St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER 4 HOLE PIN CLAMP

Facility

$710.00

Service Code	HCPCS C1776
Hospital Charge Code	40208096
Hospital Revenue Code	278
Min. Negotiated Rate	$355.00
Max. Negotiated Rate	$355.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$355.00
Rate for Payer: Hamaspik Choice Inc Medicare	$355.00

STRYKER 4 HOLE PIN CLAMP

Facility

$710.00

Service Code	HCPCS C1776
Hospital Charge Code	40208096
Hospital Revenue Code	278
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$745.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$390.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$426.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$355.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$408.25
Rate for Payer: EmblemHealth Commercial	$355.00
Rate for Payer: Fidelis Medicare Advantage	$745.50
Rate for Payer: Group Health Inc Commercial	$355.00
Rate for Payer: Group Health Inc Medicare	$248.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$355.00
Rate for Payer: Hamaspik Choice Inc Medicare	$355.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$461.50

STRYKER 4HOLE WAISTED COMP/PLATE

Facility

$182.00

Service Code	HCPCS C1713
Hospital Charge Code	40205671
Hospital Revenue Code	278
Min. Negotiated Rate	$63.70
Max. Negotiated Rate	$191.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$100.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$109.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$91.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$104.65
Rate for Payer: EmblemHealth Commercial	$91.00
Rate for Payer: Fidelis Medicare Advantage	$191.10
Rate for Payer: Group Health Inc Commercial	$91.00
Rate for Payer: Group Health Inc Medicare	$63.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.00
Rate for Payer: Hamaspik Choice Inc Medicare	$91.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$118.30

STRYKER 4HOLE WAISTED COMP/PLATE

Facility

$182.00

Service Code	HCPCS C1713
Hospital Charge Code	40205671
Hospital Revenue Code	278
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$91.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.00
Rate for Payer: Hamaspik Choice Inc Medicare	$91.00

STRYKER 4 H PLATE

Facility

$392.00

Service Code	HCPCS C1713
Hospital Charge Code	40204882
Hospital Revenue Code	278
Min. Negotiated Rate	$196.00
Max. Negotiated Rate	$196.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$196.00
Rate for Payer: Hamaspik Choice Inc Medicare	$196.00

STRYKER 4 H PLATE

Facility

$392.00

Service Code	HCPCS C1713
Hospital Charge Code	40204882
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$411.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$215.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$235.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$196.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$225.40
Rate for Payer: EmblemHealth Commercial	$196.00
Rate for Payer: Fidelis Medicare Advantage	$411.60
Rate for Payer: Group Health Inc Commercial	$196.00
Rate for Payer: Group Health Inc Medicare	$137.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$196.00
Rate for Payer: Hamaspik Choice Inc Medicare	$196.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$254.80

STRYKER 4MM 6 HOLE PLATE

Facility

$437.38

Service Code	HCPCS C1713
Hospital Charge Code	40204691
Hospital Revenue Code	278
Min. Negotiated Rate	$218.69
Max. Negotiated Rate	$218.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$218.69
Rate for Payer: Hamaspik Choice Inc Medicare	$218.69

STRYKER 4MM 6 HOLE PLATE

Facility

$437.38

Service Code	HCPCS C1713
Hospital Charge Code	40204691
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$459.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$240.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$262.43
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$218.69
Rate for Payer: Cigna LocalPlus Benefit Plan	$251.49
Rate for Payer: EmblemHealth Commercial	$218.69
Rate for Payer: Fidelis Medicare Advantage	$459.25
Rate for Payer: Group Health Inc Commercial	$218.69
Rate for Payer: Group Health Inc Medicare	$153.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$218.69
Rate for Payer: Hamaspik Choice Inc Medicare	$218.69
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$284.30

STRYKER 4X120X3O S/D S/T

Facility

$215.60

Service Code	HCPCS C1713
Hospital Charge Code	40205909
Hospital Revenue Code	278
Min. Negotiated Rate	$107.80
Max. Negotiated Rate	$107.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$107.80
Rate for Payer: Hamaspik Choice Inc Medicare	$107.80

STRYKER 4X120X3O S/D S/T

Facility

$215.60

Service Code	HCPCS C1713
Hospital Charge Code	40205909
Hospital Revenue Code	278
Min. Negotiated Rate	$75.46
Max. Negotiated Rate	$226.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$118.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$129.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$107.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$123.97
Rate for Payer: EmblemHealth Commercial	$107.80
Rate for Payer: Fidelis Medicare Advantage	$226.38
Rate for Payer: Group Health Inc Commercial	$107.80
Rate for Payer: Group Health Inc Medicare	$75.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$107.80
Rate for Payer: Hamaspik Choice Inc Medicare	$107.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$140.14

STRYKER 4X90X20MM S/D T

Facility

$154.00

Service Code	HCPCS C1713
Hospital Charge Code	40205758
Hospital Revenue Code	278
Min. Negotiated Rate	$53.90
Max. Negotiated Rate	$161.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$84.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$92.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$77.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$88.55
Rate for Payer: EmblemHealth Commercial	$77.00
Rate for Payer: Fidelis Medicare Advantage	$161.70
Rate for Payer: Group Health Inc Commercial	$77.00
Rate for Payer: Group Health Inc Medicare	$53.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.00
Rate for Payer: Hamaspik Choice Inc Medicare	$77.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$100.10

STRYKER 4X90X20MM S/D T

Facility

$154.00

Service Code	HCPCS C1713
Hospital Charge Code	40205758
Hospital Revenue Code	278
Min. Negotiated Rate	$77.00
Max. Negotiated Rate	$77.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$77.00
Rate for Payer: Hamaspik Choice Inc Medicare	$77.00

STRYKER 4X LOCKING SCREW

Facility

$266.00

Service Code	HCPCS C1713
Hospital Charge Code	40205746
Hospital Revenue Code	278
Min. Negotiated Rate	$93.10
Max. Negotiated Rate	$279.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$159.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$152.95
Rate for Payer: EmblemHealth Commercial	$133.00
Rate for Payer: Fidelis Medicare Advantage	$279.30
Rate for Payer: Group Health Inc Commercial	$133.00
Rate for Payer: Group Health Inc Medicare	$93.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.00
Rate for Payer: Hamaspik Choice Inc Medicare	$133.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$172.90

STRYKER 4X LOCKING SCREW

Facility

$266.00

Service Code	HCPCS C1713
Hospital Charge Code	40205746
Hospital Revenue Code	278
Min. Negotiated Rate	$133.00
Max. Negotiated Rate	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.00
Rate for Payer: Hamaspik Choice Inc Medicare	$133.00

STRYKER 52MM CUP HEM HIP

Facility

$4,438.00

Service Code	HCPCS C1776
Hospital Charge Code	40029622
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,659.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,440.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,662.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,219.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,551.85
Rate for Payer: EmblemHealth Commercial	$2,219.00
Rate for Payer: Fidelis Medicare Advantage	$4,659.90
Rate for Payer: Group Health Inc Commercial	$2,219.00
Rate for Payer: Group Health Inc Medicare	$1,553.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,219.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,219.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,884.70

STRYKER 52MM CUP HEM HIP

Facility

$4,438.00

Service Code	HCPCS C1776
Hospital Charge Code	40029622
Hospital Revenue Code	278
Min. Negotiated Rate	$2,219.00
Max. Negotiated Rate	$2,219.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,219.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,219.00

STRYKER 5 HOLE COMPRESSION PLATE

Facility

$470.40

Service Code	HCPCS C1713
Hospital Charge Code	40204883
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$493.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$258.72
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$282.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$235.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$270.48
Rate for Payer: EmblemHealth Commercial	$235.20
Rate for Payer: Fidelis Medicare Advantage	$493.92
Rate for Payer: Group Health Inc Commercial	$235.20
Rate for Payer: Group Health Inc Medicare	$164.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.20
Rate for Payer: Hamaspik Choice Inc Medicare	$235.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$305.76

STRYKER 5 HOLE COMPRESSION PLATE

Facility

$470.40

Service Code	HCPCS C1713
Hospital Charge Code	40204883
Hospital Revenue Code	278
Min. Negotiated Rate	$235.20
Max. Negotiated Rate	$235.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$235.20
Rate for Payer: Hamaspik Choice Inc Medicare	$235.20

STRYKER 5 HOLE PIN CLAMP

Facility

$1,660.90

Service Code	HCPCS C1713
Hospital Charge Code	40006502
Hospital Revenue Code	278
Min. Negotiated Rate	$830.45
Max. Negotiated Rate	$830.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$830.45
Rate for Payer: Hamaspik Choice Inc Medicare	$830.45

STRYKER 5 HOLE PIN CLAMP

Facility

$1,660.90

Service Code	HCPCS C1713
Hospital Charge Code	40006502
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,743.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$913.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$996.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$830.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$955.02
Rate for Payer: EmblemHealth Commercial	$830.45
Rate for Payer: Fidelis Medicare Advantage	$1,743.94
Rate for Payer: Group Health Inc Commercial	$830.45
Rate for Payer: Group Health Inc Medicare	$581.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$830.45
Rate for Payer: Hamaspik Choice Inc Medicare	$830.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,079.58

STRYKER 5 HOLE WAISTED COMP/PLATE

Facility

$221.20

Service Code	HCPCS C1713
Hospital Charge Code	40205672
Hospital Revenue Code	278
Min. Negotiated Rate	$77.42
Max. Negotiated Rate	$232.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$121.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$132.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$110.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$127.19
Rate for Payer: EmblemHealth Commercial	$110.60
Rate for Payer: Fidelis Medicare Advantage	$232.26
Rate for Payer: Group Health Inc Commercial	$110.60
Rate for Payer: Group Health Inc Medicare	$77.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.60
Rate for Payer: Hamaspik Choice Inc Medicare	$110.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$143.78

STRYKER 5 HOLE WAISTED COMP/PLATE

Facility

$221.20

Service Code	HCPCS C1713
Hospital Charge Code	40205672
Hospital Revenue Code	278
Min. Negotiated Rate	$110.60
Max. Negotiated Rate	$110.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$110.60
Rate for Payer: Hamaspik Choice Inc Medicare	$110.60

STRYKER 6.0X600 VITALIUM ROD

Facility

$2,092.76

Service Code	HCPCS C1776
Hospital Charge Code	40205239
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.38
Max. Negotiated Rate	$1,046.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,046.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,046.38

STRYKER 6.0X600 VITALIUM ROD

Facility

$2,092.76

Service Code	HCPCS C1776
Hospital Charge Code	40205239
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,197.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,151.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,255.66
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,046.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,203.34
Rate for Payer: EmblemHealth Commercial	$1,046.38
Rate for Payer: Fidelis Medicare Advantage	$2,197.40
Rate for Payer: Group Health Inc Commercial	$1,046.38
Rate for Payer: Group Health Inc Medicare	$732.47
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,046.38
Rate for Payer: Hamaspik Choice Inc Medicare	$1,046.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,360.29

STRYKER 6H DISTAL FEMUR LOC/PLT

Facility

$2,726.00

Service Code	HCPCS C1713
Hospital Charge Code	40209923
Hospital Revenue Code	278
Min. Negotiated Rate	$1,363.00
Max. Negotiated Rate	$1,363.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,363.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,363.00

Know your out-of-pocket cost for care.

All Charges