St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER 2.7MM BONE SCREW

Facility

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	40205646
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50

STRYKER 2.7MM DRILL

Facility

$401.00

Service Code	HCPCS C1713
Hospital Charge Code	40205542
Hospital Revenue Code	278
Min. Negotiated Rate	$200.50
Max. Negotiated Rate	$200.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.50
Rate for Payer: Hamaspik Choice Inc Medicare	$200.50

STRYKER 2.7MM DRILL

Facility

$401.00

Service Code	HCPCS C1713
Hospital Charge Code	40205542
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$421.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.58
Rate for Payer: EmblemHealth Commercial	$200.50
Rate for Payer: Fidelis Medicare Advantage	$421.05
Rate for Payer: Group Health Inc Commercial	$200.50
Rate for Payer: Group Health Inc Medicare	$140.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.50
Rate for Payer: Hamaspik Choice Inc Medicare	$200.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$260.65

STRYKER 2.7 NON LCKNG

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205952
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50

STRYKER 2.7 NON LCKNG

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205952
Hospital Revenue Code	278
Min. Negotiated Rate	$61.25
Max. Negotiated Rate	$183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$96.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.62
Rate for Payer: EmblemHealth Commercial	$87.50
Rate for Payer: Fidelis Medicare Advantage	$183.75
Rate for Payer: Group Health Inc Commercial	$87.50
Rate for Payer: Group Health Inc Medicare	$61.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$113.75

STRYKER 2.7 X 12 H XXL VOLAR PLT

Facility

$2,688.00

Service Code	HCPCS C1713
Hospital Charge Code	40205563
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,822.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,478.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,612.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,344.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,545.60
Rate for Payer: EmblemHealth Commercial	$1,344.00
Rate for Payer: Fidelis Medicare Advantage	$2,822.40
Rate for Payer: Group Health Inc Commercial	$1,344.00
Rate for Payer: Group Health Inc Medicare	$940.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,344.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,344.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,747.20

STRYKER 2.7 X 12 H XXL VOLAR PLT

Facility

$2,688.00

Service Code	HCPCS C1713
Hospital Charge Code	40205563
Hospital Revenue Code	278
Min. Negotiated Rate	$1,344.00
Max. Negotiated Rate	$1,344.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,344.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,344.00

STRYKER 2.7X14MM LOCKING SCREW

Facility

$203.00

Service Code	HCPCS C1713
Hospital Charge Code	40205215
Hospital Revenue Code	278
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.50
Rate for Payer: Hamaspik Choice Inc Medicare	$101.50

STRYKER 2.7X14MM LOCKING SCREW

Facility

$203.00

Service Code	HCPCS C1713
Hospital Charge Code	40205215
Hospital Revenue Code	278
Min. Negotiated Rate	$71.05
Max. Negotiated Rate	$213.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$111.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$121.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$101.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$116.72
Rate for Payer: EmblemHealth Commercial	$101.50
Rate for Payer: Fidelis Medicare Advantage	$213.15
Rate for Payer: Group Health Inc Commercial	$101.50
Rate for Payer: Group Health Inc Medicare	$71.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.50
Rate for Payer: Hamaspik Choice Inc Medicare	$101.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$131.95

STRYKER 2.7X16MM BONE SCREW

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205607
Hospital Revenue Code	278
Min. Negotiated Rate	$61.25
Max. Negotiated Rate	$183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$96.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.62
Rate for Payer: EmblemHealth Commercial	$87.50
Rate for Payer: Fidelis Medicare Advantage	$183.75
Rate for Payer: Group Health Inc Commercial	$87.50
Rate for Payer: Group Health Inc Medicare	$61.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$113.75

STRYKER 2.7X16MM BONE SCREW

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205607
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50

STRYKER 2 HOLE DOGBONE PLATE W/O

Facility

$268.80

Service Code	HCPCS C1713
Hospital Charge Code	40005350
Hospital Revenue Code	278
Min. Negotiated Rate	$134.40
Max. Negotiated Rate	$134.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.40
Rate for Payer: Hamaspik Choice Inc Medicare	$134.40

STRYKER 2 HOLE DOGBONE PLATE W/O

Facility

$268.80

Service Code	HCPCS C1713
Hospital Charge Code	40005350
Hospital Revenue Code	278
Min. Negotiated Rate	$94.08
Max. Negotiated Rate	$282.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$161.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$134.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$154.56
Rate for Payer: EmblemHealth Commercial	$134.40
Rate for Payer: Fidelis Medicare Advantage	$282.24
Rate for Payer: Group Health Inc Commercial	$134.40
Rate for Payer: Group Health Inc Medicare	$94.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.40
Rate for Payer: Hamaspik Choice Inc Medicare	$134.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$174.72

STRYKER 30 DEGREE ANGLED POST

Facility

$257.76

Service Code	HCPCS C1713
Hospital Charge Code	40006503
Hospital Revenue Code	278
Min. Negotiated Rate	$128.88
Max. Negotiated Rate	$128.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.88
Rate for Payer: Hamaspik Choice Inc Medicare	$128.88

STRYKER 30 DEGREE ANGLED POST

Facility

$257.76

Service Code	HCPCS C1713
Hospital Charge Code	40006503
Hospital Revenue Code	278
Min. Negotiated Rate	$90.22
Max. Negotiated Rate	$270.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.77
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$154.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$128.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$148.21
Rate for Payer: EmblemHealth Commercial	$128.88
Rate for Payer: Fidelis Medicare Advantage	$270.65
Rate for Payer: Group Health Inc Commercial	$128.88
Rate for Payer: Group Health Inc Medicare	$90.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.88
Rate for Payer: Hamaspik Choice Inc Medicare	$128.88
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$167.54

STRYKER 30 DGREE ANGLED POST

Facility

$242.20

Service Code	HCPCS C1713
Hospital Charge Code	40209414
Hospital Revenue Code	278
Min. Negotiated Rate	$121.10
Max. Negotiated Rate	$121.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.10
Rate for Payer: Hamaspik Choice Inc Medicare	$121.10

STRYKER 30 DGREE ANGLED POST

Facility

$242.20

Service Code	HCPCS C1713
Hospital Charge Code	40209414
Hospital Revenue Code	278
Min. Negotiated Rate	$84.77
Max. Negotiated Rate	$254.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$133.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$145.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$121.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$139.26
Rate for Payer: EmblemHealth Commercial	$121.10
Rate for Payer: Fidelis Medicare Advantage	$254.31
Rate for Payer: Group Health Inc Commercial	$121.10
Rate for Payer: Group Health Inc Medicare	$84.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$121.10
Rate for Payer: Hamaspik Choice Inc Medicare	$121.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$157.43

STRYKER 32MM FEM HEAD

Facility

$3,596.00

Service Code	HCPCS C1776
Hospital Charge Code	40029620
Hospital Revenue Code	278
Min. Negotiated Rate	$1,798.00
Max. Negotiated Rate	$1,798.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,798.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,798.00

STRYKER 32MM FEM HEAD

Facility

$3,596.00

Service Code	HCPCS C1776
Hospital Charge Code	40029620
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,775.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,977.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,157.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,798.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,067.70
Rate for Payer: EmblemHealth Commercial	$1,798.00
Rate for Payer: Fidelis Medicare Advantage	$3,775.80
Rate for Payer: Group Health Inc Commercial	$1,798.00
Rate for Payer: Group Health Inc Medicare	$1,258.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,798.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,798.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,337.40

STRYKER 3.2MMX22MM TWIN FIX SCRW

Facility

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205650
Hospital Revenue Code	278
Min. Negotiated Rate	$303.10
Max. Negotiated Rate	$303.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10

STRYKER 3.2MMX22MM TWIN FIX SCRW

Facility

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205650
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$636.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$333.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$363.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$303.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$348.56
Rate for Payer: EmblemHealth Commercial	$303.10
Rate for Payer: Fidelis Medicare Advantage	$636.51
Rate for Payer: Group Health Inc Commercial	$303.10
Rate for Payer: Group Health Inc Medicare	$212.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$394.03

STRYKER 3.5MM SZ 1 RECTGLR PLATE

Facility

$1,056.00

Service Code	HCPCS C1713
Hospital Charge Code	40205757
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,108.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$580.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$633.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$528.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$607.20
Rate for Payer: EmblemHealth Commercial	$528.00
Rate for Payer: Fidelis Medicare Advantage	$1,108.80
Rate for Payer: Group Health Inc Commercial	$528.00
Rate for Payer: Group Health Inc Medicare	$369.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$528.00
Rate for Payer: Hamaspik Choice Inc Medicare	$528.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$686.40

STRYKER 3.5MM SZ 1 RECTGLR PLATE

Facility

$1,056.00

Service Code	HCPCS C1713
Hospital Charge Code	40205757
Hospital Revenue Code	278
Min. Negotiated Rate	$528.00
Max. Negotiated Rate	$528.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$528.00
Rate for Payer: Hamaspik Choice Inc Medicare	$528.00

STRYKER 3.5 NL X75

Facility

$32.00

Service Code	HCPCS C1776
Hospital Charge Code	40201059
Hospital Revenue Code	278
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$16.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.00
Rate for Payer: Hamaspik Choice Inc Medicare	$16.00

STRYKER 3.5 NL X75

Facility

$32.00

Service Code	HCPCS C1776
Hospital Charge Code	40201059
Hospital Revenue Code	278
Min. Negotiated Rate	$11.20
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$19.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.40
Rate for Payer: EmblemHealth Commercial	$16.00
Rate for Payer: Fidelis Medicare Advantage	$33.60
Rate for Payer: Group Health Inc Commercial	$16.00
Rate for Payer: Group Health Inc Medicare	$11.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.00
Rate for Payer: Hamaspik Choice Inc Medicare	$16.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.80

Know your out-of-pocket cost for care.

All Charges