St. Barnabas Hospital

All Charges

Charge

Type

Price

STRYKER TRI #3X11MM TIB B/I PS

Facility OP

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205219
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 TRIATHLON 3X13MM TIB B/I

Facility IP

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205288
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 TRIATHLON 3X13MM TIB B/I

Facility OP

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205288
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 TRIDENT CERAMIC INSRT HIP

Facility IP

$4,614.00

Service Code	HCPCS C1776
Hospital Charge Code	40029617
Hospital Revenue Code	278
Min. Negotiated Rate	$2,307.00
Max. Negotiated Rate	$2,307.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,307.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,307.00

STRYKER TRIDENT CERAMIC INSRT HIP

Facility OP

$4,614.00

Service Code	HCPCS C1776
Hospital Charge Code	40029617
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,844.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,537.70
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	$2,307.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,653.05
Rate for Payer: Fidelis Medicare Advantage	$4,844.70
Rate for Payer: Group Health Inc Commercial	$2,307.00
Rate for Payer: Group Health Inc Medicare	$1,614.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,307.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,307.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,999.10

STRYKER TRI P/S FEMORAL 6 LFT

Facility IP

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205609
Hospital Revenue Code	278
Min. Negotiated Rate	$4,428.00
Max. Negotiated Rate	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00

STRYKER TRI P/S FEMORAL 6 LFT

Facility OP

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205609
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$9,298.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,870.80
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	$4,428.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,092.20
Rate for Payer: Fidelis Medicare Advantage	$9,298.80
Rate for Payer: Group Health Inc Commercial	$4,428.00
Rate for Payer: Group Health Inc Medicare	$3,099.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,756.40

STRYKER TRI TOTL K TIB BAS PLTSZ7

Facility OP

$4,662.00

Service Code	HCPCS C1776
Hospital Charge Code	40206073
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,895.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,564.10
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	$2,331.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,680.65
Rate for Payer: Fidelis Medicare Advantage	$4,895.10
Rate for Payer: Group Health Inc Commercial	$2,331.00
Rate for Payer: Group Health Inc Medicare	$1,631.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,331.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,331.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,030.30

STRYKER TRI TOTL K TIB BAS PLTSZ7

Facility IP

$4,662.00

Service Code	HCPCS C1776
Hospital Charge Code	40206073
Hospital Revenue Code	278
Min. Negotiated Rate	$2,331.00
Max. Negotiated Rate	$2,331.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,331.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,331.00

STRYKER TROCHANT/NAIL 11X180MM

Facility IP

$2,528.00

Service Code	HCPCS C1713
Hospital Charge Code	40205194
Hospital Revenue Code	278
Min. Negotiated Rate	$1,264.00
Max. Negotiated Rate	$1,264.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.00

STRYKER TROCHANT/NAIL 11X180MM

Facility OP

$2,528.00

Service Code	HCPCS C1713
Hospital Charge Code	40205194
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,654.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,390.40
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	$1,264.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,453.60
Rate for Payer: Fidelis Medicare Advantage	$2,654.40
Rate for Payer: Group Health Inc Commercial	$1,264.00
Rate for Payer: Group Health Inc Medicare	$884.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,643.20

STRYKER TWIST DRILL 1.6X35MM

Facility OP

$533.92

Hospital Charge Code	40204686
Hospital Revenue Code	272
Min. Negotiated Rate	$186.87
Max. Negotiated Rate	$427.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$293.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$266.96
Rate for Payer: Aetna Government	$266.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$427.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$363.07
Rate for Payer: Group Health Inc Commercial	$266.96
Rate for Payer: Group Health Inc Medicare	$186.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$266.96
Rate for Payer: Hamaspik Choice Inc Medicare	$266.96

STRYKER UH B/P COMP 53MMX26MM

Facility IP

$2,149.00

Service Code	HCPCS C1713
Hospital Charge Code	40205953
Hospital Revenue Code	278
Min. Negotiated Rate	$1,074.50
Max. Negotiated Rate	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,074.50

STRYKER UH B/P COMP 53MMX26MM

Facility OP

$2,149.00

Service Code	HCPCS C1713
Hospital Charge Code	40205953
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,256.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,181.95
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	$1,074.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,235.68
Rate for Payer: Fidelis Medicare Advantage	$2,256.45
Rate for Payer: Group Health Inc Commercial	$1,074.50
Rate for Payer: Group Health Inc Medicare	$752.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,074.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,396.85

STRYKER UHR BI/ COMP 49MMX26MM

Facility IP

$3,010.00

Service Code	HCPCS C1776
Hospital Charge Code	40205784
Hospital Revenue Code	278
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,505.00

STRYKER UHR BI/ COMP 49MMX26MM

Facility OP

$3,010.00

Service Code	HCPCS C1776
Hospital Charge Code	40205784
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,160.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,655.50
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	$1,505.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,730.75
Rate for Payer: Fidelis Medicare Advantage	$3,160.50
Rate for Payer: Group Health Inc Commercial	$1,505.00
Rate for Payer: Group Health Inc Medicare	$1,053.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,505.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,956.50

STRYKER UHR BI/COMP 58MMX28MM

Facility IP

$3,010.00

Service Code	HCPCS C1713
Hospital Charge Code	40205913
Hospital Revenue Code	278
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,505.00

STRYKER UHR BI/COMP 58MMX28MM

Facility OP

$3,010.00

Service Code	HCPCS C1713
Hospital Charge Code	40205913
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,160.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,655.50
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	$1,505.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,730.75
Rate for Payer: Fidelis Medicare Advantage	$3,160.50
Rate for Payer: Group Health Inc Commercial	$1,505.00
Rate for Payer: Group Health Inc Medicare	$1,053.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,505.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,956.50

STRYKER UHR UNIV B/P COMP 51MMX28

Facility IP

$3,070.00

Service Code	HCPCS C1713
Hospital Charge Code	40205791
Hospital Revenue Code	278
Min. Negotiated Rate	$1,535.00
Max. Negotiated Rate	$1,535.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,535.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,535.00

STRYKER UHR UNIV B/P COMP 51MMX28

Facility OP

$3,070.00

Service Code	HCPCS C1713
Hospital Charge Code	40205791
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,223.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,688.50
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	$1,535.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,765.25
Rate for Payer: Fidelis Medicare Advantage	$3,223.50
Rate for Payer: Group Health Inc Commercial	$1,535.00
Rate for Payer: Group Health Inc Medicare	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,535.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,535.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,995.50

STRYKER UN3 COVER,10MM W/TAB

Facility IP

$407.30

Service Code	HCPCS C1713
Hospital Charge Code	40203407
Hospital Revenue Code	278
Min. Negotiated Rate	$203.65
Max. Negotiated Rate	$203.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.65
Rate for Payer: Hamaspik Choice Inc Medicare	$203.65

STRYKER UN3 COVER,10MM W/TAB

Facility OP

$407.30

Service Code	HCPCS C1713
Hospital Charge Code	40203407
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$427.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.02
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	$203.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$234.20
Rate for Payer: Fidelis Medicare Advantage	$427.66
Rate for Payer: Group Health Inc Commercial	$203.65
Rate for Payer: Group Health Inc Medicare	$142.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.65
Rate for Payer: Hamaspik Choice Inc Medicare	$203.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$264.74

STRYKER UN3 STRAIGHT PLATE 16HOLE

Facility OP

$515.42

Service Code	HCPCS C1713
Hospital Charge Code	40203426
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$541.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$283.48
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	$257.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$296.37
Rate for Payer: Fidelis Medicare Advantage	$541.19
Rate for Payer: Group Health Inc Commercial	$257.71
Rate for Payer: Group Health Inc Medicare	$180.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$257.71
Rate for Payer: Hamaspik Choice Inc Medicare	$257.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$335.02

STRYKER UN3 STRAIGHT PLATE 16HOLE

Facility IP

$515.42

Service Code	HCPCS C1713
Hospital Charge Code	40203426
Hospital Revenue Code	278
Min. Negotiated Rate	$257.71
Max. Negotiated Rate	$257.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$257.71
Rate for Payer: Hamaspik Choice Inc Medicare	$257.71

STRYKER UNIVERSAL FEM HEAD

Facility OP

$2,338.20

Service Code	HCPCS C1776
Hospital Charge Code	40029619
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,455.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,286.01
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	$1,169.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,344.46
Rate for Payer: Fidelis Medicare Advantage	$2,455.11
Rate for Payer: Group Health Inc Commercial	$1,169.10
Rate for Payer: Group Health Inc Medicare	$818.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,169.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,169.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,519.83

Price Transparency.

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