Hospital Charge Code	40208148
Hospital Revenue Code	278
Min. Negotiated Rate	$66.15
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.95
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	$94.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$108.68
Rate for Payer: Fidelis Medicare Advantage	$198.45
Rate for Payer: Group Health Inc Commercial	$94.50
Rate for Payer: Group Health Inc Medicare	$66.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$94.50
Rate for Payer: Hamaspik Choice Inc Medicare	$94.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$122.85

STRYKER LOCKING SCREW 4.0X20MM

Facility IP

$166.00

Service Code	HCPCS C1776
Hospital Charge Code	40205271
Hospital Revenue Code	278
Min. Negotiated Rate	$83.00
Max. Negotiated Rate	$83.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.00
Rate for Payer: Hamaspik Choice Inc Medicare	$83.00

STRYKER LOCKING SCREW 4.0X20MM

Facility OP

$166.00

Service Code	HCPCS C1776
Hospital Charge Code	40205271
Hospital Revenue Code	278
Min. Negotiated Rate	$58.10
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.30
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	$83.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$95.45
Rate for Payer: Fidelis Medicare Advantage	$174.30
Rate for Payer: Group Health Inc Commercial	$83.00
Rate for Payer: Group Health Inc Medicare	$58.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.00
Rate for Payer: Hamaspik Choice Inc Medicare	$83.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.90

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