St. Barnabas Hospital

All Charges

Charge

Type

Price

STRY STEM BLL ACCOLAD MM,

Facility OP

$13,041.00

Service Code	HCPCS C1776
Hospital Charge Code	40009749
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$13,693.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,172.55
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	$6,520.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,498.58
Rate for Payer: Fidelis Medicare Advantage	$13,693.05
Rate for Payer: Group Health Inc Commercial	$6,520.50
Rate for Payer: Group Health Inc Medicare	$4,564.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,520.50
Rate for Payer: Hamaspik Choice Inc Medicare	$6,520.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8,476.65

STRY STEM BLL ACCOLAD MM,

Facility IP

$13,041.00

Service Code	HCPCS C1776
Hospital Charge Code	40009749
Hospital Revenue Code	278
Min. Negotiated Rate	$6,520.50
Max. Negotiated Rate	$6,520.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,520.50
Rate for Payer: Hamaspik Choice Inc Medicare	$6,520.50

STRY STRAIT PLATE, 8 HOLE W/O BAR

Facility IP

$292.46

Service Code	HCPCS C1713
Hospital Charge Code	40203402
Hospital Revenue Code	278
Min. Negotiated Rate	$146.23
Max. Negotiated Rate	$146.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.23
Rate for Payer: Hamaspik Choice Inc Medicare	$146.23

STRY STRAIT PLATE, 8 HOLE W/O BAR

Facility OP

$292.46

Service Code	HCPCS C1713
Hospital Charge Code	40203402
Hospital Revenue Code	278
Min. Negotiated Rate	$102.36
Max. Negotiated Rate	$307.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$160.85
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	$146.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$168.16
Rate for Payer: Fidelis Medicare Advantage	$307.08
Rate for Payer: Group Health Inc Commercial	$146.23
Rate for Payer: Group Health Inc Medicare	$102.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$146.23
Rate for Payer: Hamaspik Choice Inc Medicare	$146.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$190.10

STRY T2 SCN 11 X 380MM

Facility OP

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	40009733
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,933.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,060.63
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	$1,873.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,154.30
Rate for Payer: Fidelis Medicare Advantage	$3,933.93
Rate for Payer: Group Health Inc Commercial	$1,873.30
Rate for Payer: Group Health Inc Medicare	$1,311.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,435.29

STRY T2 SCN 11 X 380MM

Facility IP

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	40009733
Hospital Revenue Code	278
Min. Negotiated Rate	$1,873.30
Max. Negotiated Rate	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30

STRY TAP XIA3 5.0 MM

Facility IP

$720.16

Service Code	HCPCS C1713
Hospital Charge Code	40003442
Hospital Revenue Code	278
Min. Negotiated Rate	$360.08
Max. Negotiated Rate	$360.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$360.08
Rate for Payer: Hamaspik Choice Inc Medicare	$360.08

STRY TAP XIA3 5.0 MM

Facility OP

$720.16

Service Code	HCPCS C1713
Hospital Charge Code	40003442
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$756.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$396.09
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	$360.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$414.09
Rate for Payer: Fidelis Medicare Advantage	$756.17
Rate for Payer: Group Health Inc Commercial	$360.08
Rate for Payer: Group Health Inc Medicare	$252.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$360.08
Rate for Payer: Hamaspik Choice Inc Medicare	$360.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$468.10

STRY TITAN WASHERS

Facility OP

$54.60

Hospital Charge Code	40008258
Hospital Revenue Code	270
Min. Negotiated Rate	$19.11
Max. Negotiated Rate	$43.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$30.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$27.30
Rate for Payer: Aetna Government	$27.30
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$43.68
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.13
Rate for Payer: Group Health Inc Commercial	$27.30
Rate for Payer: Group Health Inc Medicare	$19.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$27.30
Rate for Payer: Hamaspik Choice Inc Medicare	$27.30

STRY TIT WASHER FOR 5.0MM SCREW

Facility IP

$58.00

Service Code	HCPCS C1713
Hospital Charge Code	40004616
Hospital Revenue Code	278
Min. Negotiated Rate	$29.00
Max. Negotiated Rate	$29.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.00
Rate for Payer: Hamaspik Choice Inc Medicare	$29.00

STRY TIT WASHER FOR 5.0MM SCREW

Facility OP

$58.00

Service Code	HCPCS C1713
Hospital Charge Code	40004616
Hospital Revenue Code	278
Min. Negotiated Rate	$20.30
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.90
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	$29.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.35
Rate for Payer: Fidelis Medicare Advantage	$60.90
Rate for Payer: Group Health Inc Commercial	$29.00
Rate for Payer: Group Health Inc Medicare	$20.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.00
Rate for Payer: Hamaspik Choice Inc Medicare	$29.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$37.70

STRY TWST DRLL 1.6X58MM WKLG 26MM

Facility IP

$218.82

Service Code	HCPCS C1713
Hospital Charge Code	40203423
Hospital Revenue Code	278
Min. Negotiated Rate	$109.41
Max. Negotiated Rate	$109.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.41
Rate for Payer: Hamaspik Choice Inc Medicare	$109.41

STRY TWST DRLL 1.6X58MM WKLG 26MM

Facility OP

$218.82

Service Code	HCPCS C1713
Hospital Charge Code	40203423
Hospital Revenue Code	278
Min. Negotiated Rate	$76.59
Max. Negotiated Rate	$229.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$120.35
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	$109.41
Rate for Payer: Cigna LocalPlus Benefit Plan	$125.82
Rate for Payer: Fidelis Medicare Advantage	$229.76
Rate for Payer: Group Health Inc Commercial	$109.41
Rate for Payer: Group Health Inc Medicare	$76.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.41
Rate for Payer: Hamaspik Choice Inc Medicare	$109.41
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$142.23

STRY UN3 BOX PLATE

Facility OP

$501.82

Service Code	HCPCS C1713
Hospital Charge Code	40204201
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$276.00
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	$250.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.55
Rate for Payer: Fidelis Medicare Advantage	$526.91
Rate for Payer: Group Health Inc Commercial	$250.91
Rate for Payer: Group Health Inc Medicare	$175.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.91
Rate for Payer: Hamaspik Choice Inc Medicare	$250.91
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$326.18

STRY UN3 BOX PLATE

Facility IP

$501.82

Service Code	HCPCS C1713
Hospital Charge Code	40204201
Hospital Revenue Code	278
Min. Negotiated Rate	$250.91
Max. Negotiated Rate	$250.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.91
Rate for Payer: Hamaspik Choice Inc Medicare	$250.91

STRY UN3 BOX_PLATE

Facility OP

$501.82

Service Code	HCPCS C1713
Hospital Charge Code	40204206
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$276.00
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	$250.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.55
Rate for Payer: Fidelis Medicare Advantage	$526.91
Rate for Payer: Group Health Inc Commercial	$250.91
Rate for Payer: Group Health Inc Medicare	$175.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.91
Rate for Payer: Hamaspik Choice Inc Medicare	$250.91
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$326.18

STRY UN3 BOX_PLATE

Facility IP

$501.82

Service Code	HCPCS C1713
Hospital Charge Code	40204206
Hospital Revenue Code	278
Min. Negotiated Rate	$250.91
Max. Negotiated Rate	$250.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.91
Rate for Payer: Hamaspik Choice Inc Medicare	$250.91

STRY UN3 COVER 20MM W/TAB

Facility OP

$448.66

Service Code	HCPCS C1713
Hospital Charge Code	40001788
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$471.09
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.76
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	$224.33
Rate for Payer: Cigna LocalPlus Benefit Plan	$257.98
Rate for Payer: Fidelis Medicare Advantage	$471.09
Rate for Payer: Group Health Inc Commercial	$224.33
Rate for Payer: Group Health Inc Medicare	$157.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.33
Rate for Payer: Hamaspik Choice Inc Medicare	$224.33
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$291.63

STRY UN3 COVER 20MM W/TAB

Facility IP

$448.66

Service Code	HCPCS C1713
Hospital Charge Code	40001788
Hospital Revenue Code	278
Min. Negotiated Rate	$224.33
Max. Negotiated Rate	$224.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.33
Rate for Payer: Hamaspik Choice Inc Medicare	$224.33

STRY UN3 HOLE PLT W/O TAB 0.6MM

Facility IP

$267.44

Service Code	HCPCS C1713
Hospital Charge Code	40001789
Hospital Revenue Code	278
Min. Negotiated Rate	$133.72
Max. Negotiated Rate	$133.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.72
Rate for Payer: Hamaspik Choice Inc Medicare	$133.72

STRY UN3 HOLE PLT W/O TAB 0.6MM

Facility OP

$267.44

Service Code	HCPCS C1713
Hospital Charge Code	40001789
Hospital Revenue Code	278
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$280.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.09
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	$133.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.78
Rate for Payer: Fidelis Medicare Advantage	$280.81
Rate for Payer: Group Health Inc Commercial	$133.72
Rate for Payer: Group Health Inc Medicare	$93.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.72
Rate for Payer: Hamaspik Choice Inc Medicare	$133.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.84

STRY UNI BONE REP INST 3.2MM

Facility OP

$925.86

Hospital Charge Code	40204213
Hospital Revenue Code	272
Min. Negotiated Rate	$324.05
Max. Negotiated Rate	$740.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$509.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$462.93
Rate for Payer: Aetna Government	$462.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$740.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$629.58
Rate for Payer: Group Health Inc Commercial	$462.93
Rate for Payer: Group Health Inc Medicare	$324.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$462.93
Rate for Payer: Hamaspik Choice Inc Medicare	$462.93

STRY VARIAX CAN SCREW 3.0MM 12

Facility IP

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40204262
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00

STRY VARIAX CAN SCREW 3.0MM 12

Facility OP

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40204262
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$205.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
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	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

STRY VITOSS BIM 10CC

Facility IP

$7,472.66

Service Code	HCPCS C1713
Hospital Charge Code	40003444
Hospital Revenue Code	278
Min. Negotiated Rate	$3,736.33
Max. Negotiated Rate	$3,736.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,736.33
Rate for Payer: Hamaspik Choice Inc Medicare	$3,736.33

Price Transparency.

All Charges