St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$134.20
Max. Negotiated Rate	$2,862.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,499.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,635.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,363.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,567.45
Rate for Payer: EmblemHealth Commercial	$1,363.00
Rate for Payer: Fidelis Medicare Advantage	$2,862.30
Rate for Payer: Group Health Inc Commercial	$1,363.00
Rate for Payer: Group Health Inc Medicare	$954.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,363.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,363.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,771.90

STRYKER 6 HOLE OLECRANON PLATE RT

Facility

$2,666.00

Service Code	HCPCS C1713
Hospital Charge Code	40204884
Hospital Revenue Code	278
Min. Negotiated Rate	$1,333.00
Max. Negotiated Rate	$1,333.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,333.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,333.00

STRYKER 6 HOLE OLECRANON PLATE RT

Facility

$2,666.00

Service Code	HCPCS C1713
Hospital Charge Code	40204884
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,799.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,466.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,599.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,333.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,532.95
Rate for Payer: EmblemHealth Commercial	$1,333.00
Rate for Payer: Fidelis Medicare Advantage	$2,799.30
Rate for Payer: Group Health Inc Commercial	$1,333.00
Rate for Payer: Group Health Inc Medicare	$933.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,333.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,333.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,732.90

STRYKER 6 HOLE W/BAR

Facility

$448.46

Service Code	HCPCS C1713
Hospital Charge Code	40008266
Hospital Revenue Code	278
Min. Negotiated Rate	$224.23
Max. Negotiated Rate	$224.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.23
Rate for Payer: Hamaspik Choice Inc Medicare	$224.23

STRYKER 6 HOLE W/BAR

Facility

$448.46

Service Code	HCPCS C1713
Hospital Charge Code	40008266
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$470.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$269.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$224.23
Rate for Payer: Cigna LocalPlus Benefit Plan	$257.86
Rate for Payer: EmblemHealth Commercial	$224.23
Rate for Payer: Fidelis Medicare Advantage	$470.88
Rate for Payer: Group Health Inc Commercial	$224.23
Rate for Payer: Group Health Inc Medicare	$156.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.23
Rate for Payer: Hamaspik Choice Inc Medicare	$224.23
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$291.50

STRYKER 6 H PLT R EXT MED

Facility

$2,672.00

Service Code	HCPCS C1713
Hospital Charge Code	40205318
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,805.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,469.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,603.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,336.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,536.40
Rate for Payer: EmblemHealth Commercial	$1,336.00
Rate for Payer: Fidelis Medicare Advantage	$2,805.60
Rate for Payer: Group Health Inc Commercial	$1,336.00
Rate for Payer: Group Health Inc Medicare	$935.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,336.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,736.80

STRYKER 6 H PLT R EXT MED

Facility

$2,672.00

Service Code	HCPCS C1713
Hospital Charge Code	40205318
Hospital Revenue Code	278
Min. Negotiated Rate	$1,336.00
Max. Negotiated Rate	$1,336.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,336.00

STRYKER 6 H PLT R POST LATERAL

Facility

$2,672.00

Service Code	HCPCS C1713
Hospital Charge Code	40205319
Hospital Revenue Code	278
Min. Negotiated Rate	$1,336.00
Max. Negotiated Rate	$1,336.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,336.00

STRYKER 6 H PLT R POST LATERAL

Facility

$2,672.00

Service Code	HCPCS C1713
Hospital Charge Code	40205319
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,805.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,469.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,603.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,336.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,536.40
Rate for Payer: EmblemHealth Commercial	$1,336.00
Rate for Payer: Fidelis Medicare Advantage	$2,805.60
Rate for Payer: Group Health Inc Commercial	$1,336.00
Rate for Payer: Group Health Inc Medicare	$935.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,336.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,336.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,736.80

STRYKER 6X11MM TIB BEARING INSERT

Facility

$3,984.00

Service Code	HCPCS C1776
Hospital Charge Code	40208086
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,183.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,191.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,390.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,992.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,290.80
Rate for Payer: EmblemHealth Commercial	$1,992.00
Rate for Payer: Fidelis Medicare Advantage	$4,183.20
Rate for Payer: Group Health Inc Commercial	$1,992.00
Rate for Payer: Group Health Inc Medicare	$1,394.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,992.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,992.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,589.60

STRYKER 6X11MM TIB BEARING INSERT

Facility

$3,984.00

Service Code	HCPCS C1776
Hospital Charge Code	40208086
Hospital Revenue Code	278
Min. Negotiated Rate	$1,992.00
Max. Negotiated Rate	$1,992.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,992.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,992.00

STRYKER 7 HOLE Y-PLATE

Facility

$3,048.00

Service Code	HCPCS C1713
Hospital Charge Code	40006560
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,200.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,676.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,828.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,524.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,752.60
Rate for Payer: EmblemHealth Commercial	$1,524.00
Rate for Payer: Fidelis Medicare Advantage	$3,200.40
Rate for Payer: Group Health Inc Commercial	$1,524.00
Rate for Payer: Group Health Inc Medicare	$1,066.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,981.20

STRYKER 7 HOLE Y-PLATE

Facility

$3,048.00

Service Code	HCPCS C1713
Hospital Charge Code	40006560
Hospital Revenue Code	278
Min. Negotiated Rate	$1,524.00
Max. Negotiated Rate	$1,524.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,524.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,524.00

STRYKER 7X12X14 4 AVSAS

Facility

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40009294
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 7X12X14 4 AVSAS

Facility

$5,842.34

Service Code	HCPCS C1713
Hospital Charge Code	40009294
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 8-HL OLECRAN PLT RT

Facility

$2,144.00

Service Code	HCPCS C1713
Hospital Charge Code	40004617
Hospital Revenue Code	278
Min. Negotiated Rate	$1,072.00
Max. Negotiated Rate	$1,072.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,072.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,072.00

STRYKER 8-HL OLECRAN PLT RT

Facility

$2,144.00

Service Code	HCPCS C1713
Hospital Charge Code	40004617
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,251.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,179.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,286.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,072.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,232.80
Rate for Payer: EmblemHealth Commercial	$1,072.00
Rate for Payer: Fidelis Medicare Advantage	$2,251.20
Rate for Payer: Group Health Inc Commercial	$1,072.00
Rate for Payer: Group Health Inc Medicare	$750.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,072.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,072.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,393.60

STRYKER 8 HOLE PLATE

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	40205562
Hospital Revenue Code	278
Min. Negotiated Rate	$550.00
Max. Negotiated Rate	$550.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$550.00
Rate for Payer: Hamaspik Choice Inc Medicare	$550.00

STRYKER 8 HOLE PLATE

Facility

$1,100.00

Service Code	HCPCS C1713
Hospital Charge Code	40205562
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,155.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$605.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$660.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$550.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$632.50
Rate for Payer: EmblemHealth Commercial	$550.00
Rate for Payer: Fidelis Medicare Advantage	$1,155.00
Rate for Payer: Group Health Inc Commercial	$550.00
Rate for Payer: Group Health Inc Medicare	$385.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$550.00
Rate for Payer: Hamaspik Choice Inc Medicare	$550.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$715.00

STRYKER 8 HOLE PLATE SHORT/NARROW

Facility

$2,781.00

Service Code	HCPCS C1713
Hospital Charge Code	40204480
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.50
Max. Negotiated Rate	$1,390.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,390.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,390.50

STRYKER 8 HOLE PLATE SHORT/NARROW

Facility

$2,781.00

Service Code	HCPCS C1713
Hospital Charge Code	40204480
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,920.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,529.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,668.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,390.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,599.08
Rate for Payer: EmblemHealth Commercial	$1,390.50
Rate for Payer: Fidelis Medicare Advantage	$2,920.05
Rate for Payer: Group Health Inc Commercial	$1,390.50
Rate for Payer: Group Health Inc Medicare	$973.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,390.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,390.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,807.65

STRYKER 90 DEGREE POST

Facility

$288.40

Service Code	HCPCS C1713
Hospital Charge Code	40209431
Hospital Revenue Code	278
Min. Negotiated Rate	$144.20
Max. Negotiated Rate	$144.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$144.20
Rate for Payer: Hamaspik Choice Inc Medicare	$144.20

STRYKER 90 DEGREE POST

Facility

$288.40

Service Code	HCPCS C1713
Hospital Charge Code	40209431
Hospital Revenue Code	278
Min. Negotiated Rate	$100.94
Max. Negotiated Rate	$302.82
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$158.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$173.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$144.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$165.83
Rate for Payer: EmblemHealth Commercial	$144.20
Rate for Payer: Fidelis Medicare Advantage	$302.82
Rate for Payer: Group Health Inc Commercial	$144.20
Rate for Payer: Group Health Inc Medicare	$100.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$144.20
Rate for Payer: Hamaspik Choice Inc Medicare	$144.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$187.46

STRYKER 90 DEGREE POST

Facility

$424.80

Service Code	HCPCS C1713
Hospital Charge Code	40006504
Hospital Revenue Code	278
Min. Negotiated Rate	$212.40
Max. Negotiated Rate	$212.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.40
Rate for Payer: Hamaspik Choice Inc Medicare	$212.40

STRYKER 90 DEGREE POST

Facility

$424.80

Service Code	HCPCS C1713
Hospital Charge Code	40006504
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$446.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$233.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$254.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$212.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$244.26
Rate for Payer: EmblemHealth Commercial	$212.40
Rate for Payer: Fidelis Medicare Advantage	$446.04
Rate for Payer: Group Health Inc Commercial	$212.40
Rate for Payer: Group Health Inc Medicare	$148.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$212.40
Rate for Payer: Hamaspik Choice Inc Medicare	$212.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$276.12

Know your out-of-pocket cost for care.

All Charges