St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER LONG NAIL KIT R2.0 RGHT

Facility OP

$3,683.40

Service Code	HCPCS C1713
Hospital Charge Code	40205199
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,867.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,025.87
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	$1,841.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,117.96
Rate for Payer: Fidelis Medicare Advantage	$3,867.57
Rate for Payer: Group Health Inc Commercial	$1,841.70
Rate for Payer: Group Health Inc Medicare	$1,289.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,841.70
Rate for Payer: Hamaspik Choice Inc Medicare	$1,841.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,394.21

STRYKER LW PROF BURRHOLE CVR,10MM

Facility IP

$466.00

Service Code	HCPCS C1713
Hospital Charge Code	40201224
Hospital Revenue Code	278
Min. Negotiated Rate	$233.00
Max. Negotiated Rate	$233.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00

STRYKER LW PROF BURRHOLE CVR,10MM

Facility OP

$466.00

Service Code	HCPCS C1713
Hospital Charge Code	40201224
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$489.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$256.30
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	$233.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$267.95
Rate for Payer: Fidelis Medicare Advantage	$489.30
Rate for Payer: Group Health Inc Commercial	$233.00
Rate for Payer: Group Health Inc Medicare	$163.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$302.90

STRYKER LW PROF X PLATE 4 HOLE

Facility OP

$572.64

Service Code	HCPCS C1713
Hospital Charge Code	40206243
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$601.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$314.95
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	$286.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$329.27
Rate for Payer: Fidelis Medicare Advantage	$601.27
Rate for Payer: Group Health Inc Commercial	$286.32
Rate for Payer: Group Health Inc Medicare	$200.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.32
Rate for Payer: Hamaspik Choice Inc Medicare	$286.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$372.22

STRYKER LW PROF X PLATE 4 HOLE

Facility IP

$572.64

Service Code	HCPCS C1713
Hospital Charge Code	40206243
Hospital Revenue Code	278
Min. Negotiated Rate	$286.32
Max. Negotiated Rate	$286.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.32
Rate for Payer: Hamaspik Choice Inc Medicare	$286.32

STRYKER MEMOMETAL EASY CLIP 10MM

Facility IP

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	40206250
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,125.00

STRYKER MEMOMETAL EASY CLIP 10MM

Facility OP

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	40206250
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,362.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,237.50
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	$1,125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,293.75
Rate for Payer: Fidelis Medicare Advantage	$2,362.50
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,462.50

STRYKER MINI PLATE 4 HOLES W/BAR

Facility IP

$163.90

Service Code	HCPCS C1713
Hospital Charge Code	40203427
Hospital Revenue Code	278
Min. Negotiated Rate	$81.95
Max. Negotiated Rate	$81.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.95
Rate for Payer: Hamaspik Choice Inc Medicare	$81.95

STRYKER MINI PLATE 4 HOLES W/BAR

Facility OP

$163.90

Service Code	HCPCS C1713
Hospital Charge Code	40203427
Hospital Revenue Code	278
Min. Negotiated Rate	$57.36
Max. Negotiated Rate	$172.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.14
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	$81.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.24
Rate for Payer: Fidelis Medicare Advantage	$172.10
Rate for Payer: Group Health Inc Commercial	$81.95
Rate for Payer: Group Health Inc Medicare	$57.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.95
Rate for Payer: Hamaspik Choice Inc Medicare	$81.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$106.54

STRYKER MINI PLATE 4H WITH BAR

Facility OP

$1,924.00

Service Code	HCPCS C1713
Hospital Charge Code	40209943
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,020.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,058.20
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	$962.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,106.30
Rate for Payer: Fidelis Medicare Advantage	$2,020.20
Rate for Payer: Group Health Inc Commercial	$962.00
Rate for Payer: Group Health Inc Medicare	$673.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$962.00
Rate for Payer: Hamaspik Choice Inc Medicare	$962.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,250.60

STRYKER MINI PLATE 4H WITH BAR

Facility IP

$1,924.00

Service Code	HCPCS C1713
Hospital Charge Code	40209943
Hospital Revenue Code	278
Min. Negotiated Rate	$962.00
Max. Negotiated Rate	$962.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$962.00
Rate for Payer: Hamaspik Choice Inc Medicare	$962.00

STRYKER MRH BUSHING SLEEVE NEUTRA

Facility OP

$4,238.00

Service Code	HCPCS C1776
Hospital Charge Code	40205320
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,449.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,330.90
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	$2,119.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,436.85
Rate for Payer: Fidelis Medicare Advantage	$4,449.90
Rate for Payer: Group Health Inc Commercial	$2,119.00
Rate for Payer: Group Health Inc Medicare	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,119.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,754.70

STRYKER MRH BUSHING SLEEVE NEUTRA

Facility IP

$4,238.00

Service Code	HCPCS C1776
Hospital Charge Code	40205320
Hospital Revenue Code	278
Min. Negotiated Rate	$2,119.00
Max. Negotiated Rate	$2,119.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,119.00

STRYKER MRH KNEE AXLE

Facility OP

$2,714.00

Service Code	HCPCS C1776
Hospital Charge Code	40205326
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,849.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,492.70
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	$1,357.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,560.55
Rate for Payer: Fidelis Medicare Advantage	$2,849.70
Rate for Payer: Group Health Inc Commercial	$1,357.00
Rate for Payer: Group Health Inc Medicare	$949.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,357.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,357.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,764.10

STRYKER MRH KNEE AXLE

Facility IP

$2,714.00

Service Code	HCPCS C1776
Hospital Charge Code	40205326
Hospital Revenue Code	278
Min. Negotiated Rate	$1,357.00
Max. Negotiated Rate	$1,357.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,357.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,357.00

STRYKER MRH KNEE BASEPLATE MED-2

Facility OP

$8,002.00

Service Code	HCPCS C1713
Hospital Charge Code	40205327
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,402.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,401.10
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	$4,001.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,601.15
Rate for Payer: Fidelis Medicare Advantage	$8,402.10
Rate for Payer: Group Health Inc Commercial	$4,001.00
Rate for Payer: Group Health Inc Medicare	$2,800.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,001.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,001.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,201.30

STRYKER MRH KNEE BASEPLATE MED-2

Facility IP

$8,002.00

Service Code	HCPCS C1713
Hospital Charge Code	40205327
Hospital Revenue Code	278
Min. Negotiated Rate	$4,001.00
Max. Negotiated Rate	$4,001.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,001.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,001.00

STRYKER MRH TIB INSERT 16MM

Facility OP

$3,054.00

Service Code	HCPCS C1776
Hospital Charge Code	40205321
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,206.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,679.70
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	$1,527.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,756.05
Rate for Payer: Fidelis Medicare Advantage	$3,206.70
Rate for Payer: Group Health Inc Commercial	$1,527.00
Rate for Payer: Group Health Inc Medicare	$1,068.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,527.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,527.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,985.10

STRYKER MRH TIB INSERT 16MM

Facility IP

$3,054.00

Service Code	HCPCS C1776
Hospital Charge Code	40205321
Hospital Revenue Code	278
Min. Negotiated Rate	$1,527.00
Max. Negotiated Rate	$1,527.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,527.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,527.00

STRYKER MRH TIB ROTATING COMP

Facility OP

$7,766.00

Service Code	HCPCS C1776
Hospital Charge Code	40205322
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,154.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,271.30
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	$3,883.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,465.45
Rate for Payer: Fidelis Medicare Advantage	$8,154.30
Rate for Payer: Group Health Inc Commercial	$3,883.00
Rate for Payer: Group Health Inc Medicare	$2,718.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,883.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,883.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,047.90

STRYKER MRH TIB ROTATING COMP

Facility IP

$7,766.00

Service Code	HCPCS C1776
Hospital Charge Code	40205322
Hospital Revenue Code	278
Min. Negotiated Rate	$3,883.00
Max. Negotiated Rate	$3,883.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,883.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,883.00

STRYKER MRS CURVED CEMENTED STEM

Facility OP

$7,388.00

Service Code	HCPCS C1776
Hospital Charge Code	40205325
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$7,757.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,063.40
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	$3,694.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,248.10
Rate for Payer: Fidelis Medicare Advantage	$7,757.40
Rate for Payer: Group Health Inc Commercial	$3,694.00
Rate for Payer: Group Health Inc Medicare	$2,585.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,694.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,694.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,802.20

STRYKER MRS CURVED CEMENTED STEM

Facility IP

$7,388.00

Service Code	HCPCS C1776
Hospital Charge Code	40205325
Hospital Revenue Code	278
Min. Negotiated Rate	$3,694.00
Max. Negotiated Rate	$3,694.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,694.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,694.00

STRYKER NAIL 11X340

Facility IP

$2,324.92

Service Code	HCPCS C1713
Hospital Charge Code	40203695
Hospital Revenue Code	278
Min. Negotiated Rate	$1,162.46
Max. Negotiated Rate	$1,162.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,162.46
Rate for Payer: Hamaspik Choice Inc Medicare	$1,162.46

STRYKER NAIL 11X340

Facility OP

$2,324.92

Service Code	HCPCS C1713
Hospital Charge Code	40203695
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,441.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,278.71
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	$1,162.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,336.83
Rate for Payer: Fidelis Medicare Advantage	$2,441.17
Rate for Payer: Group Health Inc Commercial	$1,162.46
Rate for Payer: Group Health Inc Medicare	$813.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,162.46
Rate for Payer: Hamaspik Choice Inc Medicare	$1,162.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,511.20

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