St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER COMP. PLATE PLY

Facility

$2,109.00

Service Code	HCPCS C1713
Hospital Charge Code	40205764
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,214.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,159.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,265.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,054.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,212.68
Rate for Payer: EmblemHealth Commercial	$1,054.50
Rate for Payer: Fidelis Medicare Advantage	$2,214.45
Rate for Payer: Group Health Inc Commercial	$1,054.50
Rate for Payer: Group Health Inc Medicare	$738.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,054.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,054.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,370.85

STRYKER COMP. PLATE PLY

Facility

$2,109.00

Service Code	HCPCS C1713
Hospital Charge Code	40205764
Hospital Revenue Code	278
Min. Negotiated Rate	$1,054.50
Max. Negotiated Rate	$1,054.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,054.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,054.50

STRYKER CORTICAL 2.7MMX14 656414

Facility

$328.00

Service Code	HCPCS C1713
Hospital Charge Code	40005357
Hospital Revenue Code	278
Min. Negotiated Rate	$164.00
Max. Negotiated Rate	$164.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$164.00
Rate for Payer: Hamaspik Choice Inc Medicare	$164.00

STRYKER CORTICAL 2.7MMX14 656414

Facility

$328.00

Service Code	HCPCS C1713
Hospital Charge Code	40005357
Hospital Revenue Code	278
Min. Negotiated Rate	$114.80
Max. Negotiated Rate	$344.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$180.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$196.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$164.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$188.60
Rate for Payer: EmblemHealth Commercial	$164.00
Rate for Payer: Fidelis Medicare Advantage	$344.40
Rate for Payer: Group Health Inc Commercial	$164.00
Rate for Payer: Group Health Inc Medicare	$114.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$164.00
Rate for Payer: Hamaspik Choice Inc Medicare	$164.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$213.20

STRYKER CORTICAL SCREW 4.5X

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40205681
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44

STRYKER CORTICAL SCREW 4.5X

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40205681
Hospital Revenue Code	278
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$34.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.71
Rate for Payer: EmblemHealth Commercial	$28.44
Rate for Payer: Fidelis Medicare Advantage	$59.72
Rate for Payer: Group Health Inc Commercial	$28.44
Rate for Payer: Group Health Inc Medicare	$19.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.97

STRYKER COUNTER SINK

Facility

$210.00

Hospital Charge Code	40205493
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
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

STRYKER CROSSLINK 35-44MM

Facility

$3,996.58

Service Code	HCPCS C1776
Hospital Charge Code	40205236
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,196.41
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,198.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,397.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,998.29
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,298.03
Rate for Payer: EmblemHealth Commercial	$1,998.29
Rate for Payer: Fidelis Medicare Advantage	$4,196.41
Rate for Payer: Group Health Inc Commercial	$1,998.29
Rate for Payer: Group Health Inc Medicare	$1,398.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,998.29
Rate for Payer: Hamaspik Choice Inc Medicare	$1,998.29
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,597.78

STRYKER CROSSLINK 35-44MM

Facility

$3,996.58

Service Code	HCPCS C1776
Hospital Charge Code	40205236
Hospital Revenue Code	278
Min. Negotiated Rate	$1,998.29
Max. Negotiated Rate	$1,998.29
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,998.29
Rate for Payer: Hamaspik Choice Inc Medicare	$1,998.29

STRYKER CROSS LINK 53-73MM

Facility

$3,267.28

Service Code	HCPCS C1713
Hospital Charge Code	40205532
Hospital Revenue Code	278
Min. Negotiated Rate	$1,633.64
Max. Negotiated Rate	$1,633.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,633.64
Rate for Payer: Hamaspik Choice Inc Medicare	$1,633.64

STRYKER CROSS LINK 53-73MM

Facility

$3,267.28

Service Code	HCPCS C1713
Hospital Charge Code	40205532
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,430.64
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,797.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,960.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,633.64
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,878.69
Rate for Payer: EmblemHealth Commercial	$1,633.64
Rate for Payer: Fidelis Medicare Advantage	$3,430.64
Rate for Payer: Group Health Inc Commercial	$1,633.64
Rate for Payer: Group Health Inc Medicare	$1,143.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,633.64
Rate for Payer: Hamaspik Choice Inc Medicare	$1,633.64
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,123.73

STRYKER C-TAPER 26MM

Facility

$2,142.00

Service Code	HCPCS C1713
Hospital Charge Code	40206041
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,249.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,178.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,285.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,071.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,231.65
Rate for Payer: EmblemHealth Commercial	$1,071.00
Rate for Payer: Fidelis Medicare Advantage	$2,249.10
Rate for Payer: Group Health Inc Commercial	$1,071.00
Rate for Payer: Group Health Inc Medicare	$749.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,071.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,071.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,392.30

STRYKER C-TAPER 26MM

Facility

$2,142.00

Service Code	HCPCS C1713
Hospital Charge Code	40206041
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.00
Max. Negotiated Rate	$1,071.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,071.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,071.00

STRYKER C-TAPER LFIT 28MM

Facility

$2,228.00

Service Code	HCPCS C1713
Hospital Charge Code	40205540
Hospital Revenue Code	278
Min. Negotiated Rate	$1,114.00
Max. Negotiated Rate	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,114.00

STRYKER C-TAPER LFIT 28MM

Facility

$2,228.00

Service Code	HCPCS C1713
Hospital Charge Code	40205540
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,339.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,225.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,336.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,114.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,281.10
Rate for Payer: EmblemHealth Commercial	$1,114.00
Rate for Payer: Fidelis Medicare Advantage	$2,339.40
Rate for Payer: Group Health Inc Commercial	$1,114.00
Rate for Payer: Group Health Inc Medicare	$779.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,114.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,114.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,448.20

STRYKER CURVED AWL

Facility

$893.00

Hospital Charge Code	40205371
Hospital Revenue Code	270
Min. Negotiated Rate	$312.55
Max. Negotiated Rate	$714.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$491.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$446.50
Rate for Payer: Aetna Government	$446.50
Rate for Payer: Brighton Health Commercial	$669.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$714.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$607.24
Rate for Payer: Group Health Inc Commercial	$446.50
Rate for Payer: Group Health Inc Medicare	$312.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$446.50
Rate for Payer: Hamaspik Choice Inc Medicare	$446.50

STRYKER CURVED CHISEL

Facility

$369.00

Hospital Charge Code	40205712
Hospital Revenue Code	270
Min. Negotiated Rate	$129.15
Max. Negotiated Rate	$295.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$202.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$184.50
Rate for Payer: Aetna Government	$184.50
Rate for Payer: Brighton Health Commercial	$276.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$295.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$250.92
Rate for Payer: Group Health Inc Commercial	$184.50
Rate for Payer: Group Health Inc Medicare	$129.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$184.50
Rate for Payer: Hamaspik Choice Inc Medicare	$184.50

STRYKER CURVED PLATE 4HOLE

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	40209952
Hospital Revenue Code	278
Min. Negotiated Rate	$875.00
Max. Negotiated Rate	$875.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$875.00
Rate for Payer: Hamaspik Choice Inc Medicare	$875.00

STRYKER CURVED PLATE 4HOLE

Facility

$1,750.00

Service Code	HCPCS C1713
Hospital Charge Code	40209952
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,837.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$962.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,050.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$875.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,006.25
Rate for Payer: EmblemHealth Commercial	$875.00
Rate for Payer: Fidelis Medicare Advantage	$1,837.50
Rate for Payer: Group Health Inc Commercial	$875.00
Rate for Payer: Group Health Inc Medicare	$612.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$875.00
Rate for Payer: Hamaspik Choice Inc Medicare	$875.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,137.50

STRYKER CURVED ROD 76326

Facility

$403.92

Service Code	HCPCS C1713
Hospital Charge Code	40201458
Hospital Revenue Code	278
Min. Negotiated Rate	$201.96
Max. Negotiated Rate	$201.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$201.96
Rate for Payer: Hamaspik Choice Inc Medicare	$201.96

STRYKER CURVED ROD 76326

Facility

$403.92

Service Code	HCPCS C1713
Hospital Charge Code	40201458
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$424.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$222.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$242.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$201.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$232.25
Rate for Payer: EmblemHealth Commercial	$201.96
Rate for Payer: Fidelis Medicare Advantage	$424.12
Rate for Payer: Group Health Inc Commercial	$201.96
Rate for Payer: Group Health Inc Medicare	$141.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$201.96
Rate for Payer: Hamaspik Choice Inc Medicare	$201.96
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$262.55

STRYKER DISP FLUT 3.2X89MM

Facility

$1,316.00

Service Code	HCPCS C1713
Hospital Charge Code	40206090
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,381.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$723.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$789.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$658.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$756.70
Rate for Payer: EmblemHealth Commercial	$658.00
Rate for Payer: Fidelis Medicare Advantage	$1,381.80
Rate for Payer: Group Health Inc Commercial	$658.00
Rate for Payer: Group Health Inc Medicare	$460.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$658.00
Rate for Payer: Hamaspik Choice Inc Medicare	$658.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$855.40

STRYKER DISP FLUT 3.2X89MM

Facility

$1,316.00

Service Code	HCPCS C1713
Hospital Charge Code	40206090
Hospital Revenue Code	278
Min. Negotiated Rate	$658.00
Max. Negotiated Rate	$658.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$658.00
Rate for Payer: Hamaspik Choice Inc Medicare	$658.00

STRYKER DRILL 1.9 MM

Facility

$165.00

Hospital Charge Code	40203391
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$132.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$82.50
Rate for Payer: Aetna Government	$82.50
Rate for Payer: Brighton Health Commercial	$123.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$132.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.20
Rate for Payer: Group Health Inc Commercial	$82.50
Rate for Payer: Group Health Inc Medicare	$57.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$82.50
Rate for Payer: Hamaspik Choice Inc Medicare	$82.50

STRYKER DRILL 2.1

Facility

$138.60

Hospital Charge Code	40205583
Hospital Revenue Code	270
Min. Negotiated Rate	$48.51
Max. Negotiated Rate	$110.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$76.23
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$69.30
Rate for Payer: Aetna Government	$69.30
Rate for Payer: Brighton Health Commercial	$103.95
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$110.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.25
Rate for Payer: Group Health Inc Commercial	$69.30
Rate for Payer: Group Health Inc Medicare	$48.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$69.30
Rate for Payer: Hamaspik Choice Inc Medicare	$69.30

Know your out-of-pocket cost for care.

All Charges