St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER SCREW CANN LP 6.5MM

Facility IP

$1,228.50

Service Code	HCPCS C1713
Hospital Charge Code	40205792
Hospital Revenue Code	278
Min. Negotiated Rate	$614.25
Max. Negotiated Rate	$614.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$614.25
Rate for Payer: Hamaspik Choice Inc Medicare	$614.25

STRYKER SCREW CANN LP 6.5MM

Facility OP

$1,228.50

Service Code	HCPCS C1713
Hospital Charge Code	40205792
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,289.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$675.68
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	$614.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$706.39
Rate for Payer: Fidelis Medicare Advantage	$1,289.92
Rate for Payer: Group Health Inc Commercial	$614.25
Rate for Payer: Group Health Inc Medicare	$429.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$614.25
Rate for Payer: Hamaspik Choice Inc Medicare	$614.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$798.52

STRYKER SCREW CANN SS FT 4.0

Facility OP

$40.38

Service Code	HCPCS C1713
Hospital Charge Code	40205551
Hospital Revenue Code	278
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.21
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	$20.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.22
Rate for Payer: Fidelis Medicare Advantage	$42.40
Rate for Payer: Group Health Inc Commercial	$20.19
Rate for Payer: Group Health Inc Medicare	$14.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.19
Rate for Payer: Hamaspik Choice Inc Medicare	$20.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.25

STRYKER SCREW CANN SS FT 4.0

Facility IP

$40.38

Service Code	HCPCS C1713
Hospital Charge Code	40205551
Hospital Revenue Code	278
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$20.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.19
Rate for Payer: Hamaspik Choice Inc Medicare	$20.19

STRYKER SCREW CANNULATED 4.0X50MM

Facility IP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	40205591
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

STRYKER SCREW CANNULATED 4.0X50MM

Facility OP

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	40205591
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
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	$195.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.25
Rate for Payer: Fidelis Medicare Advantage	$409.50
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.50

STRYKER SCREW CORTEX 4.5X 40MM

Facility IP

$28.00

Service Code	HCPCS C1713
Hospital Charge Code	40203832
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$14.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.00
Rate for Payer: Hamaspik Choice Inc Medicare	$14.00

STRYKER SCREW CORTEX 4.5X 40MM

Facility OP

$28.00

Service Code	HCPCS C1713
Hospital Charge Code	40203832
Hospital Revenue Code	278
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.40
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	$14.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.10
Rate for Payer: Fidelis Medicare Advantage	$29.40
Rate for Payer: Group Health Inc Commercial	$14.00
Rate for Payer: Group Health Inc Medicare	$9.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.00
Rate for Payer: Hamaspik Choice Inc Medicare	$14.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18.20

STRYKER SCREW CORTEX 4.5X42 HEX

Facility OP

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40203833
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 SCREW CORTEX 4.5X42 HEX

Facility IP

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40203833
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 SCREW CORTEX 4.5X48

Facility IP

$116.88

Service Code	HCPCS C1713
Hospital Charge Code	40203834
Hospital Revenue Code	278
Min. Negotiated Rate	$58.44
Max. Negotiated Rate	$58.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.44
Rate for Payer: Hamaspik Choice Inc Medicare	$58.44

STRYKER SCREW CORTEX 4.5X48

Facility OP

$116.88

Service Code	HCPCS C1713
Hospital Charge Code	40203834
Hospital Revenue Code	278
Min. Negotiated Rate	$40.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$64.28
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	$58.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$67.21
Rate for Payer: Fidelis Medicare Advantage	$122.72
Rate for Payer: Group Health Inc Commercial	$58.44
Rate for Payer: Group Health Inc Medicare	$40.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.44
Rate for Payer: Hamaspik Choice Inc Medicare	$58.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$75.97

STRYKER SCREW CORTEX ST 3.5MM X

Facility OP

$60.15

Service Code	HCPCS C1713
Hospital Charge Code	40205369
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.08
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	$30.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.59
Rate for Payer: Fidelis Medicare Advantage	$63.16
Rate for Payer: Group Health Inc Commercial	$30.08
Rate for Payer: Group Health Inc Medicare	$21.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.08
Rate for Payer: Hamaspik Choice Inc Medicare	$30.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$39.10

STRYKER SCREW CORTEX ST 3.5MM X

Facility IP

$60.15

Service Code	HCPCS C1713
Hospital Charge Code	40205369
Hospital Revenue Code	278
Min. Negotiated Rate	$30.08
Max. Negotiated Rate	$30.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.08
Rate for Payer: Hamaspik Choice Inc Medicare	$30.08

STRYKER SCREW CORTX ST 3.5MMX16MM

Facility IP

$35.00

Service Code	HCPCS C1776
Hospital Charge Code	40205172
Hospital Revenue Code	278
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50

STRYKER SCREW CORTX ST 3.5MMX16MM

Facility OP

$35.00

Service Code	HCPCS C1776
Hospital Charge Code	40205172
Hospital Revenue Code	278
Min. Negotiated Rate	$12.25
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.25
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	$17.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.12
Rate for Payer: Fidelis Medicare Advantage	$36.75
Rate for Payer: Group Health Inc Commercial	$17.50
Rate for Payer: Group Health Inc Medicare	$12.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$22.75

STRYKER SCREW LAG 10.5 X 100MM

Facility IP

$963.20

Service Code	HCPCS C1776
Hospital Charge Code	40208098
Hospital Revenue Code	278
Min. Negotiated Rate	$481.60
Max. Negotiated Rate	$481.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60

STRYKER SCREW LAG 10.5 X 100MM

Facility OP

$963.20

Service Code	HCPCS C1776
Hospital Charge Code	40208098
Hospital Revenue Code	278
Min. Negotiated Rate	$337.12
Max. Negotiated Rate	$1,011.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$529.76
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	$481.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$553.84
Rate for Payer: Fidelis Medicare Advantage	$1,011.36
Rate for Payer: Group Health Inc Commercial	$481.60
Rate for Payer: Group Health Inc Medicare	$337.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$626.08

STRYKER SCREW LAG 10.5X110MM

Facility IP

$963.20

Service Code	HCPCS C1776
Hospital Charge Code	40206055
Hospital Revenue Code	278
Min. Negotiated Rate	$481.60
Max. Negotiated Rate	$481.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60

STRYKER SCREW LAG 10.5X110MM

Facility OP

$963.20

Service Code	HCPCS C1776
Hospital Charge Code	40206055
Hospital Revenue Code	278
Min. Negotiated Rate	$337.12
Max. Negotiated Rate	$1,011.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$529.76
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	$481.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$553.84
Rate for Payer: Fidelis Medicare Advantage	$1,011.36
Rate for Payer: Group Health Inc Commercial	$481.60
Rate for Payer: Group Health Inc Medicare	$337.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$626.08

STRYKER SCREW LAG 6.5 X 70MM

Facility IP

$444.60

Service Code	HCPCS C1713
Hospital Charge Code	40204664
Hospital Revenue Code	278
Min. Negotiated Rate	$222.30
Max. Negotiated Rate	$222.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$222.30
Rate for Payer: Hamaspik Choice Inc Medicare	$222.30

STRYKER SCREW LAG 6.5 X 70MM

Facility OP

$444.60

Service Code	HCPCS C1713
Hospital Charge Code	40204664
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$466.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$244.53
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	$222.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$255.64
Rate for Payer: Fidelis Medicare Advantage	$466.83
Rate for Payer: Group Health Inc Commercial	$222.30
Rate for Payer: Group Health Inc Medicare	$155.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$222.30
Rate for Payer: Hamaspik Choice Inc Medicare	$222.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$288.99

STRYKER SCREW LAG 6.5X80MM T2 REC

Facility OP

$443.80

Service Code	HCPCS C1713
Hospital Charge Code	40204665
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$465.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$244.09
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	$221.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$255.18
Rate for Payer: Fidelis Medicare Advantage	$465.99
Rate for Payer: Group Health Inc Commercial	$221.90
Rate for Payer: Group Health Inc Medicare	$155.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$221.90
Rate for Payer: Hamaspik Choice Inc Medicare	$221.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$288.47

STRYKER SCREW LAG 6.5X80MM T2 REC

Facility IP

$443.80

Service Code	HCPCS C1713
Hospital Charge Code	40204665
Hospital Revenue Code	278
Min. Negotiated Rate	$221.90
Max. Negotiated Rate	$221.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$221.90
Rate for Payer: Hamaspik Choice Inc Medicare	$221.90

STRYKER SCREW LAG 6.5 X 85MM

Facility OP

$402.60

Service Code	HCPCS C1713
Hospital Charge Code	40204666
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$422.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$221.43
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	$201.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$231.50
Rate for Payer: Fidelis Medicare Advantage	$422.73
Rate for Payer: Group Health Inc Commercial	$201.30
Rate for Payer: Group Health Inc Medicare	$140.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$201.30
Rate for Payer: Hamaspik Choice Inc Medicare	$201.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$261.69

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