St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER 10X360X125 LNG NAIL RGHT

Facility

$4,232.00

Service Code	HCPCS C1713
Hospital Charge Code	40205781
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,539.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,116.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.40
Rate for Payer: EmblemHealth Commercial	$2,116.00
Rate for Payer: Fidelis Medicare Advantage	$4,443.60
Rate for Payer: Group Health Inc Commercial	$2,116.00
Rate for Payer: Group Health Inc Medicare	$1,481.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.80

STRYKER 10X375MM T2 TN ST

Facility

$2,529.80

Service Code	HCPCS C1713
Hospital Charge Code	40208175
Hospital Revenue Code	278
Min. Negotiated Rate	$1,264.90
Max. Negotiated Rate	$1,264.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.90

STRYKER 10X375MM T2 TN ST

Facility

$2,529.80

Service Code	HCPCS C1713
Hospital Charge Code	40208175
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,656.29
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,391.39
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,517.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,264.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,454.64
Rate for Payer: EmblemHealth Commercial	$1,264.90
Rate for Payer: Fidelis Medicare Advantage	$2,656.29
Rate for Payer: Group Health Inc Commercial	$1,264.90
Rate for Payer: Group Health Inc Medicare	$885.43
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,644.37

STRYKER 10X380X125 R LONG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205668
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 10X380X125 R LONG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205668
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 10X400 LEFT LONG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205727
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 10X400 LEFT LONG NAIL

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205727
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 10X400MMX130DEG LONG NAIL

Facility

$4,529.00

Service Code	HCPCS C1713
Hospital Charge Code	40205790
Hospital Revenue Code	278
Min. Negotiated Rate	$2,264.50
Max. Negotiated Rate	$2,264.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,264.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,264.50

STRYKER 10X400MMX130DEG LONG NAIL

Facility

$4,529.00

Service Code	HCPCS C1713
Hospital Charge Code	40205790
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,755.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,490.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,717.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,264.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,604.18
Rate for Payer: EmblemHealth Commercial	$2,264.50
Rate for Payer: Fidelis Medicare Advantage	$4,755.45
Rate for Payer: Group Health Inc Commercial	$2,264.50
Rate for Payer: Group Health Inc Medicare	$1,585.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,264.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,264.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,943.85

STRYKER 10X400X125 LG N RT

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205331
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 10X400X125 LG N RT

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205331
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 10X420X125 LNG NAIL RGHT

Facility

$4,232.00

Service Code	HCPCS C1713
Hospital Charge Code	40209805
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,539.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,116.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.40
Rate for Payer: EmblemHealth Commercial	$2,116.00
Rate for Payer: Fidelis Medicare Advantage	$4,443.60
Rate for Payer: Group Health Inc Commercial	$2,116.00
Rate for Payer: Group Health Inc Medicare	$1,481.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.80

STRYKER 10X420X125 LNG NAIL RGHT

Facility

$4,232.00

Service Code	HCPCS C1713
Hospital Charge Code	40209805
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

STRYKER 11X360MM FEMORAL NAIL LFT

Facility

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40205912
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

STRYKER 11X360MM FEMORAL NAIL LFT

Facility

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40205912
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,919.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,184.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,052.10
Rate for Payer: EmblemHealth Commercial	$2,654.00
Rate for Payer: Fidelis Medicare Advantage	$5,573.40
Rate for Payer: Group Health Inc Commercial	$2,654.00
Rate for Payer: Group Health Inc Medicare	$1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,450.20

STRYKER 12MM X 400MM NAIL

Facility

$1,705.00

Service Code	HCPCS C1713
Hospital Charge Code	40201585
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,790.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$937.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,023.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$852.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$980.38
Rate for Payer: EmblemHealth Commercial	$852.50
Rate for Payer: Fidelis Medicare Advantage	$1,790.25
Rate for Payer: Group Health Inc Commercial	$852.50
Rate for Payer: Group Health Inc Medicare	$596.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.50
Rate for Payer: Hamaspik Choice Inc Medicare	$852.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,108.25

STRYKER 12MM X 400MM NAIL

Facility

$1,705.00

Service Code	HCPCS C1713
Hospital Charge Code	40201585
Hospital Revenue Code	278
Min. Negotiated Rate	$852.50
Max. Negotiated Rate	$852.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$852.50
Rate for Payer: Hamaspik Choice Inc Medicare	$852.50

STRYKER 1.2MM XS T-PLATE

Facility

$365.40

Service Code	HCPCS C1713
Hospital Charge Code	40209608
Hospital Revenue Code	278
Min. Negotiated Rate	$182.70
Max. Negotiated Rate	$182.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$182.70
Rate for Payer: Hamaspik Choice Inc Medicare	$182.70

STRYKER 1.2MM XS T-PLATE

Facility

$365.40

Service Code	HCPCS C1713
Hospital Charge Code	40209608
Hospital Revenue Code	278
Min. Negotiated Rate	$127.89
Max. Negotiated Rate	$383.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$200.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$219.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$182.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$210.10
Rate for Payer: EmblemHealth Commercial	$182.70
Rate for Payer: Fidelis Medicare Advantage	$383.67
Rate for Payer: Group Health Inc Commercial	$182.70
Rate for Payer: Group Health Inc Medicare	$127.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$182.70
Rate for Payer: Hamaspik Choice Inc Medicare	$182.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$237.51

STRYKER 1/2 PIN 5X150X40

Facility

$277.44

Service Code	HCPCS C1713
Hospital Charge Code	40006501
Hospital Revenue Code	278
Min. Negotiated Rate	$138.72
Max. Negotiated Rate	$138.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.72
Rate for Payer: Hamaspik Choice Inc Medicare	$138.72

STRYKER 1/2 PIN 5X150X40

Facility

$277.44

Service Code	HCPCS C1713
Hospital Charge Code	40006501
Hospital Revenue Code	278
Min. Negotiated Rate	$97.10
Max. Negotiated Rate	$291.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.59
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$166.46
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$138.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.53
Rate for Payer: EmblemHealth Commercial	$138.72
Rate for Payer: Fidelis Medicare Advantage	$291.31
Rate for Payer: Group Health Inc Commercial	$138.72
Rate for Payer: Group Health Inc Medicare	$97.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.72
Rate for Payer: Hamaspik Choice Inc Medicare	$138.72
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.34

STRYKER 1.2 S/D SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40207046
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

STRYKER 1.2 S/D SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40207046
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

STRYKER 12X12MM CAGE

Facility

$1,830.00

Service Code	HCPCS L8699
Hospital Charge Code	40001658
Hospital Revenue Code	278
Min. Negotiated Rate	$640.50
Max. Negotiated Rate	$1,921.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,006.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$915.00
Rate for Payer: Aetna Government	$915.00
Rate for Payer: Brighton Health Commercial	$1,098.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$915.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,052.25
Rate for Payer: EmblemHealth Commercial	$915.00
Rate for Payer: Fidelis Medicare Advantage	$1,921.50
Rate for Payer: Group Health Inc Commercial	$915.00
Rate for Payer: Group Health Inc Medicare	$640.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$915.00
Rate for Payer: Hamaspik Choice Inc Medicare	$915.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,189.50

STRYKER 12X12MM CAGE

Facility

$1,830.00

Service Code	HCPCS L8699
Hospital Charge Code	40001658
Hospital Revenue Code	278
Min. Negotiated Rate	$915.00
Max. Negotiated Rate	$915.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$915.00
Rate for Payer: Hamaspik Choice Inc Medicare	$915.00

Know your out-of-pocket cost for care.

All Charges