St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER 12 X 14 X 9 MM

Facility

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40001791
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,134.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,213.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,505.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,921.17
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,359.35
Rate for Payer: EmblemHealth Commercial	$2,921.17
Rate for Payer: Fidelis Medicare Advantage	$6,134.46
Rate for Payer: Group Health Inc Commercial	$2,921.17
Rate for Payer: Group Health Inc Medicare	$2,044.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,921.17
Rate for Payer: Hamaspik Choice Inc Medicare	$2,921.17
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,797.52

STRYKER 12 X 14 X 9 MM

Facility

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40001791
Hospital Revenue Code	278
Min. Negotiated Rate	$2,921.17
Max. Negotiated Rate	$2,921.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,921.17
Rate for Payer: Hamaspik Choice Inc Medicare	$2,921.17

STRYKER 1.2 X 5 MM SELF TAP SCREW

Facility

$106.48

Service Code	HCPCS C1713
Hospital Charge Code	40203414
Hospital Revenue Code	278
Min. Negotiated Rate	$37.27
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$63.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.23
Rate for Payer: EmblemHealth Commercial	$53.24
Rate for Payer: Fidelis Medicare Advantage	$111.80
Rate for Payer: Group Health Inc Commercial	$53.24
Rate for Payer: Group Health Inc Medicare	$37.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.24
Rate for Payer: Hamaspik Choice Inc Medicare	$53.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.21

STRYKER 1.2 X 5 MM SELF TAP SCREW

Facility

$106.48

Service Code	HCPCS C1713
Hospital Charge Code	40203414
Hospital Revenue Code	278
Min. Negotiated Rate	$53.24
Max. Negotiated Rate	$53.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.24
Rate for Payer: Hamaspik Choice Inc Medicare	$53.24

STRYKER 1/3 4 HOLE TUBULAR PLATE

Facility

$99.40

Service Code	HCPCS C1713
Hospital Charge Code	40205714
Hospital Revenue Code	278
Min. Negotiated Rate	$34.79
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.67
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$59.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.16
Rate for Payer: EmblemHealth Commercial	$49.70
Rate for Payer: Fidelis Medicare Advantage	$104.37
Rate for Payer: Group Health Inc Commercial	$49.70
Rate for Payer: Group Health Inc Medicare	$34.79
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.70
Rate for Payer: Hamaspik Choice Inc Medicare	$49.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$64.61

STRYKER 1/3 4 HOLE TUBULAR PLATE

Facility

$99.40

Service Code	HCPCS C1713
Hospital Charge Code	40205714
Hospital Revenue Code	278
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$49.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.70
Rate for Payer: Hamaspik Choice Inc Medicare	$49.70

STRYKER 1350 4 HOLE PLATE

Facility

$904.80

Service Code	HCPCS C1713
Hospital Charge Code	40204668
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$950.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$497.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$542.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$452.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$520.26
Rate for Payer: EmblemHealth Commercial	$452.40
Rate for Payer: Fidelis Medicare Advantage	$950.04
Rate for Payer: Group Health Inc Commercial	$452.40
Rate for Payer: Group Health Inc Medicare	$316.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$452.40
Rate for Payer: Hamaspik Choice Inc Medicare	$452.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$588.12

STRYKER 1350 4 HOLE PLATE

Facility

$904.80

Service Code	HCPCS C1713
Hospital Charge Code	40204668
Hospital Revenue Code	278
Min. Negotiated Rate	$452.40
Max. Negotiated Rate	$452.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$452.40
Rate for Payer: Hamaspik Choice Inc Medicare	$452.40

STRYKER 135 DEGREE, 3 HOLE PLATE

Facility

$411.48

Service Code	HCPCS C1713
Hospital Charge Code	40201545
Hospital Revenue Code	278
Min. Negotiated Rate	$205.74
Max. Negotiated Rate	$205.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$205.74
Rate for Payer: Hamaspik Choice Inc Medicare	$205.74

STRYKER 135 DEGREE, 3 HOLE PLATE

Facility

$411.48

Service Code	HCPCS C1713
Hospital Charge Code	40201545
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$432.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$226.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$246.89
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$205.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$236.60
Rate for Payer: EmblemHealth Commercial	$205.74
Rate for Payer: Fidelis Medicare Advantage	$432.05
Rate for Payer: Group Health Inc Commercial	$205.74
Rate for Payer: Group Health Inc Medicare	$144.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$205.74
Rate for Payer: Hamaspik Choice Inc Medicare	$205.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$267.46

STRYKER 13MM STEM PLUS HIP

Facility

$12,208.00

Service Code	HCPCS C1776
Hospital Charge Code	40029621
Hospital Revenue Code	278
Min. Negotiated Rate	$6,104.00
Max. Negotiated Rate	$6,104.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,104.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,104.00

STRYKER 13MM STEM PLUS HIP

Facility

$12,208.00

Service Code	HCPCS C1776
Hospital Charge Code	40029621
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$12,818.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,714.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$7,324.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,104.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,019.60
Rate for Payer: EmblemHealth Commercial	$6,104.00
Rate for Payer: Fidelis Medicare Advantage	$12,818.40
Rate for Payer: Group Health Inc Commercial	$6,104.00
Rate for Payer: Group Health Inc Medicare	$4,272.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,104.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,104.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7,935.20

STRYKER 1/3 TUB PL W/C 2 H L90MM

Facility

$88.20

Service Code	HCPCS C1713
Hospital Charge Code	40205548
Hospital Revenue Code	278
Min. Negotiated Rate	$30.87
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$48.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$52.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$44.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$50.72
Rate for Payer: EmblemHealth Commercial	$44.10
Rate for Payer: Fidelis Medicare Advantage	$92.61
Rate for Payer: Group Health Inc Commercial	$44.10
Rate for Payer: Group Health Inc Medicare	$30.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.10
Rate for Payer: Hamaspik Choice Inc Medicare	$44.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$57.33

STRYKER 1/3 TUB PL W/C 2 H L90MM

Facility

$88.20

Service Code	HCPCS C1713
Hospital Charge Code	40205548
Hospital Revenue Code	278
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$44.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$44.10
Rate for Payer: Hamaspik Choice Inc Medicare	$44.10

STRYKER 1.4 DRILL

Facility

$845.00

Hospital Charge Code	40204486
Hospital Revenue Code	272
Min. Negotiated Rate	$295.75
Max. Negotiated Rate	$676.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$464.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$422.50
Rate for Payer: Aetna Government	$422.50
Rate for Payer: Brighton Health Commercial	$633.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$676.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$574.60
Rate for Payer: Group Health Inc Commercial	$422.50
Rate for Payer: Group Health Inc Medicare	$295.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$422.50
Rate for Payer: Hamaspik Choice Inc Medicare	$422.50

STRYKER 1.4 K-WIRE FIXATION

Facility

$240.00

Hospital Charge Code	40204470
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$192.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$120.00
Rate for Payer: Aetna Government	$120.00
Rate for Payer: Brighton Health Commercial	$180.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$192.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$163.20
Rate for Payer: Group Health Inc Commercial	$120.00
Rate for Payer: Group Health Inc Medicare	$84.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.00
Rate for Payer: Hamaspik Choice Inc Medicare	$120.00

STRYKER 1.4 K-WIRE FX

Facility

$466.00

Hospital Charge Code	40203449
Hospital Revenue Code	272
Min. Negotiated Rate	$163.10
Max. Negotiated Rate	$372.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$256.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$233.00
Rate for Payer: Aetna Government	$233.00
Rate for Payer: Brighton Health Commercial	$349.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$372.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$316.88
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

STRYKER 14MM VAR RESCUE

Facility

$1,175.46

Service Code	HCPCS C1713
Hospital Charge Code	40009295
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,234.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$646.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$705.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$587.73
Rate for Payer: Cigna LocalPlus Benefit Plan	$675.89
Rate for Payer: EmblemHealth Commercial	$587.73
Rate for Payer: Fidelis Medicare Advantage	$1,234.23
Rate for Payer: Group Health Inc Commercial	$587.73
Rate for Payer: Group Health Inc Medicare	$411.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$587.73
Rate for Payer: Hamaspik Choice Inc Medicare	$587.73
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$764.05

STRYKER 14MM VAR RESCUE

Facility

$1,175.46

Service Code	HCPCS C1713
Hospital Charge Code	40009295
Hospital Revenue Code	278
Min. Negotiated Rate	$587.73
Max. Negotiated Rate	$587.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$587.73
Rate for Payer: Hamaspik Choice Inc Medicare	$587.73

STRYKER 1.5MM 4 HOLE PLATE

Facility

$1,222.84

Service Code	HCPCS C1713
Hospital Charge Code	40203413
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,283.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$672.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$733.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$611.42
Rate for Payer: Cigna LocalPlus Benefit Plan	$703.13
Rate for Payer: EmblemHealth Commercial	$611.42
Rate for Payer: Fidelis Medicare Advantage	$1,283.98
Rate for Payer: Group Health Inc Commercial	$611.42
Rate for Payer: Group Health Inc Medicare	$427.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$611.42
Rate for Payer: Hamaspik Choice Inc Medicare	$611.42
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$794.85

STRYKER 1.5MM 4 HOLE PLATE

Facility

$1,222.84

Service Code	HCPCS C1713
Hospital Charge Code	40203413
Hospital Revenue Code	278
Min. Negotiated Rate	$611.42
Max. Negotiated Rate	$611.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$611.42
Rate for Payer: Hamaspik Choice Inc Medicare	$611.42

STRYKER 15 X 460

Facility

$3,803.80

Service Code	HCPCS C1713
Hospital Charge Code	40009747
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,993.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,092.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,282.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,901.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,187.18
Rate for Payer: EmblemHealth Commercial	$1,901.90
Rate for Payer: Fidelis Medicare Advantage	$3,993.99
Rate for Payer: Group Health Inc Commercial	$1,901.90
Rate for Payer: Group Health Inc Medicare	$1,331.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,901.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,472.47

STRYKER 15 X 460

Facility

$3,803.80

Service Code	HCPCS C1713
Hospital Charge Code	40009747
Hospital Revenue Code	278
Min. Negotiated Rate	$1,901.90
Max. Negotiated Rate	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,901.90

STRYKER 1.5 X 5 MM SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40001787
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 1.5 X 5 MM SCREW

Facility

$164.00

Service Code	HCPCS C1713
Hospital Charge Code	40001787
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

Know your out-of-pocket cost for care.

All Charges