St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER 3.5X12MM LOCKING SCREW

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204476
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$526.58
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$300.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$288.36
Rate for Payer: EmblemHealth Commercial	$250.75
Rate for Payer: Fidelis Medicare Advantage	$526.58
Rate for Payer: Group Health Inc Commercial	$250.75
Rate for Payer: Group Health Inc Medicare	$175.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.98

STRYKER 3.5X12MM LOCKING SCREW

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204476
Hospital Revenue Code	278
Min. Negotiated Rate	$250.75
Max. Negotiated Rate	$250.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.75
Rate for Payer: Hamaspik Choice Inc Medicare	$250.75

STRYKER 3.5X14 NON BIASED SCREW

Facility

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204464
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,154.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,652.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,802.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,502.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,727.67
Rate for Payer: EmblemHealth Commercial	$1,502.32
Rate for Payer: Fidelis Medicare Advantage	$3,154.87
Rate for Payer: Group Health Inc Commercial	$1,502.32
Rate for Payer: Group Health Inc Medicare	$1,051.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,953.02

STRYKER 3.5X14 NON BIASED SCREW

Facility

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204464
Hospital Revenue Code	278
Min. Negotiated Rate	$1,502.32
Max. Negotiated Rate	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32

STRYKER 3.5X16 NON BIASED SCREW

Facility

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204463
Hospital Revenue Code	278
Min. Negotiated Rate	$1,502.32
Max. Negotiated Rate	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32

STRYKER 3.5X16 NON BIASED SCREW

Facility

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204463
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,154.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,652.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,802.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,502.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,727.67
Rate for Payer: EmblemHealth Commercial	$1,502.32
Rate for Payer: Fidelis Medicare Advantage	$3,154.87
Rate for Payer: Group Health Inc Commercial	$1,502.32
Rate for Payer: Group Health Inc Medicare	$1,051.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,953.02

STRYKER 3.5X24 MEDIAL BIAS SCREW

Facility

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204465
Hospital Revenue Code	278
Min. Negotiated Rate	$1,502.32
Max. Negotiated Rate	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32

STRYKER 3.5X24 MEDIAL BIAS SCREW

Facility

$3,004.64

Service Code	HCPCS C1713
Hospital Charge Code	40204465
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,154.87
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,652.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,802.78
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,502.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,727.67
Rate for Payer: EmblemHealth Commercial	$1,502.32
Rate for Payer: Fidelis Medicare Advantage	$3,154.87
Rate for Payer: Group Health Inc Commercial	$1,502.32
Rate for Payer: Group Health Inc Medicare	$1,051.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,502.32
Rate for Payer: Hamaspik Choice Inc Medicare	$1,502.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,953.02

STRYKER 3HOLE L PROX HUMERUS PLT

Facility

$1,841.00

Service Code	HCPCS C1713
Hospital Charge Code	40205910
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,933.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,012.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,104.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$920.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,058.58
Rate for Payer: EmblemHealth Commercial	$920.50
Rate for Payer: Fidelis Medicare Advantage	$1,933.05
Rate for Payer: Group Health Inc Commercial	$920.50
Rate for Payer: Group Health Inc Medicare	$644.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$920.50
Rate for Payer: Hamaspik Choice Inc Medicare	$920.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,196.65

STRYKER 3HOLE L PROX HUMERUS PLT

Facility

$1,841.00

Service Code	HCPCS C1713
Hospital Charge Code	40205910
Hospital Revenue Code	278
Min. Negotiated Rate	$920.50
Max. Negotiated Rate	$920.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$920.50
Rate for Payer: Hamaspik Choice Inc Medicare	$920.50

STRYKER 3 HOLE TUBULAR PLATE

Facility

$81.20

Service Code	HCPCS C1713
Hospital Charge Code	40205711
Hospital Revenue Code	278
Min. Negotiated Rate	$40.60
Max. Negotiated Rate	$40.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.60
Rate for Payer: Hamaspik Choice Inc Medicare	$40.60

STRYKER 3 HOLE TUBULAR PLATE

Facility

$81.20

Service Code	HCPCS C1713
Hospital Charge Code	40205711
Hospital Revenue Code	278
Min. Negotiated Rate	$28.42
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.69
Rate for Payer: EmblemHealth Commercial	$40.60
Rate for Payer: Fidelis Medicare Advantage	$85.26
Rate for Payer: Group Health Inc Commercial	$40.60
Rate for Payer: Group Health Inc Medicare	$28.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.60
Rate for Payer: Hamaspik Choice Inc Medicare	$40.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.78

STRYKER 3 HUM PLATE

Facility

$4,605.30

Service Code	HCPCS C1713
Hospital Charge Code	40009264
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,835.56
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,532.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,763.18
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,302.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,648.05
Rate for Payer: EmblemHealth Commercial	$2,302.65
Rate for Payer: Fidelis Medicare Advantage	$4,835.56
Rate for Payer: Group Health Inc Commercial	$2,302.65
Rate for Payer: Group Health Inc Medicare	$1,611.86
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,302.65
Rate for Payer: Hamaspik Choice Inc Medicare	$2,302.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,993.44

STRYKER 3 HUM PLATE

Facility

$4,605.30

Service Code	HCPCS C1713
Hospital Charge Code	40009264
Hospital Revenue Code	278
Min. Negotiated Rate	$2,302.65
Max. Negotiated Rate	$2,302.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,302.65
Rate for Payer: Hamaspik Choice Inc Medicare	$2,302.65

STRYKER 3X80X10MM SLFD/STAPPING

Facility

$110.00

Service Code	HCPCS C1776
Hospital Charge Code	40208095
Hospital Revenue Code	278
Min. Negotiated Rate	$55.00
Max. Negotiated Rate	$55.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.00
Rate for Payer: Hamaspik Choice Inc Medicare	$55.00

STRYKER 3X80X10MM SLFD/STAPPING

Facility

$110.00

Service Code	HCPCS C1776
Hospital Charge Code	40208095
Hospital Revenue Code	278
Min. Negotiated Rate	$38.50
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$66.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$55.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$63.25
Rate for Payer: EmblemHealth Commercial	$55.00
Rate for Payer: Fidelis Medicare Advantage	$115.50
Rate for Payer: Group Health Inc Commercial	$55.00
Rate for Payer: Group Health Inc Medicare	$38.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$55.00
Rate for Payer: Hamaspik Choice Inc Medicare	$55.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$71.50

STRYKER 4.0X14MM L/S

Facility

$157.00

Service Code	HCPCS C1713
Hospital Charge Code	40205253
Hospital Revenue Code	278
Min. Negotiated Rate	$54.95
Max. Negotiated Rate	$164.85
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$94.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.28
Rate for Payer: EmblemHealth Commercial	$78.50
Rate for Payer: Fidelis Medicare Advantage	$164.85
Rate for Payer: Group Health Inc Commercial	$78.50
Rate for Payer: Group Health Inc Medicare	$54.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.50
Rate for Payer: Hamaspik Choice Inc Medicare	$78.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$102.05

STRYKER 4.0X14MM L/S

Facility

$157.00

Service Code	HCPCS C1713
Hospital Charge Code	40205253
Hospital Revenue Code	278
Min. Negotiated Rate	$78.50
Max. Negotiated Rate	$78.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.50
Rate for Payer: Hamaspik Choice Inc Medicare	$78.50

STRYKER 4.0X20 NON BIASED SCREW

Facility

$3,073.54

Service Code	HCPCS C1713
Hospital Charge Code	40204467
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,227.22
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,690.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,844.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,536.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,767.29
Rate for Payer: EmblemHealth Commercial	$1,536.77
Rate for Payer: Fidelis Medicare Advantage	$3,227.22
Rate for Payer: Group Health Inc Commercial	$1,536.77
Rate for Payer: Group Health Inc Medicare	$1,075.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,536.77
Rate for Payer: Hamaspik Choice Inc Medicare	$1,536.77
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,997.80

STRYKER 4.0X20 NON BIASED SCREW

Facility

$3,073.54

Service Code	HCPCS C1713
Hospital Charge Code	40204467
Hospital Revenue Code	278
Min. Negotiated Rate	$1,536.77
Max. Negotiated Rate	$1,536.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,536.77
Rate for Payer: Hamaspik Choice Inc Medicare	$1,536.77

STRYKER 4.2X340 DRILL BIT

Facility

$323.75

Hospital Charge Code	40205423
Hospital Revenue Code	270
Min. Negotiated Rate	$113.31
Max. Negotiated Rate	$259.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$178.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$161.88
Rate for Payer: Aetna Government	$161.88
Rate for Payer: Brighton Health Commercial	$242.81
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$259.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$220.15
Rate for Payer: Group Health Inc Commercial	$161.88
Rate for Payer: Group Health Inc Medicare	$113.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$161.88
Rate for Payer: Hamaspik Choice Inc Medicare	$161.88

STRYKER 4HOLE BP WITH BAR

Facility

$619.84

Service Code	HCPCS C1713
Hospital Charge Code	40209352
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$650.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$340.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$371.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$309.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$356.41
Rate for Payer: EmblemHealth Commercial	$309.92
Rate for Payer: Fidelis Medicare Advantage	$650.83
Rate for Payer: Group Health Inc Commercial	$309.92
Rate for Payer: Group Health Inc Medicare	$216.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$309.92
Rate for Payer: Hamaspik Choice Inc Medicare	$309.92
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$402.90

STRYKER 4HOLE BP WITH BAR

Facility

$619.84

Service Code	HCPCS C1713
Hospital Charge Code	40209352
Hospital Revenue Code	278
Min. Negotiated Rate	$309.92
Max. Negotiated Rate	$309.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$309.92
Rate for Payer: Hamaspik Choice Inc Medicare	$309.92

STRYKER 4 HOLE FIBULAR PLATE

Facility

$1,024.80

Service Code	HCPCS C1713
Hospital Charge Code	40208085
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,076.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$563.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$614.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$512.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$589.26
Rate for Payer: EmblemHealth Commercial	$512.40
Rate for Payer: Fidelis Medicare Advantage	$1,076.04
Rate for Payer: Group Health Inc Commercial	$512.40
Rate for Payer: Group Health Inc Medicare	$358.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$512.40
Rate for Payer: Hamaspik Choice Inc Medicare	$512.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$666.12

STRYKER 4 HOLE FIBULAR PLATE

Facility

$1,024.80

Service Code	HCPCS C1713
Hospital Charge Code	40208085
Hospital Revenue Code	278
Min. Negotiated Rate	$512.40
Max. Negotiated Rate	$512.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$512.40
Rate for Payer: Hamaspik Choice Inc Medicare	$512.40

Know your out-of-pocket cost for care.

All Charges