St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER ASNISIII CANN SCR 4.0X34

Facility

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204473
Hospital Revenue Code	278
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$187.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.40
Rate for Payer: EmblemHealth Commercial	$156.00
Rate for Payer: Fidelis Medicare Advantage	$327.60
Rate for Payer: Group Health Inc Commercial	$156.00
Rate for Payer: Group Health Inc Medicare	$109.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.80

STRYKER ASNISIII CANN SCR 4.0X36

Facility

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204474
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$156.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00

STRYKER ASNISIII CANN SCR 4.0X36

Facility

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204474
Hospital Revenue Code	278
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$187.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.40
Rate for Payer: EmblemHealth Commercial	$156.00
Rate for Payer: Fidelis Medicare Advantage	$327.60
Rate for Payer: Group Health Inc Commercial	$156.00
Rate for Payer: Group Health Inc Medicare	$109.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.80

STRYKER ASNISIII CAN SCR 4.0X32MM

Facility

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204471
Hospital Revenue Code	278
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$327.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$187.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.40
Rate for Payer: EmblemHealth Commercial	$156.00
Rate for Payer: Fidelis Medicare Advantage	$327.60
Rate for Payer: Group Health Inc Commercial	$156.00
Rate for Payer: Group Health Inc Medicare	$109.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.80

STRYKER ASNISIII CAN SCR 4.0X32MM

Facility

$312.00

Service Code	HCPCS C1713
Hospital Charge Code	40204471
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$156.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.00
Rate for Payer: Hamaspik Choice Inc Medicare	$156.00

STRYKER ASNIS MICRO SCR 3.0X20MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40202639
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00

STRYKER ASNIS MICRO SCR 3.0X20MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40202639
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$189.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$99.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$108.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$90.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$103.50
Rate for Payer: EmblemHealth Commercial	$90.00
Rate for Payer: Fidelis Medicare Advantage	$189.00
Rate for Payer: Group Health Inc Commercial	$90.00
Rate for Payer: Group Health Inc Medicare	$63.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$90.00
Rate for Payer: Hamaspik Choice Inc Medicare	$90.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$117.00

STRYKER ASNIS M/S 3.0MM 34/7

Facility

$310.80

Service Code	HCPCS C1713
Hospital Charge Code	40206220
Hospital Revenue Code	278
Min. Negotiated Rate	$155.40
Max. Negotiated Rate	$155.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.40
Rate for Payer: Hamaspik Choice Inc Medicare	$155.40

STRYKER ASNIS M/S 3.0MM 34/7

Facility

$310.80

Service Code	HCPCS C1713
Hospital Charge Code	40206220
Hospital Revenue Code	278
Min. Negotiated Rate	$108.78
Max. Negotiated Rate	$326.34
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$170.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$186.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$155.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$178.71
Rate for Payer: EmblemHealth Commercial	$155.40
Rate for Payer: Fidelis Medicare Advantage	$326.34
Rate for Payer: Group Health Inc Commercial	$155.40
Rate for Payer: Group Health Inc Medicare	$108.78
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.40
Rate for Payer: Hamaspik Choice Inc Medicare	$155.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.02

STRYKER ASNIS SCRW CANN 6.5X55MM

Facility

$427.00

Service Code	HCPCS C1776
Hospital Charge Code	40208173
Hospital Revenue Code	278
Min. Negotiated Rate	$213.50
Max. Negotiated Rate	$213.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.50
Rate for Payer: Hamaspik Choice Inc Medicare	$213.50

STRYKER ASNIS SCRW CANN 6.5X55MM

Facility

$427.00

Service Code	HCPCS C1776
Hospital Charge Code	40208173
Hospital Revenue Code	278
Min. Negotiated Rate	$149.45
Max. Negotiated Rate	$448.35
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$234.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$256.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$213.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$245.52
Rate for Payer: EmblemHealth Commercial	$213.50
Rate for Payer: Fidelis Medicare Advantage	$448.35
Rate for Payer: Group Health Inc Commercial	$213.50
Rate for Payer: Group Health Inc Medicare	$149.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$213.50
Rate for Payer: Hamaspik Choice Inc Medicare	$213.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$277.55

STRYKER ASYMMETRIC PATELLA

Facility

$2,193.60

Service Code	HCPCS C1776
Hospital Charge Code	40209937
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,303.28
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,206.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,316.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,096.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,261.32
Rate for Payer: EmblemHealth Commercial	$1,096.80
Rate for Payer: Fidelis Medicare Advantage	$2,303.28
Rate for Payer: Group Health Inc Commercial	$1,096.80
Rate for Payer: Group Health Inc Medicare	$767.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,096.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,096.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,425.84

STRYKER ASYMMETRIC PATELLA

Facility

$2,193.60

Service Code	HCPCS C1776
Hospital Charge Code	40209937
Hospital Revenue Code	278
Min. Negotiated Rate	$1,096.80
Max. Negotiated Rate	$1,096.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,096.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,096.80

STRYKER AXSOS 12-HL LT TIB PLATE

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204701
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 AXSOS 12-HL LT TIB PLATE

Facility

$501.50

Service Code	HCPCS C1713
Hospital Charge Code	40204701
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 AXSOS 12 HL PROXIMAL PLAT

Facility

$4,590.90

Service Code	HCPCS C1713
Hospital Charge Code	40204709
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,820.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,525.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,754.54
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,295.45
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,639.77
Rate for Payer: EmblemHealth Commercial	$2,295.45
Rate for Payer: Fidelis Medicare Advantage	$4,820.44
Rate for Payer: Group Health Inc Commercial	$2,295.45
Rate for Payer: Group Health Inc Medicare	$1,606.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.45
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.45
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,984.08

STRYKER AXSOS 12 HL PROXIMAL PLAT

Facility

$4,590.90

Service Code	HCPCS C1713
Hospital Charge Code	40204709
Hospital Revenue Code	278
Min. Negotiated Rate	$2,295.45
Max. Negotiated Rate	$2,295.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,295.45
Rate for Payer: Hamaspik Choice Inc Medicare	$2,295.45

STRYKER AXSOS LOCK SCREW 4.0X50MM

Facility

$401.60

Service Code	HCPCS C1713
Hospital Charge Code	40204706
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$421.68
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$220.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$240.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$200.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$230.92
Rate for Payer: EmblemHealth Commercial	$200.80
Rate for Payer: Fidelis Medicare Advantage	$421.68
Rate for Payer: Group Health Inc Commercial	$200.80
Rate for Payer: Group Health Inc Medicare	$140.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.80
Rate for Payer: Hamaspik Choice Inc Medicare	$200.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$261.04

STRYKER AXSOS LOCK SCREW 4.0X50MM

Facility

$401.60

Service Code	HCPCS C1713
Hospital Charge Code	40204706
Hospital Revenue Code	278
Min. Negotiated Rate	$200.80
Max. Negotiated Rate	$200.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$200.80
Rate for Payer: Hamaspik Choice Inc Medicare	$200.80

STRYKER AXSOS LOCK SCREW 4.0X70MM

Facility

$448.80

Service Code	HCPCS C1713
Hospital Charge Code	40204707
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$471.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$269.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$224.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$258.06
Rate for Payer: EmblemHealth Commercial	$224.40
Rate for Payer: Fidelis Medicare Advantage	$471.24
Rate for Payer: Group Health Inc Commercial	$224.40
Rate for Payer: Group Health Inc Medicare	$157.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.40
Rate for Payer: Hamaspik Choice Inc Medicare	$224.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$291.72

STRYKER AXSOS LOCK SCREW 4.0X70MM

Facility

$448.80

Service Code	HCPCS C1713
Hospital Charge Code	40204707
Hospital Revenue Code	278
Min. Negotiated Rate	$224.40
Max. Negotiated Rate	$224.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.40
Rate for Payer: Hamaspik Choice Inc Medicare	$224.40

STRYKER AXSOS NONLOCK SCRW 3.5X28

Facility

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204702
Hospital Revenue Code	278
Min. Negotiated Rate	$24.99
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$39.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$42.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$35.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$41.06
Rate for Payer: EmblemHealth Commercial	$35.70
Rate for Payer: Fidelis Medicare Advantage	$74.97
Rate for Payer: Group Health Inc Commercial	$35.70
Rate for Payer: Group Health Inc Medicare	$24.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.70
Rate for Payer: Hamaspik Choice Inc Medicare	$35.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$46.41

STRYKER AXSOS NONLOCK SCRW 3.5X28

Facility

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204702
Hospital Revenue Code	278
Min. Negotiated Rate	$35.70
Max. Negotiated Rate	$35.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$35.70
Rate for Payer: Hamaspik Choice Inc Medicare	$35.70

STRYKER AXSOS NONLOCK SCRW 3.5X36

Facility

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204703
Hospital Revenue Code	278
Min. Negotiated Rate	$22.40
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$38.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.80
Rate for Payer: EmblemHealth Commercial	$32.00
Rate for Payer: Fidelis Medicare Advantage	$67.20
Rate for Payer: Group Health Inc Commercial	$32.00
Rate for Payer: Group Health Inc Medicare	$22.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.60

STRYKER AXSOS NONLOCK SCRW 3.5X36

Facility

$64.00

Service Code	HCPCS C1713
Hospital Charge Code	40204703
Hospital Revenue Code	278
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$32.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.00
Rate for Payer: Hamaspik Choice Inc Medicare	$32.00

Know your out-of-pocket cost for care.

All Charges