St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRY 12 HOLE PLATE

Facility

$903.50

Service Code	HCPCS C1713
Hospital Charge Code	40004609
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$948.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$496.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$542.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$451.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$519.51
Rate for Payer: EmblemHealth Commercial	$451.75
Rate for Payer: Fidelis Medicare Advantage	$948.68
Rate for Payer: Group Health Inc Commercial	$451.75
Rate for Payer: Group Health Inc Medicare	$316.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$451.75
Rate for Payer: Hamaspik Choice Inc Medicare	$451.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$587.28

STRY 12 HOLE TIBIAL PLATE

Facility

$4,894.30

Service Code	HCPCS C1713
Hospital Charge Code	40005201
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,139.02
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,691.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,936.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,447.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,814.22
Rate for Payer: EmblemHealth Commercial	$2,447.15
Rate for Payer: Fidelis Medicare Advantage	$5,139.02
Rate for Payer: Group Health Inc Commercial	$2,447.15
Rate for Payer: Group Health Inc Medicare	$1,713.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,447.15
Rate for Payer: Hamaspik Choice Inc Medicare	$2,447.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,181.30

STRY 12 HOLE TIBIAL PLATE

Facility

$4,894.30

Service Code	HCPCS C1713
Hospital Charge Code	40005201
Hospital Revenue Code	278
Min. Negotiated Rate	$2,447.15
Max. Negotiated Rate	$2,447.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,447.15
Rate for Payer: Hamaspik Choice Inc Medicare	$2,447.15

STRY 1/3 TUB PLATE 7 HL

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	40008278
Hospital Revenue Code	278
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$450.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$450.00
Rate for Payer: Hamaspik Choice Inc Medicare	$450.00

STRY 1/3 TUB PLATE 7 HL

Facility

$900.00

Service Code	HCPCS C1713
Hospital Charge Code	40008278
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$945.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$495.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$540.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$450.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$517.50
Rate for Payer: EmblemHealth Commercial	$450.00
Rate for Payer: Fidelis Medicare Advantage	$945.00
Rate for Payer: Group Health Inc Commercial	$450.00
Rate for Payer: Group Health Inc Medicare	$315.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$450.00
Rate for Payer: Hamaspik Choice Inc Medicare	$450.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$585.00

STRY 1.3X79MM DRILL, 12MM STOP

Facility

$198.20

Service Code	HCPCS C1713
Hospital Charge Code	40008290
Hospital Revenue Code	278
Min. Negotiated Rate	$99.10
Max. Negotiated Rate	$99.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.10
Rate for Payer: Hamaspik Choice Inc Medicare	$99.10

STRY 1.3X79MM DRILL, 12MM STOP

Facility

$198.20

Service Code	HCPCS C1713
Hospital Charge Code	40008290
Hospital Revenue Code	278
Min. Negotiated Rate	$69.37
Max. Negotiated Rate	$208.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$109.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$118.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$99.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$113.96
Rate for Payer: EmblemHealth Commercial	$99.10
Rate for Payer: Fidelis Medicare Advantage	$208.11
Rate for Payer: Group Health Inc Commercial	$99.10
Rate for Payer: Group Health Inc Medicare	$69.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$99.10
Rate for Payer: Hamaspik Choice Inc Medicare	$99.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$128.83

STRY 14 HOLE RT PLATE

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008279
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$180.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: EmblemHealth Commercial	$150.00
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

STRY 14 HOLE RT PLATE

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008279
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

STRY 1.4 K-WIRE FIX

Facility

$466.00

Service Code	HCPCS C1769
Hospital Charge Code	40204731
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$489.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$256.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$279.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$233.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$267.95
Rate for Payer: EmblemHealth Commercial	$233.00
Rate for Payer: Fidelis Medicare Advantage	$489.30
Rate for Payer: Group Health Inc Commercial	$233.00
Rate for Payer: Group Health Inc Medicare	$163.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$302.90

STRY 1.4 K-WIRE FIX

Facility

$466.00

Service Code	HCPCS C1769
Hospital Charge Code	40204731
Hospital Revenue Code	278
Min. Negotiated Rate	$233.00
Max. Negotiated Rate	$233.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00

STRY 14MM BLSTRYKER 1 ATO

Facility

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009292
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,811.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,520.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,749.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,291.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,634.94
Rate for Payer: EmblemHealth Commercial	$2,291.25
Rate for Payer: Fidelis Medicare Advantage	$4,811.62
Rate for Payer: Group Health Inc Commercial	$2,291.25
Rate for Payer: Group Health Inc Medicare	$1,603.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,978.62

STRY 14MM BLSTRYKER 1 ATO

Facility

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009292
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.25
Max. Negotiated Rate	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25

STRY 1.5X3MM SCR CROSS PIN SLF TP

Facility

$90.64

Service Code	HCPCS C1713
Hospital Charge Code	40203416
Hospital Revenue Code	278
Min. Negotiated Rate	$45.32
Max. Negotiated Rate	$45.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.32
Rate for Payer: Hamaspik Choice Inc Medicare	$45.32

STRY 1.5X3MM SCR CROSS PIN SLF TP

Facility

$90.64

Service Code	HCPCS C1713
Hospital Charge Code	40203416
Hospital Revenue Code	278
Min. Negotiated Rate	$31.72
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$49.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$54.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$52.12
Rate for Payer: EmblemHealth Commercial	$45.32
Rate for Payer: Fidelis Medicare Advantage	$95.17
Rate for Payer: Group Health Inc Commercial	$45.32
Rate for Payer: Group Health Inc Medicare	$31.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$45.32
Rate for Payer: Hamaspik Choice Inc Medicare	$45.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$58.92

STRY 1.5 X 4MM SCREW

Facility

$406.32

Service Code	HCPCS C1713
Hospital Charge Code	40204205
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$426.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$223.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$243.79
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$203.16
Rate for Payer: Cigna LocalPlus Benefit Plan	$233.63
Rate for Payer: EmblemHealth Commercial	$203.16
Rate for Payer: Fidelis Medicare Advantage	$426.64
Rate for Payer: Group Health Inc Commercial	$203.16
Rate for Payer: Group Health Inc Medicare	$142.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.16
Rate for Payer: Hamaspik Choice Inc Medicare	$203.16
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$264.11

STRY 1.5 X 4MM SCREW

Facility

$406.32

Service Code	HCPCS C1713
Hospital Charge Code	40204205
Hospital Revenue Code	278
Min. Negotiated Rate	$203.16
Max. Negotiated Rate	$203.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.16
Rate for Payer: Hamaspik Choice Inc Medicare	$203.16

STRY 1.5 X 4MM_SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204209
Hospital Revenue Code	278
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$172.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$98.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$82.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.30
Rate for Payer: EmblemHealth Commercial	$82.00
Rate for Payer: Fidelis Medicare Advantage	$172.20
Rate for Payer: Group Health Inc Commercial	$82.00
Rate for Payer: Group Health Inc Medicare	$57.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$106.60

STRY 1.5 X 4MM_SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204209
Hospital Revenue Code	278
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$82.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00

STRY_1.5 X 4MM SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204215
Hospital Revenue Code	278
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$172.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$98.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$82.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.30
Rate for Payer: EmblemHealth Commercial	$82.00
Rate for Payer: Fidelis Medicare Advantage	$172.20
Rate for Payer: Group Health Inc Commercial	$82.00
Rate for Payer: Group Health Inc Medicare	$57.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$106.60

STRY_1.5 X 4MM SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40204215
Hospital Revenue Code	278
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$82.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.00
Rate for Payer: Hamaspik Choice Inc Medicare	$82.00

STRY 160MM ESZ ROD

Facility

$2,558.20

Service Code	HCPCS C1713
Hospital Charge Code	40003443
Hospital Revenue Code	278
Min. Negotiated Rate	$1,279.10
Max. Negotiated Rate	$1,279.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,279.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,279.10

STRY 160MM ESZ ROD

Facility

$2,558.20

Service Code	HCPCS C1713
Hospital Charge Code	40003443
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,686.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,407.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,534.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,279.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,470.96
Rate for Payer: EmblemHealth Commercial	$1,279.10
Rate for Payer: Fidelis Medicare Advantage	$2,686.11
Rate for Payer: Group Health Inc Commercial	$1,279.10
Rate for Payer: Group Health Inc Medicare	$895.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,279.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,279.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,662.83

STRY 16MM BLSTRYKER 1 ATO

Facility

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009293
Hospital Revenue Code	278
Min. Negotiated Rate	$2,291.25
Max. Negotiated Rate	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25

STRY 16MM BLSTRYKER 1 ATO

Facility

$4,582.50

Service Code	HCPCS C1713
Hospital Charge Code	40009293
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,811.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,520.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,749.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,291.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,634.94
Rate for Payer: EmblemHealth Commercial	$2,291.25
Rate for Payer: Fidelis Medicare Advantage	$4,811.62
Rate for Payer: Group Health Inc Commercial	$2,291.25
Rate for Payer: Group Health Inc Medicare	$1,603.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,291.25
Rate for Payer: Hamaspik Choice Inc Medicare	$2,291.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,978.62

Know your out-of-pocket cost for care.

All Charges