St. Barnabas Hospital

All Charges

Charge

Type

Price

ZIM HIP FEM HEAD 12/14 3.5MMX36MM

Facility OP

$1,908.00

Service Code	HCPCS C1776
Hospital Charge Code	40003453
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,003.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,049.40
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	$954.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,097.10
Rate for Payer: Fidelis Medicare Advantage	$2,003.40
Rate for Payer: Group Health Inc Commercial	$954.00
Rate for Payer: Group Health Inc Medicare	$667.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.00
Rate for Payer: Hamaspik Choice Inc Medicare	$954.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,240.20

ZIM HIP FEM HEAD 12/14-40MM DI

Facility IP

$1,908.00

Service Code	HCPCS C1776
Hospital Charge Code	40008299
Hospital Revenue Code	278
Min. Negotiated Rate	$954.00
Max. Negotiated Rate	$954.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.00
Rate for Payer: Hamaspik Choice Inc Medicare	$954.00

ZIM HIP FEM HEAD 12/14-40MM DI

Facility OP

$1,908.00

Service Code	HCPCS C1776
Hospital Charge Code	40008299
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,003.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,049.40
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	$954.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,097.10
Rate for Payer: Fidelis Medicare Advantage	$2,003.40
Rate for Payer: Group Health Inc Commercial	$954.00
Rate for Payer: Group Health Inc Medicare	$667.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$954.00
Rate for Payer: Hamaspik Choice Inc Medicare	$954.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,240.20

ZIM HIP SYS FM HD 12/14-10.5X36NK

Facility IP

$2,544.00

Service Code	HCPCS C1776
Hospital Charge Code	40204222
Hospital Revenue Code	278
Min. Negotiated Rate	$1,272.00
Max. Negotiated Rate	$1,272.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,272.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,272.00

ZIM HIP SYS FM HD 12/14-10.5X36NK

Facility OP

$2,544.00

Service Code	HCPCS C1776
Hospital Charge Code	40204222
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,671.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,399.20
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	$1,272.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,462.80
Rate for Payer: Fidelis Medicare Advantage	$2,671.20
Rate for Payer: Group Health Inc Commercial	$1,272.00
Rate for Payer: Group Health Inc Medicare	$890.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,272.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,272.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,653.60

ZIM KNEE-12MM EF/PS FEMUR 69

Facility OP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40008297
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
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	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM KNEE-12MM EF/PS FEMUR 69

Facility IP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40008297
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

ZIM KNEE ART SUR LT 14MM HT

Facility OP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009283
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
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	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM KNEE ART SUR LT 14MM HT

Facility IP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009283
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

ZIM KNEE FEM TRAB POST LT SZ 6

Facility OP

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40009282
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,610.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,510.00
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	$4,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,715.00
Rate for Payer: Fidelis Medicare Advantage	$8,610.00
Rate for Payer: Group Health Inc Commercial	$4,100.00
Rate for Payer: Group Health Inc Medicare	$2,870.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,330.00

ZIM KNEE FEM TRAB POST LT SZ 6

Facility IP

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40009282
Hospital Revenue Code	278
Min. Negotiated Rate	$4,100.00
Max. Negotiated Rate	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00

ZIM KNEE FEMUR TRAB LT SZ 3

Facility IP

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40001784
Hospital Revenue Code	278
Min. Negotiated Rate	$4,100.00
Max. Negotiated Rate	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00

ZIM KNEE FEMUR TRAB LT SZ 3

Facility OP

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40001784
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,610.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,510.00
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	$4,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,715.00
Rate for Payer: Fidelis Medicare Advantage	$8,610.00
Rate for Payer: Group Health Inc Commercial	$4,100.00
Rate for Payer: Group Health Inc Medicare	$2,870.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,330.00

ZIM KNEE SYS FEMUR CEM LT SZ 6

Facility OP

$6,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40204552
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,510.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,410.00
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	$3,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,565.00
Rate for Payer: Fidelis Medicare Advantage	$6,510.00
Rate for Payer: Group Health Inc Commercial	$3,100.00
Rate for Payer: Group Health Inc Medicare	$2,170.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,030.00

ZIM KNEE SYS FEMUR CEM LT SZ 6

Facility IP

$6,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40204552
Hospital Revenue Code	278
Min. Negotiated Rate	$3,100.00
Max. Negotiated Rate	$3,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,100.00

ZIM KNEE SYS STEM RT SZ E

Facility IP

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40203381
Hospital Revenue Code	278
Min. Negotiated Rate	$2,000.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00

ZIM KNEE SYS STEM RT SZ E

Facility OP

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40203381
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,200.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,200.00
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	$2,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,300.00
Rate for Payer: Fidelis Medicare Advantage	$4,200.00
Rate for Payer: Group Health Inc Commercial	$2,000.00
Rate for Payer: Group Health Inc Medicare	$1,400.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,600.00

ZIM KNEE TIBIA CEM 5 STEM LT SZ C

Facility OP

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40001783
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,200.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,200.00
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	$2,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,300.00
Rate for Payer: Fidelis Medicare Advantage	$4,200.00
Rate for Payer: Group Health Inc Commercial	$2,000.00
Rate for Payer: Group Health Inc Medicare	$1,400.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,600.00

ZIM KNEE TIBIA CEM 5 STEM LT SZ C

Facility IP

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40001783
Hospital Revenue Code	278
Min. Negotiated Rate	$2,000.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00

ZIM KNEE TRO PIN 3.2X75MM

Facility OP

$678.00

Service Code	HCPCS C1713
Hospital Charge Code	40008341
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$711.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$372.90
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	$339.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$389.85
Rate for Payer: Fidelis Medicare Advantage	$711.90
Rate for Payer: Group Health Inc Commercial	$339.00
Rate for Payer: Group Health Inc Medicare	$237.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$339.00
Rate for Payer: Hamaspik Choice Inc Medicare	$339.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$440.70

ZIM KNEE TRO PIN 3.2X75MM

Facility IP

$678.00

Service Code	HCPCS C1713
Hospital Charge Code	40008341
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$339.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$339.00
Rate for Payer: Hamaspik Choice Inc Medicare	$339.00

ZIM KNEE VIVACIT-E ART FX BEAR 11

Facility OP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009281
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
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	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM KNEE VIVACIT-E ART FX BEAR 11

Facility IP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009281
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

ZIM KNEE VIVACIT-E ARTIC FX 12M

Facility OP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40001794
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
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	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM KNEE VIVACIT-E ARTIC FX 12M

Facility IP

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40001794
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

Price Transparency.

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