St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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

STRYKER CANN SCR 2.0X10MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40207453
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 CANN SCR 2.0X10MM

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	40207453
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 CANN.SCREW 3.0X36

Facility

$366.80

Service Code	HCPCS C1713
Hospital Charge Code	40205584
Hospital Revenue Code	278
Min. Negotiated Rate	$128.38
Max. Negotiated Rate	$385.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$201.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$220.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$183.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$210.91
Rate for Payer: EmblemHealth Commercial	$183.40
Rate for Payer: Fidelis Medicare Advantage	$385.14
Rate for Payer: Group Health Inc Commercial	$183.40
Rate for Payer: Group Health Inc Medicare	$128.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$183.40
Rate for Payer: Hamaspik Choice Inc Medicare	$183.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$238.42

STRYKER CANN.SCREW 3.0X36

Facility

$366.80

Service Code	HCPCS C1713
Hospital Charge Code	40205584
Hospital Revenue Code	278
Min. Negotiated Rate	$183.40
Max. Negotiated Rate	$183.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$183.40
Rate for Payer: Hamaspik Choice Inc Medicare	$183.40

STRYKER CANN. SCREW 3.2

Facility

$714.00

Service Code	HCPCS C1713
Hospital Charge Code	40205373
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$749.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$392.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$428.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$357.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$410.55
Rate for Payer: EmblemHealth Commercial	$357.00
Rate for Payer: Fidelis Medicare Advantage	$749.70
Rate for Payer: Group Health Inc Commercial	$357.00
Rate for Payer: Group Health Inc Medicare	$249.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$357.00
Rate for Payer: Hamaspik Choice Inc Medicare	$357.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$464.10

STRYKER CANN. SCREW 3.2

Facility

$714.00

Service Code	HCPCS C1713
Hospital Charge Code	40205373
Hospital Revenue Code	278
Min. Negotiated Rate	$357.00
Max. Negotiated Rate	$357.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$357.00
Rate for Payer: Hamaspik Choice Inc Medicare	$357.00

STRYKER CANN SCREW 3.2X30MM

Facility

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205403
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$636.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$333.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$363.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$303.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$348.56
Rate for Payer: EmblemHealth Commercial	$303.10
Rate for Payer: Fidelis Medicare Advantage	$636.51
Rate for Payer: Group Health Inc Commercial	$303.10
Rate for Payer: Group Health Inc Medicare	$212.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$394.03

STRYKER CANN SCREW 3.2X30MM

Facility

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205403
Hospital Revenue Code	278
Min. Negotiated Rate	$303.10
Max. Negotiated Rate	$303.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10

STRYKER CANN SCREW 3.2X34MM

Facility

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205404
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$636.51
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$333.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$363.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$303.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$348.56
Rate for Payer: EmblemHealth Commercial	$303.10
Rate for Payer: Fidelis Medicare Advantage	$636.51
Rate for Payer: Group Health Inc Commercial	$303.10
Rate for Payer: Group Health Inc Medicare	$212.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$394.03

STRYKER CANN SCREW 3.2X34MM

Facility

$606.20

Service Code	HCPCS C1713
Hospital Charge Code	40205404
Hospital Revenue Code	278
Min. Negotiated Rate	$303.10
Max. Negotiated Rate	$303.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$303.10
Rate for Payer: Hamaspik Choice Inc Medicare	$303.10

STRYKER CANN SCREW 4.0MM

Facility

$397.50

Service Code	HCPCS C1713
Hospital Charge Code	40205541
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$417.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$218.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$238.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$198.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$228.56
Rate for Payer: EmblemHealth Commercial	$198.75
Rate for Payer: Fidelis Medicare Advantage	$417.38
Rate for Payer: Group Health Inc Commercial	$198.75
Rate for Payer: Group Health Inc Medicare	$139.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$198.75
Rate for Payer: Hamaspik Choice Inc Medicare	$198.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$258.38

STRYKER CANN SCREW 4.0MM

Facility

$397.50

Service Code	HCPCS C1713
Hospital Charge Code	40205541
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$198.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$198.75
Rate for Payer: Hamaspik Choice Inc Medicare	$198.75

STRYKER CANN ST SS 7.3X100MM

Facility

$406.00

Service Code	HCPCS C1713
Hospital Charge Code	40205555
Hospital Revenue Code	278
Min. Negotiated Rate	$203.00
Max. Negotiated Rate	$203.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$203.00

STRYKER CANN ST SS 7.3X100MM

Facility

$406.00

Service Code	HCPCS C1713
Hospital Charge Code	40205555
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$426.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$223.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$243.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$203.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$233.45
Rate for Payer: EmblemHealth Commercial	$203.00
Rate for Payer: Fidelis Medicare Advantage	$426.30
Rate for Payer: Group Health Inc Commercial	$203.00
Rate for Payer: Group Health Inc Medicare	$142.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$203.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$263.90

STRYKER CANNULATED SCREW 18X2.3MM

Facility

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40004618
Hospital Revenue Code	278
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$150.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$78.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$85.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$71.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$82.22
Rate for Payer: EmblemHealth Commercial	$71.50
Rate for Payer: Fidelis Medicare Advantage	$150.15
Rate for Payer: Group Health Inc Commercial	$71.50
Rate for Payer: Group Health Inc Medicare	$50.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$92.95

STRYKER CANNULATED SCREW 18X2.3MM

Facility

$143.00

Service Code	HCPCS C1713
Hospital Charge Code	40004618
Hospital Revenue Code	278
Min. Negotiated Rate	$71.50
Max. Negotiated Rate	$71.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$71.50
Rate for Payer: Hamaspik Choice Inc Medicare	$71.50

STRYKER CANNULATED SCRW 3.2X20MM

Facility

$571.20

Service Code	HCPCS C1776
Hospital Charge Code	40205173
Hospital Revenue Code	278
Min. Negotiated Rate	$285.60
Max. Negotiated Rate	$285.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.60
Rate for Payer: Hamaspik Choice Inc Medicare	$285.60

STRYKER CANNULATED SCRW 3.2X20MM

Facility

$571.20

Service Code	HCPCS C1776
Hospital Charge Code	40205173
Hospital Revenue Code	278
Min. Negotiated Rate	$199.92
Max. Negotiated Rate	$599.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$314.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$342.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$285.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$328.44
Rate for Payer: EmblemHealth Commercial	$285.60
Rate for Payer: Fidelis Medicare Advantage	$599.76
Rate for Payer: Group Health Inc Commercial	$285.60
Rate for Payer: Group Health Inc Medicare	$199.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.60
Rate for Payer: Hamaspik Choice Inc Medicare	$285.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$371.28

STRYKER CARBON ROD 8X150MM

Facility

$250.00

Service Code	HCPCS C1776
Hospital Charge Code	40204500
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$137.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$150.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$143.75
Rate for Payer: EmblemHealth Commercial	$125.00
Rate for Payer: Fidelis Medicare Advantage	$262.50
Rate for Payer: Group Health Inc Commercial	$125.00
Rate for Payer: Group Health Inc Medicare	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$162.50

STRYKER CARBON ROD 8X150MM

Facility

$250.00

Service Code	HCPCS C1776
Hospital Charge Code	40204500
Hospital Revenue Code	278
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$125.00

STRYKER CARBON ROD 8X250MM

Facility

$298.20

Service Code	HCPCS C1713
Hospital Charge Code	40209401
Hospital Revenue Code	278
Min. Negotiated Rate	$104.37
Max. Negotiated Rate	$313.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$164.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$178.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$149.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$171.46
Rate for Payer: EmblemHealth Commercial	$149.10
Rate for Payer: Fidelis Medicare Advantage	$313.11
Rate for Payer: Group Health Inc Commercial	$149.10
Rate for Payer: Group Health Inc Medicare	$104.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.10
Rate for Payer: Hamaspik Choice Inc Medicare	$149.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$193.83

STRYKER CARBON ROD 8X250MM

Facility

$298.20

Service Code	HCPCS C1713
Hospital Charge Code	40209401
Hospital Revenue Code	278
Min. Negotiated Rate	$149.10
Max. Negotiated Rate	$149.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.10
Rate for Payer: Hamaspik Choice Inc Medicare	$149.10

STRYKER CARBON ROD 8X300MM

Facility

$229.60

Service Code	HCPCS C1713
Hospital Charge Code	40209415
Hospital Revenue Code	278
Min. Negotiated Rate	$114.80
Max. Negotiated Rate	$114.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.80
Rate for Payer: Hamaspik Choice Inc Medicare	$114.80

STRYKER CARBON ROD 8X300MM

Facility

$229.60

Service Code	HCPCS C1713
Hospital Charge Code	40209415
Hospital Revenue Code	278
Min. Negotiated Rate	$80.36
Max. Negotiated Rate	$241.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$137.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.02
Rate for Payer: EmblemHealth Commercial	$114.80
Rate for Payer: Fidelis Medicare Advantage	$241.08
Rate for Payer: Group Health Inc Commercial	$114.80
Rate for Payer: Group Health Inc Medicare	$80.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.80
Rate for Payer: Hamaspik Choice Inc Medicare	$114.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$149.24

Know your out-of-pocket cost for care.

All Charges