St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER TAP 3.5

Facility OP

$210.00

Hospital Charge Code	40205417
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

STRYKER T-BUTTRESS PLATE

Facility IP

$547.40

Service Code	HCPCS C1713
Hospital Charge Code	40205487
Hospital Revenue Code	278
Min. Negotiated Rate	$273.70
Max. Negotiated Rate	$273.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$273.70
Rate for Payer: Hamaspik Choice Inc Medicare	$273.70

STRYKER T-BUTTRESS PLATE

Facility OP

$547.40

Service Code	HCPCS C1713
Hospital Charge Code	40205487
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$574.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$301.07
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	$273.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$314.76
Rate for Payer: Fidelis Medicare Advantage	$574.77
Rate for Payer: Group Health Inc Commercial	$273.70
Rate for Payer: Group Health Inc Medicare	$191.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$273.70
Rate for Payer: Hamaspik Choice Inc Medicare	$273.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$355.81

STRYKER TEFLON TUBE STERILE

Facility OP

$246.00

Hospital Charge Code	40205145
Hospital Revenue Code	270
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$196.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$135.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$123.00
Rate for Payer: Aetna Government	$123.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$196.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.28
Rate for Payer: Group Health Inc Commercial	$123.00
Rate for Payer: Group Health Inc Medicare	$86.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.00
Rate for Payer: Hamaspik Choice Inc Medicare	$123.00

STRYKER TIBIAL BEARING INSERT 5

Facility OP

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205610
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,342.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,322.00
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	$3,020.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,473.00
Rate for Payer: Fidelis Medicare Advantage	$6,342.00
Rate for Payer: Group Health Inc Commercial	$3,020.00
Rate for Payer: Group Health Inc Medicare	$2,114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,020.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,926.00

STRYKER TIBIAL BEARING INSERT 5

Facility IP

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205610
Hospital Revenue Code	278
Min. Negotiated Rate	$3,020.00
Max. Negotiated Rate	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,020.00

STRYKER TORQUE LIMITER

Facility OP

$1,190.00

Service Code	HCPCS C1776
Hospital Charge Code	40205153
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,249.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$654.50
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	$595.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$684.25
Rate for Payer: Fidelis Medicare Advantage	$1,249.50
Rate for Payer: Group Health Inc Commercial	$595.00
Rate for Payer: Group Health Inc Medicare	$416.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$595.00
Rate for Payer: Hamaspik Choice Inc Medicare	$595.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$773.50

STRYKER TORQUE LIMITER

Facility IP

$1,190.00

Service Code	HCPCS C1776
Hospital Charge Code	40205153
Hospital Revenue Code	278
Min. Negotiated Rate	$595.00
Max. Negotiated Rate	$595.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$595.00
Rate for Payer: Hamaspik Choice Inc Medicare	$595.00

STRYKER TOTAL K CEM STM 12MMX50MM

Facility OP

$2,850.00

Service Code	HCPCS C1776
Hospital Charge Code	40206074
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,992.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,567.50
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	$1,425.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,638.75
Rate for Payer: Fidelis Medicare Advantage	$2,992.50
Rate for Payer: Group Health Inc Commercial	$1,425.00
Rate for Payer: Group Health Inc Medicare	$997.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,852.50

STRYKER TOTAL K CEM STM 12MMX50MM

Facility IP

$2,850.00

Service Code	HCPCS C1776
Hospital Charge Code	40206074
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00

STRYKER TOTAL KNEE FEM COMPONENT

Facility IP

$5,405.40

Service Code	HCPCS C1776
Hospital Charge Code	40029623
Hospital Revenue Code	278
Min. Negotiated Rate	$2,702.70
Max. Negotiated Rate	$2,702.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,702.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2,702.70

STRYKER TOTAL KNEE FEM COMPONENT

Facility OP

$5,405.40

Service Code	HCPCS C1776
Hospital Charge Code	40029623
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,675.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,972.97
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	$2,702.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,108.10
Rate for Payer: Fidelis Medicare Advantage	$5,675.67
Rate for Payer: Group Health Inc Commercial	$2,702.70
Rate for Payer: Group Health Inc Medicare	$1,891.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,702.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2,702.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,513.51

STRYKER TOTAL KNEE KRAMTA

Facility IP

$608.00

Service Code	HCPCS C1776
Hospital Charge Code	40029627
Hospital Revenue Code	278
Min. Negotiated Rate	$304.00
Max. Negotiated Rate	$304.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$304.00
Rate for Payer: Hamaspik Choice Inc Medicare	$304.00

STRYKER TOTAL KNEE KRAMTA

Facility OP

$608.00

Service Code	HCPCS C1776
Hospital Charge Code	40029627
Hospital Revenue Code	278
Min. Negotiated Rate	$212.80
Max. Negotiated Rate	$638.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$334.40
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	$304.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$349.60
Rate for Payer: Fidelis Medicare Advantage	$638.40
Rate for Payer: Group Health Inc Commercial	$304.00
Rate for Payer: Group Health Inc Medicare	$212.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$304.00
Rate for Payer: Hamaspik Choice Inc Medicare	$304.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$395.20

STRYKER TOTAL KNEE SYMM PATELLA

Facility OP

$1,845.20

Service Code	HCPCS C1776
Hospital Charge Code	40029626
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,937.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,014.86
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	$922.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,060.99
Rate for Payer: Fidelis Medicare Advantage	$1,937.46
Rate for Payer: Group Health Inc Commercial	$922.60
Rate for Payer: Group Health Inc Medicare	$645.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$922.60
Rate for Payer: Hamaspik Choice Inc Medicare	$922.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,199.38

STRYKER TOTAL KNEE SYMM PATELLA

Facility IP

$1,845.20

Service Code	HCPCS C1776
Hospital Charge Code	40029626
Hospital Revenue Code	278
Min. Negotiated Rate	$922.60
Max. Negotiated Rate	$922.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$922.60
Rate for Payer: Hamaspik Choice Inc Medicare	$922.60

STRYKER TOTAL KNEE TIBIAL BASEPLT

Facility OP

$3,288.60

Service Code	HCPCS C1776
Hospital Charge Code	40029624
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,453.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,808.73
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	$1,644.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,890.94
Rate for Payer: Fidelis Medicare Advantage	$3,453.03
Rate for Payer: Group Health Inc Commercial	$1,644.30
Rate for Payer: Group Health Inc Medicare	$1,151.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,644.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,644.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,137.59

STRYKER TOTAL KNEE TIBIAL BASEPLT

Facility IP

$3,288.60

Service Code	HCPCS C1776
Hospital Charge Code	40029624
Hospital Revenue Code	278
Min. Negotiated Rate	$1,644.30
Max. Negotiated Rate	$1,644.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,644.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,644.30

STRYKER TOTAL STABILIZER T/I #5

Facility OP

$6,720.00

Service Code	HCPCS C1713
Hospital Charge Code	40205820
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,056.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,696.00
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	$3,360.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,864.00
Rate for Payer: Fidelis Medicare Advantage	$7,056.00
Rate for Payer: Group Health Inc Commercial	$3,360.00
Rate for Payer: Group Health Inc Medicare	$2,352.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,360.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,368.00

STRYKER TOTAL STABILIZER T/I #5

Facility IP

$6,720.00

Service Code	HCPCS C1713
Hospital Charge Code	40205820
Hospital Revenue Code	278
Min. Negotiated Rate	$3,360.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,360.00

STRYKER T-PLATE 1.7MM

Facility IP

$408.80

Service Code	HCPCS C1713
Hospital Charge Code	40209607
Hospital Revenue Code	278
Min. Negotiated Rate	$204.40
Max. Negotiated Rate	$204.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.40
Rate for Payer: Hamaspik Choice Inc Medicare	$204.40

STRYKER T-PLATE 1.7MM

Facility OP

$408.80

Service Code	HCPCS C1713
Hospital Charge Code	40209607
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$429.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.84
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	$204.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$235.06
Rate for Payer: Fidelis Medicare Advantage	$429.24
Rate for Payer: Group Health Inc Commercial	$204.40
Rate for Payer: Group Health Inc Medicare	$143.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.40
Rate for Payer: Hamaspik Choice Inc Medicare	$204.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$265.72

STRYKER TRANSFXNG PINS 60X250MM

Facility OP

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	40205558
Hospital Revenue Code	278
Min. Negotiated Rate	$80.85
Max. Negotiated Rate	$242.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$127.05
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	$115.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.82
Rate for Payer: Fidelis Medicare Advantage	$242.55
Rate for Payer: Group Health Inc Commercial	$115.50
Rate for Payer: Group Health Inc Medicare	$80.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.50
Rate for Payer: Hamaspik Choice Inc Medicare	$115.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$150.15

STRYKER TRANSFXNG PINS 60X250MM

Facility IP

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	40205558
Hospital Revenue Code	278
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.50
Rate for Payer: Hamaspik Choice Inc Medicare	$115.50

STRYKER TRI #3X11MM TIB B/I PS

Facility IP

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205219
Hospital Revenue Code	278
Min. Negotiated Rate	$3,020.00
Max. Negotiated Rate	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,020.00

Price Transparency.

All Charges