St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER STEP K-WIRE W OLIVE STOP

Facility IP

$46.20

Service Code	HCPCS C1776
Hospital Charge Code	40205207
Hospital Revenue Code	278
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.10
Rate for Payer: Hamaspik Choice Inc Medicare	$23.10

STRYKER STRAIGHT POST

Facility OP

$151.20

Hospital Charge Code	40209418
Hospital Revenue Code	270
Min. Negotiated Rate	$52.92
Max. Negotiated Rate	$120.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.60
Rate for Payer: Aetna Government	$75.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.82
Rate for Payer: Group Health Inc Commercial	$75.60
Rate for Payer: Group Health Inc Medicare	$52.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.60
Rate for Payer: Hamaspik Choice Inc Medicare	$75.60

STRYKER SYMMETRIC PATELLA 36X10MM

Facility IP

$2,996.00

Service Code	HCPCS C1776
Hospital Charge Code	40205669
Hospital Revenue Code	278
Min. Negotiated Rate	$1,498.00
Max. Negotiated Rate	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,498.00

STRYKER SYMMETRIC PATELLA 36X10MM

Facility OP

$2,996.00

Service Code	HCPCS C1776
Hospital Charge Code	40205669
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,145.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,647.80
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	$1,498.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,722.70
Rate for Payer: Fidelis Medicare Advantage	$3,145.80
Rate for Payer: Group Health Inc Commercial	$1,498.00
Rate for Payer: Group Health Inc Medicare	$1,048.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,498.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,947.40

STRYKER SYS REAMER SHAFT 8.5MM

Facility OP

$806.00

Hospital Charge Code	40205422
Hospital Revenue Code	270
Min. Negotiated Rate	$282.10
Max. Negotiated Rate	$644.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$443.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$403.00
Rate for Payer: Aetna Government	$403.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$644.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$548.08
Rate for Payer: Group Health Inc Commercial	$403.00
Rate for Payer: Group Health Inc Medicare	$282.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$403.00
Rate for Payer: Hamaspik Choice Inc Medicare	$403.00

STRYKER SYS REAMER SHAFT 8X510MM

Facility OP

$631.00

Hospital Charge Code	40205332
Hospital Revenue Code	270
Min. Negotiated Rate	$220.85
Max. Negotiated Rate	$504.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$347.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$315.50
Rate for Payer: Aetna Government	$315.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$504.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$429.08
Rate for Payer: Group Health Inc Commercial	$315.50
Rate for Payer: Group Health Inc Medicare	$220.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$315.50
Rate for Payer: Hamaspik Choice Inc Medicare	$315.50

STRYKER T2 FEMORAL/NAIL L 12X360

Facility OP

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205268
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,208.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,728.00
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	$2,480.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,852.00
Rate for Payer: Fidelis Medicare Advantage	$5,208.00
Rate for Payer: Group Health Inc Commercial	$2,480.00
Rate for Payer: Group Health Inc Medicare	$1,736.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,224.00

STRYKER T2 FEMORAL/NAIL L 12X360

Facility IP

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205268
Hospital Revenue Code	278
Min. Negotiated Rate	$2,480.00
Max. Negotiated Rate	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00

STRYKER T2 FEMORAL N/LFT 12X400MM

Facility IP

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205661
Hospital Revenue Code	278
Min. Negotiated Rate	$2,480.00
Max. Negotiated Rate	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00

STRYKER T2 FEMORAL N/LFT 12X400MM

Facility OP

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205661
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,208.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,728.00
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	$2,480.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,852.00
Rate for Payer: Fidelis Medicare Advantage	$5,208.00
Rate for Payer: Group Health Inc Commercial	$2,480.00
Rate for Payer: Group Health Inc Medicare	$1,736.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,224.00

STRYKER T2 FEMUR 9X380MM

Facility OP

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205587
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 T2 FEMUR 9X380MM

Facility IP

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205587
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 T2 GTN 10MMX420MM NAIL RT

Facility IP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40206230
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

STRYKER T2 GTN 10MMX420MM NAIL RT

Facility OP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40206230
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,919.40
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	$2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,052.10
Rate for Payer: Fidelis Medicare Advantage	$5,573.40
Rate for Payer: Group Health Inc Commercial	$2,654.00
Rate for Payer: Group Health Inc Medicare	$1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,450.20

STRYKER T2 GTN 12MMX400 FEM N RGT

Facility OP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40209984
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,919.40
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	$2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,052.10
Rate for Payer: Fidelis Medicare Advantage	$5,573.40
Rate for Payer: Group Health Inc Commercial	$2,654.00
Rate for Payer: Group Health Inc Medicare	$1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,450.20

STRYKER T2 GTN 12MMX400 FEM N RGT

Facility IP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40209984
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

STRYKER T2 GTN FEMORAL NAIL RGHT

Facility OP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40209636
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,919.40
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	$2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,052.10
Rate for Payer: Fidelis Medicare Advantage	$5,573.40
Rate for Payer: Group Health Inc Commercial	$2,654.00
Rate for Payer: Group Health Inc Medicare	$1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,450.20

STRYKER T2 GTN FEMORAL NAIL RGHT

Facility IP

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40209636
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

STRYKER T2 KIDS SYS 2.5 PRE CURVD

Facility IP

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	40205314
Hospital Revenue Code	278
Min. Negotiated Rate	$335.00
Max. Negotiated Rate	$335.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$335.00
Rate for Payer: Hamaspik Choice Inc Medicare	$335.00

STRYKER T2 KIDS SYS 2.5 PRE CURVD

Facility OP

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	40205314
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$703.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$368.50
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	$335.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$385.25
Rate for Payer: Fidelis Medicare Advantage	$703.50
Rate for Payer: Group Health Inc Commercial	$335.00
Rate for Payer: Group Health Inc Medicare	$234.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$335.00
Rate for Payer: Hamaspik Choice Inc Medicare	$335.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$435.50

STRYKER T2 SCN 10X300-320MM

Facility OP

$3,623.20

Service Code	HCPCS C1713
Hospital Charge Code	40205895
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,804.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,992.76
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	$1,811.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,083.34
Rate for Payer: Fidelis Medicare Advantage	$3,804.36
Rate for Payer: Group Health Inc Commercial	$1,811.60
Rate for Payer: Group Health Inc Medicare	$1,268.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,811.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,811.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,355.08

STRYKER T2 SCN 10X300-320MM

Facility IP

$3,623.20

Service Code	HCPCS C1713
Hospital Charge Code	40205895
Hospital Revenue Code	278
Min. Negotiated Rate	$1,811.60
Max. Negotiated Rate	$1,811.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,811.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,811.60

STRYKER T2 SCN 11 X400MM

Facility OP

$3,805.20

Service Code	HCPCS C1713
Hospital Charge Code	40205759
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,995.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,092.86
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	$1,902.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,187.99
Rate for Payer: Fidelis Medicare Advantage	$3,995.46
Rate for Payer: Group Health Inc Commercial	$1,902.60
Rate for Payer: Group Health Inc Medicare	$1,331.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,902.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,902.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,473.38

STRYKER T2 SCN 11 X400MM

Facility IP

$3,805.20

Service Code	HCPCS C1713
Hospital Charge Code	40205759
Hospital Revenue Code	278
Min. Negotiated Rate	$1,902.60
Max. Negotiated Rate	$1,902.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,902.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,902.60

STRYKER TAB 4.5X100

Facility OP

$218.00

Hospital Charge Code	40203651
Hospital Revenue Code	272
Min. Negotiated Rate	$76.30
Max. Negotiated Rate	$174.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$119.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$109.00
Rate for Payer: Aetna Government	$109.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$174.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$148.24
Rate for Payer: Group Health Inc Commercial	$109.00
Rate for Payer: Group Health Inc Medicare	$76.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.00
Rate for Payer: Hamaspik Choice Inc Medicare	$109.00

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