St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER PIN DRIVER COMPACT

Facility IP

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	40203360
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$360.00

STRYKER PIN DRIVER COMPACT

Facility OP

$720.00

Hospital Charge Code	40009343
Hospital Revenue Code	272
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$576.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$396.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$360.00
Rate for Payer: Aetna Government	$360.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$576.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$489.60
Rate for Payer: Group Health Inc Commercial	$360.00
Rate for Payer: Group Health Inc Medicare	$252.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$360.00

STRYKER PIN HALF MOD 4X120MM

Facility OP

$200.10

Service Code	HCPCS C1713
Hospital Charge Code	40205554
Hospital Revenue Code	278
Min. Negotiated Rate	$70.04
Max. Negotiated Rate	$210.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.06
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	$100.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.06
Rate for Payer: Fidelis Medicare Advantage	$210.10
Rate for Payer: Group Health Inc Commercial	$100.05
Rate for Payer: Group Health Inc Medicare	$70.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.05
Rate for Payer: Hamaspik Choice Inc Medicare	$100.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$130.06

STRYKER PIN HALF MOD 4X120MM

Facility IP

$200.10

Service Code	HCPCS C1713
Hospital Charge Code	40205554
Hospital Revenue Code	278
Min. Negotiated Rate	$100.05
Max. Negotiated Rate	$100.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.05
Rate for Payer: Hamaspik Choice Inc Medicare	$100.05

STRYKER PLATE 2 HOLE RIGHT

Facility OP

$1,838.00

Service Code	HCPCS C1713
Hospital Charge Code	40206225
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,929.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,010.90
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	$919.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,056.85
Rate for Payer: Fidelis Medicare Advantage	$1,929.90
Rate for Payer: Group Health Inc Commercial	$919.00
Rate for Payer: Group Health Inc Medicare	$643.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$919.00
Rate for Payer: Hamaspik Choice Inc Medicare	$919.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,194.70

STRYKER PLATE 2 HOLE RIGHT

Facility IP

$1,838.00

Service Code	HCPCS C1713
Hospital Charge Code	40206225
Hospital Revenue Code	278
Min. Negotiated Rate	$919.00
Max. Negotiated Rate	$919.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$919.00
Rate for Payer: Hamaspik Choice Inc Medicare	$919.00

STRYKER PLATE 5 HOLE

Facility IP

$267.60

Service Code	HCPCS C1713
Hospital Charge Code	40209412
Hospital Revenue Code	278
Min. Negotiated Rate	$133.80
Max. Negotiated Rate	$133.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.80
Rate for Payer: Hamaspik Choice Inc Medicare	$133.80

STRYKER PLATE 5 HOLE

Facility OP

$267.60

Service Code	HCPCS C1713
Hospital Charge Code	40209412
Hospital Revenue Code	278
Min. Negotiated Rate	$93.66
Max. Negotiated Rate	$280.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.18
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	$133.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.87
Rate for Payer: Fidelis Medicare Advantage	$280.98
Rate for Payer: Group Health Inc Commercial	$133.80
Rate for Payer: Group Health Inc Medicare	$93.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.80
Rate for Payer: Hamaspik Choice Inc Medicare	$133.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.94

STRYKER PLATE 6 HOLE FLEX

Facility OP

$597.80

Service Code	HCPCS C1776
Hospital Charge Code	40205374
Hospital Revenue Code	278
Min. Negotiated Rate	$209.23
Max. Negotiated Rate	$627.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$328.79
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	$298.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$343.74
Rate for Payer: Fidelis Medicare Advantage	$627.69
Rate for Payer: Group Health Inc Commercial	$298.90
Rate for Payer: Group Health Inc Medicare	$209.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$298.90
Rate for Payer: Hamaspik Choice Inc Medicare	$298.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$388.57

STRYKER PLATE 6 HOLE FLEX

Facility IP

$597.80

Service Code	HCPCS C1776
Hospital Charge Code	40205374
Hospital Revenue Code	278
Min. Negotiated Rate	$298.90
Max. Negotiated Rate	$298.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$298.90
Rate for Payer: Hamaspik Choice Inc Medicare	$298.90

STRYKER PLATE 8 HOLE

Facility IP

$697.20

Service Code	HCPCS C1713
Hospital Charge Code	40205760
Hospital Revenue Code	278
Min. Negotiated Rate	$348.60
Max. Negotiated Rate	$348.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$348.60
Rate for Payer: Hamaspik Choice Inc Medicare	$348.60

STRYKER PLATE 8 HOLE

Facility OP

$697.20

Service Code	HCPCS C1713
Hospital Charge Code	40205760
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$732.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$383.46
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	$348.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$400.89
Rate for Payer: Fidelis Medicare Advantage	$732.06
Rate for Payer: Group Health Inc Commercial	$348.60
Rate for Payer: Group Health Inc Medicare	$244.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$348.60
Rate for Payer: Hamaspik Choice Inc Medicare	$348.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$453.18

STRYKER PLATE 8 HOLE FLEX

Facility OP

$673.40

Service Code	HCPCS C1713
Hospital Charge Code	40205365
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$707.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$370.37
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	$336.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.20
Rate for Payer: Fidelis Medicare Advantage	$707.07
Rate for Payer: Group Health Inc Commercial	$336.70
Rate for Payer: Group Health Inc Medicare	$235.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$336.70
Rate for Payer: Hamaspik Choice Inc Medicare	$336.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$437.71

STRYKER PLATE 8 HOLE FLEX

Facility IP

$673.40

Service Code	HCPCS C1713
Hospital Charge Code	40205365
Hospital Revenue Code	278
Min. Negotiated Rate	$336.70
Max. Negotiated Rate	$336.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$336.70
Rate for Payer: Hamaspik Choice Inc Medicare	$336.70

STRYKER PLATE CALCANEAL

Facility OP

$925.20

Service Code	HCPCS C1713
Hospital Charge Code	40209982
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$971.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$508.86
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	$462.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$531.99
Rate for Payer: Fidelis Medicare Advantage	$971.46
Rate for Payer: Group Health Inc Commercial	$462.60
Rate for Payer: Group Health Inc Medicare	$323.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$462.60
Rate for Payer: Hamaspik Choice Inc Medicare	$462.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$601.38

STRYKER PLATE CALCANEAL

Facility IP

$925.20

Service Code	HCPCS C1713
Hospital Charge Code	40209982
Hospital Revenue Code	278
Min. Negotiated Rate	$462.60
Max. Negotiated Rate	$462.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$462.60
Rate for Payer: Hamaspik Choice Inc Medicare	$462.60

STRYKER PLATE COMPRESSION

Facility OP

$274.40

Service Code	HCPCS C1713
Hospital Charge Code	40206838
Hospital Revenue Code	278
Min. Negotiated Rate	$96.04
Max. Negotiated Rate	$288.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$150.92
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	$137.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$157.78
Rate for Payer: Fidelis Medicare Advantage	$288.12
Rate for Payer: Group Health Inc Commercial	$137.20
Rate for Payer: Group Health Inc Medicare	$96.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.20
Rate for Payer: Hamaspik Choice Inc Medicare	$137.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$178.36

STRYKER PLATE COMPRESSION

Facility IP

$274.40

Service Code	HCPCS C1713
Hospital Charge Code	40206838
Hospital Revenue Code	278
Min. Negotiated Rate	$137.20
Max. Negotiated Rate	$137.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.20
Rate for Payer: Hamaspik Choice Inc Medicare	$137.20

STRYKER PLATE FIXATOR

Facility IP

$1,054.00

Service Code	HCPCS C1713
Hospital Charge Code	40204700
Hospital Revenue Code	278
Min. Negotiated Rate	$527.00
Max. Negotiated Rate	$527.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$527.00
Rate for Payer: Hamaspik Choice Inc Medicare	$527.00

STRYKER PLATE FIXATOR

Facility OP

$1,054.00

Service Code	HCPCS C1713
Hospital Charge Code	40204700
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,106.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$579.70
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	$527.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$606.05
Rate for Payer: Fidelis Medicare Advantage	$1,106.70
Rate for Payer: Group Health Inc Commercial	$527.00
Rate for Payer: Group Health Inc Medicare	$368.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$527.00
Rate for Payer: Hamaspik Choice Inc Medicare	$527.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$685.10

STRYKER PLATE OLECRANON 4H LFT

Facility OP

$2,406.00

Service Code	HCPCS C1713
Hospital Charge Code	40205536
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,526.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,323.30
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	$1,203.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,383.45
Rate for Payer: Fidelis Medicare Advantage	$2,526.30
Rate for Payer: Group Health Inc Commercial	$1,203.00
Rate for Payer: Group Health Inc Medicare	$842.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,203.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,563.90

STRYKER PLATE OLECRANON 4H LFT

Facility IP

$2,406.00

Service Code	HCPCS C1713
Hospital Charge Code	40205536
Hospital Revenue Code	278
Min. Negotiated Rate	$1,203.00
Max. Negotiated Rate	$1,203.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,203.00

STRYKER PLATE R108 6 HOLE

Facility IP

$646.80

Service Code	HCPCS C1713
Hospital Charge Code	40205713
Hospital Revenue Code	278
Min. Negotiated Rate	$323.40
Max. Negotiated Rate	$323.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$323.40
Rate for Payer: Hamaspik Choice Inc Medicare	$323.40

STRYKER PLATE R108 6 HOLE

Facility OP

$646.80

Service Code	HCPCS C1713
Hospital Charge Code	40205713
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$679.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$355.74
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	$323.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$371.91
Rate for Payer: Fidelis Medicare Advantage	$679.14
Rate for Payer: Group Health Inc Commercial	$323.40
Rate for Payer: Group Health Inc Medicare	$226.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$323.40
Rate for Payer: Hamaspik Choice Inc Medicare	$323.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$420.42

STRYKER PLATE RADIUS

Facility IP

$2,758.00

Service Code	HCPCS C1713
Hospital Charge Code	40205564
Hospital Revenue Code	278
Min. Negotiated Rate	$1,379.00
Max. Negotiated Rate	$1,379.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,379.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,379.00

Price Transparency.

All Charges