St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER DRILL 430MM (1806-4260S)

Facility

$290.00

Hospital Charge Code	40029612
Hospital Revenue Code	272
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$232.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$159.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$145.00
Rate for Payer: Aetna Government	$145.00
Rate for Payer: Brighton Health Commercial	$217.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$232.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$197.20
Rate for Payer: Group Health Inc Commercial	$145.00
Rate for Payer: Group Health Inc Medicare	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$145.00
Rate for Payer: Hamaspik Choice Inc Medicare	$145.00

STRYKER DRILL 4.9MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40201586
Hospital Revenue Code	278
Min. Negotiated Rate	$107.80
Max. Negotiated Rate	$323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$169.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$184.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$154.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$177.10
Rate for Payer: EmblemHealth Commercial	$154.00
Rate for Payer: Fidelis Medicare Advantage	$323.40
Rate for Payer: Group Health Inc Commercial	$154.00
Rate for Payer: Group Health Inc Medicare	$107.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00
Rate for Payer: Hamaspik Choice Inc Medicare	$154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$200.20

STRYKER DRILL 4.9MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40201586
Hospital Revenue Code	278
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$154.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00
Rate for Payer: Hamaspik Choice Inc Medicare	$154.00

STRYKER DRILL, 5X230MM

Facility

$268.00

Hospital Charge Code	40005864
Hospital Revenue Code	272
Min. Negotiated Rate	$93.80
Max. Negotiated Rate	$214.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.00
Rate for Payer: Aetna Government	$134.00
Rate for Payer: Brighton Health Commercial	$201.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$214.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$182.24
Rate for Payer: Group Health Inc Commercial	$134.00
Rate for Payer: Group Health Inc Medicare	$93.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$134.00
Rate for Payer: Hamaspik Choice Inc Medicare	$134.00

STRYKER DRILL BIT 1.2

Facility

$200.10

Hospital Charge Code	40005302
Hospital Revenue Code	272
Min. Negotiated Rate	$70.04
Max. Negotiated Rate	$160.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$100.05
Rate for Payer: Aetna Government	$100.05
Rate for Payer: Brighton Health Commercial	$150.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$160.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$136.07
Rate for Payer: Group Health Inc Commercial	$100.05
Rate for Payer: Group Health Inc Medicare	$70.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.05
Rate for Payer: Hamaspik Choice Inc Medicare	$100.05

STRYKER DRILL BIT 2.6MM

Facility

$210.00

Hospital Charge Code	40205494
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 DRILL BIT 3.2MM

Facility

$246.00

Hospital Charge Code	40204669
Hospital Revenue Code	272
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$196.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$135.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$123.00
Rate for Payer: Aetna Government	$123.00
Rate for Payer: Brighton Health Commercial	$184.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$196.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.28
Rate for Payer: Group Health Inc Commercial	$123.00
Rate for Payer: Group Health Inc Medicare	$86.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.00
Rate for Payer: Hamaspik Choice Inc Medicare	$123.00

STRYKER DRILL BIT 3.6MM

Facility

$197.40

Hospital Charge Code	40205492
Hospital Revenue Code	270
Min. Negotiated Rate	$69.09
Max. Negotiated Rate	$157.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$108.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$98.70
Rate for Payer: Aetna Government	$98.70
Rate for Payer: Brighton Health Commercial	$148.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$157.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$134.23
Rate for Payer: Group Health Inc Commercial	$98.70
Rate for Payer: Group Health Inc Medicare	$69.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.70
Rate for Payer: Hamaspik Choice Inc Medicare	$98.70

STRYKER DRIVE TARGATING (HOWMEDIC

Facility

$390.00

Hospital Charge Code	40029613
Hospital Revenue Code	272
Min. Negotiated Rate	$136.50
Max. Negotiated Rate	$312.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$195.00
Rate for Payer: Aetna Government	$195.00
Rate for Payer: Brighton Health Commercial	$292.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$312.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$265.20
Rate for Payer: Group Health Inc Commercial	$195.00
Rate for Payer: Group Health Inc Medicare	$136.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

STRYKER EASY CLIP 8MM

Facility

$2,250.00

Hospital Charge Code	40206249
Hospital Revenue Code	270
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,800.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,237.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,125.00
Rate for Payer: Aetna Government	$1,125.00
Rate for Payer: Brighton Health Commercial	$1,687.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,800.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,530.00
Rate for Payer: Group Health Inc Commercial	$1,125.00
Rate for Payer: Group Health Inc Medicare	$787.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,125.00

STRYKER END TAP 3.5MM

Facility

$229.00

Hospital Charge Code	40205482
Hospital Revenue Code	270
Min. Negotiated Rate	$80.15
Max. Negotiated Rate	$183.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$125.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$114.50
Rate for Payer: Aetna Government	$114.50
Rate for Payer: Brighton Health Commercial	$171.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$183.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$155.72
Rate for Payer: Group Health Inc Commercial	$114.50
Rate for Payer: Group Health Inc Medicare	$80.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.50
Rate for Payer: Hamaspik Choice Inc Medicare	$114.50

STRYKER FEMORAL HEAD #5 RGHT

Facility

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205670
Hospital Revenue Code	278
Min. Negotiated Rate	$4,428.00
Max. Negotiated Rate	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00

STRYKER FEMORAL HEAD #5 RGHT

Facility

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205670
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$9,298.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,870.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$5,313.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,428.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,092.20
Rate for Payer: EmblemHealth Commercial	$4,428.00
Rate for Payer: Fidelis Medicare Advantage	$9,298.80
Rate for Payer: Group Health Inc Commercial	$4,428.00
Rate for Payer: Group Health Inc Medicare	$3,099.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,756.40

STRYKER FEMORAL NAIL

Facility

$24.60

Service Code	HCPCS C1713
Hospital Charge Code	40029599
Hospital Revenue Code	278
Min. Negotiated Rate	$8.61
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$14.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.14
Rate for Payer: EmblemHealth Commercial	$12.30
Rate for Payer: Fidelis Medicare Advantage	$25.83
Rate for Payer: Group Health Inc Commercial	$12.30
Rate for Payer: Group Health Inc Medicare	$8.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.30
Rate for Payer: Hamaspik Choice Inc Medicare	$12.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$15.99

STRYKER FEMORAL NAIL

Facility

$24.60

Service Code	HCPCS C1713
Hospital Charge Code	40029599
Hospital Revenue Code	278
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.30
Rate for Payer: Hamaspik Choice Inc Medicare	$12.30

STRYKER FEMORAL NAIL 9X340MM

Facility

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205567
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,270.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,713.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,869.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,557.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,791.12
Rate for Payer: EmblemHealth Commercial	$1,557.50
Rate for Payer: Fidelis Medicare Advantage	$3,270.75
Rate for Payer: Group Health Inc Commercial	$1,557.50
Rate for Payer: Group Health Inc Medicare	$1,090.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,024.75

STRYKER FEMORAL NAIL 9X340MM

Facility

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205567
Hospital Revenue Code	278
Min. Negotiated Rate	$1,557.50
Max. Negotiated Rate	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50

STRYKER FEMORAL NAIL AR T2 12X340

Facility

$2,648.00

Service Code	HCPCS C1713
Hospital Charge Code	40205948
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,780.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,456.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,588.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,324.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,522.60
Rate for Payer: EmblemHealth Commercial	$1,324.00
Rate for Payer: Fidelis Medicare Advantage	$2,780.40
Rate for Payer: Group Health Inc Commercial	$1,324.00
Rate for Payer: Group Health Inc Medicare	$926.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,324.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,324.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,721.20

STRYKER FEMORAL NAIL AR T2 12X340

Facility

$2,648.00

Service Code	HCPCS C1713
Hospital Charge Code	40205948
Hospital Revenue Code	278
Min. Negotiated Rate	$1,324.00
Max. Negotiated Rate	$1,324.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,324.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,324.00

STRYKER FEMORAL NAIL T2 10X400MM

Facility

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205648
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,270.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,713.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,869.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,557.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,791.12
Rate for Payer: EmblemHealth Commercial	$1,557.50
Rate for Payer: Fidelis Medicare Advantage	$3,270.75
Rate for Payer: Group Health Inc Commercial	$1,557.50
Rate for Payer: Group Health Inc Medicare	$1,090.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,024.75

STRYKER FEMORAL NAIL T2 10X400MM

Facility

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205648
Hospital Revenue Code	278
Min. Negotiated Rate	$1,557.50
Max. Negotiated Rate	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50

STRYKER FEMORAL N AR T2 12X380MM

Facility

$2,966.60

Service Code	HCPCS C1776
Hospital Charge Code	40208119
Hospital Revenue Code	278
Min. Negotiated Rate	$1,483.30
Max. Negotiated Rate	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.30

STRYKER FEMORAL N AR T2 12X380MM

Facility

$2,966.60

Service Code	HCPCS C1776
Hospital Charge Code	40208119
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,114.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,631.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,779.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,483.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,705.80
Rate for Payer: EmblemHealth Commercial	$1,483.30
Rate for Payer: Fidelis Medicare Advantage	$3,114.93
Rate for Payer: Group Health Inc Commercial	$1,483.30
Rate for Payer: Group Health Inc Medicare	$1,038.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,483.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,928.29

STRYKER FRACTURE PLT, 4 HOLES

Facility

$570.22

Service Code	HCPCS C1713
Hospital Charge Code	40203428
Hospital Revenue Code	278
Min. Negotiated Rate	$285.11
Max. Negotiated Rate	$285.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.11
Rate for Payer: Hamaspik Choice Inc Medicare	$285.11

STRYKER FRACTURE PLT, 4 HOLES

Facility

$570.22

Service Code	HCPCS C1713
Hospital Charge Code	40203428
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$598.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$313.62
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$342.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$285.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$327.88
Rate for Payer: EmblemHealth Commercial	$285.11
Rate for Payer: Fidelis Medicare Advantage	$598.73
Rate for Payer: Group Health Inc Commercial	$285.11
Rate for Payer: Group Health Inc Medicare	$199.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$285.11
Rate for Payer: Hamaspik Choice Inc Medicare	$285.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$370.64

Know your out-of-pocket cost for care.

All Charges