St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYK 12 HOLE TIBIAL PLT

Facility

$4,894.30

Service Code	HCPCS C1713
Hospital Charge Code	40008271
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

STRYK ANK SOL TRY 4.0X40 CANN SCR

Facility

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204472
Hospital Revenue Code	278
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$187.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.40
Rate for Payer: EmblemHealth Commercial	$156.00
Rate for Payer: Fidelis Medicare Advantage	$327.60
Rate for Payer: Group Health Inc Commercial	$156.00
Rate for Payer: Group Health Inc Medicare	$109.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.80

STRYK ANK SOL TRY 4.0X40 CANN SCR

Facility

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204472
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$156.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00

STRYK AXOS III 3.5X38MM LOCK SCRW

Facility

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204704
Hospital Revenue Code	278
Min. Negotiated Rate	$22.40
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$38.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.80
Rate for Payer: EmblemHealth Commercial	$32.00
Rate for Payer: Fidelis Medicare Advantage	$67.20
Rate for Payer: Group Health Inc Commercial	$32.00
Rate for Payer: Group Health Inc Medicare	$22.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.60

STRYK AXOS III 3.5X38MM LOCK SCRW

Facility

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204704
Hospital Revenue Code	278
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$32.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00

STRYKE APEX PIN 6X150

Facility

$267.40

Service Code	HCPCS C1713
Hospital Charge Code	40202745
Hospital Revenue Code	278
Min. Negotiated Rate	$133.70
Max. Negotiated Rate	$133.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.70
Rate for Payer: Hamaspik Choice Inc Medicare	$133.70

STRYKE APEX PIN 6X150

Facility

$267.40

Service Code	HCPCS C1713
Hospital Charge Code	40202745
Hospital Revenue Code	278
Min. Negotiated Rate	$93.59
Max. Negotiated Rate	$280.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.76
Rate for Payer: EmblemHealth Commercial	$133.70
Rate for Payer: Fidelis Medicare Advantage	$280.77
Rate for Payer: Group Health Inc Commercial	$133.70
Rate for Payer: Group Health Inc Medicare	$93.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.70
Rate for Payer: Hamaspik Choice Inc Medicare	$133.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.81

STRYKER 10.5 X 115MM LAG SCREW

Facility

$682.00

Service Code	HCPCS C1713
Hospital Charge Code	40205342
Hospital Revenue Code	278
Min. Negotiated Rate	$341.00
Max. Negotiated Rate	$341.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$341.00
Rate for Payer: Hamaspik Choice Inc Medicare	$341.00

STRYKER 10.5 X 115MM LAG SCREW

Facility

$682.00

Service Code	HCPCS C1713
Hospital Charge Code	40205342
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$716.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$375.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$409.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$341.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$392.15
Rate for Payer: EmblemHealth Commercial	$341.00
Rate for Payer: Fidelis Medicare Advantage	$716.10
Rate for Payer: Group Health Inc Commercial	$341.00
Rate for Payer: Group Health Inc Medicare	$238.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$341.00
Rate for Payer: Hamaspik Choice Inc Medicare	$341.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$443.30

STRYKER 10.5 X 95MM LAG SCREW

Facility

$963.20

Service Code	HCPCS C1713
Hospital Charge Code	40205399
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,011.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$529.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$577.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$481.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$553.84
Rate for Payer: EmblemHealth Commercial	$481.60
Rate for Payer: Fidelis Medicare Advantage	$1,011.36
Rate for Payer: Group Health Inc Commercial	$481.60
Rate for Payer: Group Health Inc Medicare	$337.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$626.08

STRYKER 10.5 X 95MM LAG SCREW

Facility

$963.20

Service Code	HCPCS C1713
Hospital Charge Code	40205399
Hospital Revenue Code	278
Min. Negotiated Rate	$481.60
Max. Negotiated Rate	$481.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60

STRYKER 10H CURVED PLT MIDFACE

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	40209949
Hospital Revenue Code	278
Min. Negotiated Rate	$875.00
Max. Negotiated Rate	$875.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$875.00
Rate for Payer: Hamaspik Choice Inc Medicare	$875.00

STRYKER 10H CURVED PLT MIDFACE

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	40209949
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,837.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$962.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,050.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$875.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,006.25
Rate for Payer: EmblemHealth Commercial	$875.00
Rate for Payer: Fidelis Medicare Advantage	$1,837.50
Rate for Payer: Group Health Inc Commercial	$875.00
Rate for Payer: Group Health Inc Medicare	$612.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$875.00
Rate for Payer: Hamaspik Choice Inc Medicare	$875.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,137.50

STRYKER 10 HOLE COMPRESSION PLT

Facility

$928.90

Service Code	HCPCS C1713
Hospital Charge Code	40208515
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$975.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$510.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$557.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$464.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$534.12
Rate for Payer: EmblemHealth Commercial	$464.45
Rate for Payer: Fidelis Medicare Advantage	$975.34
Rate for Payer: Group Health Inc Commercial	$464.45
Rate for Payer: Group Health Inc Medicare	$325.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$464.45
Rate for Payer: Hamaspik Choice Inc Medicare	$464.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$603.78

STRYKER 10 HOLE COMPRESSION PLT

Facility

$928.90

Service Code	HCPCS C1713
Hospital Charge Code	40208515
Hospital Revenue Code	278
Min. Negotiated Rate	$464.45
Max. Negotiated Rate	$464.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$464.45
Rate for Payer: Hamaspik Choice Inc Medicare	$464.45

STRYKER 10 H RGHT LATERAL TIB PLT

Facility

$350.00

Service Code	HCPCS C1776
Hospital Charge Code	40200710
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$367.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$192.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$210.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$175.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$201.25
Rate for Payer: EmblemHealth Commercial	$175.00
Rate for Payer: Fidelis Medicare Advantage	$367.50
Rate for Payer: Group Health Inc Commercial	$175.00
Rate for Payer: Group Health Inc Medicare	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.00
Rate for Payer: Hamaspik Choice Inc Medicare	$175.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$227.50

STRYKER 10 H RGHT LATERAL TIB PLT

Facility

$350.00

Service Code	HCPCS C1776
Hospital Charge Code	40200710
Hospital Revenue Code	278
Min. Negotiated Rate	$175.00
Max. Negotiated Rate	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.00
Rate for Payer: Hamaspik Choice Inc Medicare	$175.00

STRYKER 10MM REMER

Facility

$773.00

Hospital Charge Code	40208012
Hospital Revenue Code	270
Min. Negotiated Rate	$270.55
Max. Negotiated Rate	$618.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$425.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$386.50
Rate for Payer: Aetna Government	$386.50
Rate for Payer: Brighton Health Commercial	$579.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$618.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$525.64
Rate for Payer: Group Health Inc Commercial	$386.50
Rate for Payer: Group Health Inc Medicare	$270.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$386.50
Rate for Payer: Hamaspik Choice Inc Medicare	$386.50

STRYKER 10X170X125MM TROCH N/KIT

Facility

$3,395.00

Service Code	HCPCS C1713
Hospital Charge Code	40206262
Hospital Revenue Code	278
Min. Negotiated Rate	$1,697.50
Max. Negotiated Rate	$1,697.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,697.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,697.50

STRYKER 10X170X125MM TROCH N/KIT

Facility

$3,395.00

Service Code	HCPCS C1713
Hospital Charge Code	40206262
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,564.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,867.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,037.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,697.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,952.12
Rate for Payer: EmblemHealth Commercial	$1,697.50
Rate for Payer: Fidelis Medicare Advantage	$3,564.75
Rate for Payer: Group Health Inc Commercial	$1,697.50
Rate for Payer: Group Health Inc Medicare	$1,188.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,697.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,697.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,206.75

STRYKER 10X340MM LFT LG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205628
Hospital Revenue Code	278
Min. Negotiated Rate	$2,116.10
Max. Negotiated Rate	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10

STRYKER 10X340MM LFT LG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205628
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,539.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,116.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.52
Rate for Payer: EmblemHealth Commercial	$2,116.10
Rate for Payer: Fidelis Medicare Advantage	$4,443.81
Rate for Payer: Group Health Inc Commercial	$2,116.10
Rate for Payer: Group Health Inc Medicare	$1,481.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.93

STRYKER 10X340 RIGHT LONG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205724
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,539.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,116.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.52
Rate for Payer: EmblemHealth Commercial	$2,116.10
Rate for Payer: Fidelis Medicare Advantage	$4,443.81
Rate for Payer: Group Health Inc Commercial	$2,116.10
Rate for Payer: Group Health Inc Medicare	$1,481.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.93

STRYKER 10X340 RIGHT LONG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205724
Hospital Revenue Code	278
Min. Negotiated Rate	$2,116.10
Max. Negotiated Rate	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10

STRYKER 10X360X125 LNG NAIL RGHT

Facility

$4,232.00

Service Code	HCPCS C1713
Hospital Charge Code	40205781
Hospital Revenue Code	278
Min. Negotiated Rate	$2,116.00
Max. Negotiated Rate	$2,116.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.00

Know your out-of-pocket cost for care.

All Charges