St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER BONE SCREW 2.7X24MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205594
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

STRYKER BONE SCREW 2.7X24MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205594
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 2.7X26MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205596
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

STRYKER BONE SCREW 2.7X26MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40205596
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 3.5MM

Facility

$247.80

Service Code	HCPCS C1776
Hospital Charge Code	40208076
Hospital Revenue Code	278
Min. Negotiated Rate	$123.90
Max. Negotiated Rate	$123.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90

STRYKER BONE SCREW 3.5MM

Facility

$247.80

Service Code	HCPCS C1776
Hospital Charge Code	40208076
Hospital Revenue Code	278
Min. Negotiated Rate	$86.73
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$148.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$123.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.48
Rate for Payer: EmblemHealth Commercial	$123.90
Rate for Payer: Fidelis Medicare Advantage	$260.19
Rate for Payer: Group Health Inc Commercial	$123.90
Rate for Payer: Group Health Inc Medicare	$86.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$161.07

STRYKER BONE SCREW 3.5MM X 22MM

Facility

$210.00

Service Code	HCPCS C1776
Hospital Charge Code	40205030
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

STRYKER BONE SCREW 3.5MM X 22MM

Facility

$210.00

Service Code	HCPCS C1776
Hospital Charge Code	40205030
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$126.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$105.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$120.75
Rate for Payer: EmblemHealth Commercial	$105.00
Rate for Payer: Fidelis Medicare Advantage	$220.50
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$136.50

STRYKER BONE SCREW 3.5MMX24MM

Facility

$105.00

Service Code	HCPCS C1713
Hospital Charge Code	40205521
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$57.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$63.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$52.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$60.38
Rate for Payer: EmblemHealth Commercial	$52.50
Rate for Payer: Fidelis Medicare Advantage	$110.25
Rate for Payer: Group Health Inc Commercial	$52.50
Rate for Payer: Group Health Inc Medicare	$36.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.50
Rate for Payer: Hamaspik Choice Inc Medicare	$52.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$68.25

STRYKER BONE SCREW 3.5MMX24MM

Facility

$105.00

Service Code	HCPCS C1713
Hospital Charge Code	40205521
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$52.50
Rate for Payer: Hamaspik Choice Inc Medicare	$52.50

STRYKER BONE SCREW 3.5MMX30MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205473
Hospital Revenue Code	278
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60

STRYKER BONE SCREW 3.5MMX30MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205473
Hospital Revenue Code	278
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$65.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.79
Rate for Payer: EmblemHealth Commercial	$54.60
Rate for Payer: Fidelis Medicare Advantage	$114.66
Rate for Payer: Group Health Inc Commercial	$54.60
Rate for Payer: Group Health Inc Medicare	$38.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.98

STRYKER BONE SCREW 3.5MM X 40MM

Facility

$114.80

Service Code	HCPCS C1713
Hospital Charge Code	40205474
Hospital Revenue Code	278
Min. Negotiated Rate	$40.18
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$63.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$68.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$57.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$66.01
Rate for Payer: EmblemHealth Commercial	$57.40
Rate for Payer: Fidelis Medicare Advantage	$120.54
Rate for Payer: Group Health Inc Commercial	$57.40
Rate for Payer: Group Health Inc Medicare	$40.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$57.40
Rate for Payer: Hamaspik Choice Inc Medicare	$57.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$74.62

STRYKER BONE SCREW 3.5MM X 40MM

Facility

$114.80

Service Code	HCPCS C1713
Hospital Charge Code	40205474
Hospital Revenue Code	278
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$57.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$57.40
Rate for Payer: Hamaspik Choice Inc Medicare	$57.40

STRYKER BONE SCREW3.5X14MM

Facility

$114.80

Service Code	HCPCS C1713
Hospital Charge Code	40205520
Hospital Revenue Code	278
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$57.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$57.40
Rate for Payer: Hamaspik Choice Inc Medicare	$57.40

STRYKER BONE SCREW3.5X14MM

Facility

$114.80

Service Code	HCPCS C1713
Hospital Charge Code	40205520
Hospital Revenue Code	278
Min. Negotiated Rate	$40.18
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$63.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$68.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$57.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$66.01
Rate for Payer: EmblemHealth Commercial	$57.40
Rate for Payer: Fidelis Medicare Advantage	$120.54
Rate for Payer: Group Health Inc Commercial	$57.40
Rate for Payer: Group Health Inc Medicare	$40.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$57.40
Rate for Payer: Hamaspik Choice Inc Medicare	$57.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$74.62

STRYKER BONE SCREW 3.5X20MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	40205333
Hospital Revenue Code	278
Min. Negotiated Rate	$100.00
Max. Negotiated Rate	$100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$100.00

STRYKER BONE SCREW 3.5X20MM

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	40205333
Hospital Revenue Code	278
Min. Negotiated Rate	$70.00
Max. Negotiated Rate	$210.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$120.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.00
Rate for Payer: EmblemHealth Commercial	$100.00
Rate for Payer: Fidelis Medicare Advantage	$210.00
Rate for Payer: Group Health Inc Commercial	$100.00
Rate for Payer: Group Health Inc Medicare	$70.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$130.00

STRYKER BONE SCREW 3.5X46MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	40205777
Hospital Revenue Code	278
Min. Negotiated Rate	$91.14
Max. Negotiated Rate	$273.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$143.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$156.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$130.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$149.73
Rate for Payer: EmblemHealth Commercial	$130.20
Rate for Payer: Fidelis Medicare Advantage	$273.42
Rate for Payer: Group Health Inc Commercial	$130.20
Rate for Payer: Group Health Inc Medicare	$91.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.20
Rate for Payer: Hamaspik Choice Inc Medicare	$130.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$169.26

STRYKER BONE SCREW 3.5X46MM

Facility

$260.40

Service Code	HCPCS C1713
Hospital Charge Code	40205777
Hospital Revenue Code	278
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$130.20
Rate for Payer: Hamaspik Choice Inc Medicare	$130.20

STRYKER BONE SCREW 3.5X8

Facility

$431.90

Service Code	HCPCS C1713
Hospital Charge Code	40204461
Hospital Revenue Code	278
Min. Negotiated Rate	$215.95
Max. Negotiated Rate	$215.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.95
Rate for Payer: Hamaspik Choice Inc Medicare	$215.95

STRYKER BONE SCREW 3.5X8

Facility

$431.90

Service Code	HCPCS C1713
Hospital Charge Code	40204461
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$453.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$237.54
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$259.14
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$215.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$248.34
Rate for Payer: EmblemHealth Commercial	$215.95
Rate for Payer: Fidelis Medicare Advantage	$453.50
Rate for Payer: Group Health Inc Commercial	$215.95
Rate for Payer: Group Health Inc Medicare	$151.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.95
Rate for Payer: Hamaspik Choice Inc Medicare	$215.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$280.74

STRYKER BONE SCREW 4.0X8

Facility

$474.28

Service Code	HCPCS C1713
Hospital Charge Code	40204462
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$497.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$260.85
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$284.57
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$237.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$272.71
Rate for Payer: EmblemHealth Commercial	$237.14
Rate for Payer: Fidelis Medicare Advantage	$497.99
Rate for Payer: Group Health Inc Commercial	$237.14
Rate for Payer: Group Health Inc Medicare	$166.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.14
Rate for Payer: Hamaspik Choice Inc Medicare	$237.14
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$308.28

STRYKER BONE SCREW 4.0X8

Facility

$474.28

Service Code	HCPCS C1713
Hospital Charge Code	40204462
Hospital Revenue Code	278
Min. Negotiated Rate	$237.14
Max. Negotiated Rate	$237.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$237.14
Rate for Payer: Hamaspik Choice Inc Medicare	$237.14

STRYKER CANCELLOUS 4.0X50MM

Facility

$35.00

Service Code	HCPCS C1713
Hospital Charge Code	40209983
Hospital Revenue Code	278
Min. Negotiated Rate	$12.25
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$21.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.12
Rate for Payer: EmblemHealth Commercial	$17.50
Rate for Payer: Fidelis Medicare Advantage	$36.75
Rate for Payer: Group Health Inc Commercial	$17.50
Rate for Payer: Group Health Inc Medicare	$12.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$22.75

Know your out-of-pocket cost for care.

All Charges