St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER AXSOS NONLOCK SCRW 3.5X44

Facility

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204705
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 3.5X44

Facility

$71.40

Service Code	HCPCS C1713
Hospital Charge Code	40204705
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 B/CABLE SLEEVE SET 2.0MM

Facility

$702.49

Service Code	HCPCS C1713
Hospital Charge Code	40205364
Hospital Revenue Code	278
Min. Negotiated Rate	$351.24
Max. Negotiated Rate	$351.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$351.24
Rate for Payer: Hamaspik Choice Inc Medicare	$351.24

STRYKER B/CABLE SLEEVE SET 2.0MM

Facility

$702.49

Service Code	HCPCS C1713
Hospital Charge Code	40205364
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$737.61
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$386.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$421.49
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$351.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$403.93
Rate for Payer: EmblemHealth Commercial	$351.24
Rate for Payer: Fidelis Medicare Advantage	$737.61
Rate for Payer: Group Health Inc Commercial	$351.24
Rate for Payer: Group Health Inc Medicare	$245.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$351.24
Rate for Payer: Hamaspik Choice Inc Medicare	$351.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$456.62

STRYKER BED PER DAY

Facility

$128.29

Hospital Charge Code	40207820
Hospital Revenue Code	270
Min. Negotiated Rate	$44.90
Max. Negotiated Rate	$102.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$70.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$64.14
Rate for Payer: Aetna Government	$64.14
Rate for Payer: Brighton Health Commercial	$96.22
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$87.24
Rate for Payer: Group Health Inc Commercial	$64.14
Rate for Payer: Group Health Inc Medicare	$44.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$64.14
Rate for Payer: Hamaspik Choice Inc Medicare	$64.14

STRYKER BIO 4 INJECTABLE

Facility

$10,650.00

Service Code	HCPCS C1762
Hospital Charge Code	40204466
Hospital Revenue Code	278
Min. Negotiated Rate	$1,879.82
Max. Negotiated Rate	$11,182.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,857.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,879.82
Rate for Payer: Aetna Government	$1,879.82
Rate for Payer: Brighton Health Commercial	$6,390.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,325.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,123.75
Rate for Payer: EmblemHealth Commercial	$5,325.00
Rate for Payer: Fidelis Medicare Advantage	$11,182.50
Rate for Payer: Group Health Inc Commercial	$5,325.00
Rate for Payer: Group Health Inc Medicare	$3,727.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,325.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,922.50

STRYKER BIO 4 INJECTABLE

Facility

$10,650.00

Service Code	HCPCS C1762
Hospital Charge Code	40204466
Hospital Revenue Code	278
Min. Negotiated Rate	$5,325.00
Max. Negotiated Rate	$5,325.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,325.00
Rate for Payer: Hamaspik Choice Inc Medicare	$5,325.00

STRYKER BLADE SCREW

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	40205502
Hospital Revenue Code	278
Min. Negotiated Rate	$118.09
Max. Negotiated Rate	$354.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$185.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$202.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$194.00
Rate for Payer: EmblemHealth Commercial	$168.70
Rate for Payer: Fidelis Medicare Advantage	$354.27
Rate for Payer: Group Health Inc Commercial	$168.70
Rate for Payer: Group Health Inc Medicare	$118.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.70
Rate for Payer: Hamaspik Choice Inc Medicare	$168.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$219.31

STRYKER BLADE SCREW

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	40205502
Hospital Revenue Code	278
Min. Negotiated Rate	$168.70
Max. Negotiated Rate	$168.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.70
Rate for Payer: Hamaspik Choice Inc Medicare	$168.70

STRYKER BLOCKERS

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	40208155
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$498.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$261.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$285.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$237.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$273.12
Rate for Payer: EmblemHealth Commercial	$237.50
Rate for Payer: Fidelis Medicare Advantage	$498.75
Rate for Payer: Group Health Inc Commercial	$237.50
Rate for Payer: Group Health Inc Medicare	$166.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$308.75

STRYKER BLOCKERS

Facility

$475.00

Service Code	HCPCS C1713
Hospital Charge Code	40208155
Hospital Revenue Code	278
Min. Negotiated Rate	$237.50
Max. Negotiated Rate	$237.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.50
Rate for Payer: Hamaspik Choice Inc Medicare	$237.50

STRYKER BOARD COMP PLATE

Facility

$279.00

Service Code	HCPCS C1713
Hospital Charge Code	40203839
Hospital Revenue Code	278
Min. Negotiated Rate	$97.65
Max. Negotiated Rate	$292.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$153.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$167.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$139.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$160.42
Rate for Payer: EmblemHealth Commercial	$139.50
Rate for Payer: Fidelis Medicare Advantage	$292.95
Rate for Payer: Group Health Inc Commercial	$139.50
Rate for Payer: Group Health Inc Medicare	$97.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.50
Rate for Payer: Hamaspik Choice Inc Medicare	$139.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$181.35

STRYKER BOARD COMP PLATE

Facility

$279.00

Service Code	HCPCS C1713
Hospital Charge Code	40203839
Hospital Revenue Code	278
Min. Negotiated Rate	$139.50
Max. Negotiated Rate	$139.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$139.50
Rate for Payer: Hamaspik Choice Inc Medicare	$139.50

STRYKER BONE SCREW 2.3X12MM

Facility

$140.00

Service Code	HCPCS C1776
Hospital Charge Code	40205248
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$84.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.50
Rate for Payer: EmblemHealth Commercial	$70.00
Rate for Payer: Fidelis Medicare Advantage	$147.00
Rate for Payer: Group Health Inc Commercial	$70.00
Rate for Payer: Group Health Inc Medicare	$49.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$91.00

STRYKER BONE SCREW 2.3X12MM

Facility

$140.00

Service Code	HCPCS C1776
Hospital Charge Code	40205248
Hospital Revenue Code	278
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00

STRYKER BONE SCREW 2.3 X 14MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40029593
Hospital Revenue Code	278
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00

STRYKER BONE SCREW 2.3 X 14MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40029593
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$84.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.50
Rate for Payer: EmblemHealth Commercial	$70.00
Rate for Payer: Fidelis Medicare Advantage	$147.00
Rate for Payer: Group Health Inc Commercial	$70.00
Rate for Payer: Group Health Inc Medicare	$49.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$91.00

STRYKER BONE SCREW 2.3 X 16MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40029594
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$84.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.50
Rate for Payer: EmblemHealth Commercial	$70.00
Rate for Payer: Fidelis Medicare Advantage	$147.00
Rate for Payer: Group Health Inc Commercial	$70.00
Rate for Payer: Group Health Inc Medicare	$49.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$91.00

STRYKER BONE SCREW 2.3 X 16MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40029594
Hospital Revenue Code	278
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00

STRYKER BONE SCREW 2.3 X 26MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40029595
Hospital Revenue Code	278
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00

STRYKER BONE SCREW 2.3 X 26MM

Facility

$140.00

Service Code	HCPCS C1713
Hospital Charge Code	40029595
Hospital Revenue Code	278
Min. Negotiated Rate	$49.00
Max. Negotiated Rate	$147.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$77.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$84.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$70.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$80.50
Rate for Payer: EmblemHealth Commercial	$70.00
Rate for Payer: Fidelis Medicare Advantage	$147.00
Rate for Payer: Group Health Inc Commercial	$70.00
Rate for Payer: Group Health Inc Medicare	$49.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$70.00
Rate for Payer: Hamaspik Choice Inc Medicare	$70.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$91.00

STRYKER BONE SCREW 24MM

Facility

$106.00

Service Code	HCPCS C1776
Hospital Charge Code	40208087
Hospital Revenue Code	278
Min. Negotiated Rate	$53.00
Max. Negotiated Rate	$53.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.00
Rate for Payer: Hamaspik Choice Inc Medicare	$53.00

STRYKER BONE SCREW 24MM

Facility

$106.00

Service Code	HCPCS C1776
Hospital Charge Code	40208087
Hospital Revenue Code	278
Min. Negotiated Rate	$37.10
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$63.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.95
Rate for Payer: EmblemHealth Commercial	$53.00
Rate for Payer: Fidelis Medicare Advantage	$111.30
Rate for Payer: Group Health Inc Commercial	$53.00
Rate for Payer: Group Health Inc Medicare	$37.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.00
Rate for Payer: Hamaspik Choice Inc Medicare	$53.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$68.90

STRYKER BONE SCREW 2.7

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205569
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 BONE SCREW 2.7

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205569
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

Know your out-of-pocket cost for care.

All Charges