St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER GAMMA3 10X320MM 125D LFT

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205425
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,443.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,327.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,539.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,116.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,433.52
Rate for Payer: EmblemHealth Commercial	$2,116.10
Rate for Payer: Fidelis Medicare Advantage	$4,443.81
Rate for Payer: Group Health Inc Commercial	$2,116.10
Rate for Payer: Group Health Inc Medicare	$1,481.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,750.93

STRYKER GAMMA3 10X320MM 125D LFT

Facility

$4,232.20

Service Code	HCPCS C1713
Hospital Charge Code	40205425
Hospital Revenue Code	278
Min. Negotiated Rate	$2,116.10
Max. Negotiated Rate	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,116.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,116.10

STRYKER GAMMA 3, 3.5MM HEX SCREW

Facility

$1,456.00

Service Code	HCPCS C1713
Hospital Charge Code	40206232
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,528.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$800.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$873.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$728.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$837.20
Rate for Payer: EmblemHealth Commercial	$728.00
Rate for Payer: Fidelis Medicare Advantage	$1,528.80
Rate for Payer: Group Health Inc Commercial	$728.00
Rate for Payer: Group Health Inc Medicare	$509.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$728.00
Rate for Payer: Hamaspik Choice Inc Medicare	$728.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$946.40

STRYKER GAMMA 3, 3.5MM HEX SCREW

Facility

$1,456.00

Service Code	HCPCS C1713
Hospital Charge Code	40206232
Hospital Revenue Code	278
Min. Negotiated Rate	$728.00
Max. Negotiated Rate	$728.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$728.00
Rate for Payer: Hamaspik Choice Inc Medicare	$728.00

STRYKER GAMMA3 LFT 11X340X125D

Facility

$3,245.20

Service Code	HCPCS C1776
Hospital Charge Code	40208157
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.60
Max. Negotiated Rate	$1,622.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,622.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,622.60

STRYKER GAMMA3 LFT 11X340X125D

Facility

$3,245.20

Service Code	HCPCS C1776
Hospital Charge Code	40208157
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,407.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,784.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,947.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,622.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,865.99
Rate for Payer: EmblemHealth Commercial	$1,622.60
Rate for Payer: Fidelis Medicare Advantage	$3,407.46
Rate for Payer: Group Health Inc Commercial	$1,622.60
Rate for Payer: Group Health Inc Medicare	$1,135.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,622.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,622.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,109.38

STRYKER GAMMA NAIL 11X320MM

Facility

$3,441.20

Service Code	HCPCS C1713
Hospital Charge Code	40205586
Hospital Revenue Code	278
Min. Negotiated Rate	$1,720.60
Max. Negotiated Rate	$1,720.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,720.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,720.60

STRYKER GAMMA NAIL 11X320MM

Facility

$3,441.20

Service Code	HCPCS C1713
Hospital Charge Code	40205586
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,613.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,892.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,064.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,720.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,978.69
Rate for Payer: EmblemHealth Commercial	$1,720.60
Rate for Payer: Fidelis Medicare Advantage	$3,613.26
Rate for Payer: Group Health Inc Commercial	$1,720.60
Rate for Payer: Group Health Inc Medicare	$1,204.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,720.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,720.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,236.78

STRYKER GAMNMA 3 SYSTEM 10X420MM

Facility

$4,529.00

Service Code	HCPCS C1713
Hospital Charge Code	40206231
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$4,755.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,490.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,717.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,264.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,604.18
Rate for Payer: EmblemHealth Commercial	$2,264.50
Rate for Payer: Fidelis Medicare Advantage	$4,755.45
Rate for Payer: Group Health Inc Commercial	$2,264.50
Rate for Payer: Group Health Inc Medicare	$1,585.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,264.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,264.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,943.85

STRYKER GAMNMA 3 SYSTEM 10X420MM

Facility

$4,529.00

Service Code	HCPCS C1713
Hospital Charge Code	40206231
Hospital Revenue Code	278
Min. Negotiated Rate	$2,264.50
Max. Negotiated Rate	$2,264.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,264.50
Rate for Payer: Hamaspik Choice Inc Medicare	$2,264.50

STRYKER GMRS D FEM COMP STD R65MM

Facility

$386.00

Service Code	HCPCS C1776
Hospital Charge Code	40205317
Hospital Revenue Code	278
Min. Negotiated Rate	$193.00
Max. Negotiated Rate	$193.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$193.00
Rate for Payer: Hamaspik Choice Inc Medicare	$193.00

STRYKER GMRS D FEM COMP STD R65MM

Facility

$386.00

Service Code	HCPCS C1776
Hospital Charge Code	40205317
Hospital Revenue Code	278
Min. Negotiated Rate	$135.10
Max. Negotiated Rate	$405.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$212.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$231.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$193.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$221.95
Rate for Payer: EmblemHealth Commercial	$193.00
Rate for Payer: Fidelis Medicare Advantage	$405.30
Rate for Payer: Group Health Inc Commercial	$193.00
Rate for Payer: Group Health Inc Medicare	$135.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$193.00
Rate for Payer: Hamaspik Choice Inc Medicare	$193.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$250.90

STRYKER GMRS EXTENSION PIECE 50MM

Facility

$7,880.00

Service Code	HCPCS C1776
Hospital Charge Code	40205324
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,274.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,334.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$4,728.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,940.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,531.00
Rate for Payer: EmblemHealth Commercial	$3,940.00
Rate for Payer: Fidelis Medicare Advantage	$8,274.00
Rate for Payer: Group Health Inc Commercial	$3,940.00
Rate for Payer: Group Health Inc Medicare	$2,758.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,940.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,940.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,122.00

STRYKER GMRS EXTENSION PIECE 50MM

Facility

$7,880.00

Service Code	HCPCS C1776
Hospital Charge Code	40205324
Hospital Revenue Code	278
Min. Negotiated Rate	$3,940.00
Max. Negotiated Rate	$3,940.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,940.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,940.00

STRYKER GMRS PROX F/C STD RT 65MM

Facility

$13,244.00

Service Code	HCPCS C1776
Hospital Charge Code	40205914
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$13,906.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,284.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$7,946.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,622.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,615.30
Rate for Payer: EmblemHealth Commercial	$6,622.00
Rate for Payer: Fidelis Medicare Advantage	$13,906.20
Rate for Payer: Group Health Inc Commercial	$6,622.00
Rate for Payer: Group Health Inc Medicare	$4,635.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,622.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,622.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8,608.60

STRYKER GMRS PROX F/C STD RT 65MM

Facility

$13,244.00

Service Code	HCPCS C1776
Hospital Charge Code	40205914
Hospital Revenue Code	278
Min. Negotiated Rate	$6,622.00
Max. Negotiated Rate	$6,622.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,622.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,622.00

STRYKER GUIDEWIRE BALL-TIP 3X1000

Facility

$299.00

Service Code	HCPCS C1769
Hospital Charge Code	40005361
Hospital Revenue Code	272
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$239.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$164.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$224.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$239.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$203.32
Rate for Payer: Group Health Inc Commercial	$149.50
Rate for Payer: Group Health Inc Medicare	$104.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.50
Rate for Payer: Hamaspik Choice Inc Medicare	$149.50

STRYKER HOLDERS PIN SKINMAN BOHLR

Facility

$806.00

Service Code	HCPCS C1713
Hospital Charge Code	40029606
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$846.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$443.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$483.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$403.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$463.45
Rate for Payer: EmblemHealth Commercial	$403.00
Rate for Payer: Fidelis Medicare Advantage	$846.30
Rate for Payer: Group Health Inc Commercial	$403.00
Rate for Payer: Group Health Inc Medicare	$282.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$403.00
Rate for Payer: Hamaspik Choice Inc Medicare	$403.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$523.90

STRYKER HOLDERS PIN SKINMAN BOHLR

Facility

$806.00

Service Code	HCPCS C1713
Hospital Charge Code	40029606
Hospital Revenue Code	278
Min. Negotiated Rate	$403.00
Max. Negotiated Rate	$403.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$403.00
Rate for Payer: Hamaspik Choice Inc Medicare	$403.00

STRYKER INS, MIX EVAC 3

Facility

$2,053.60

Hospital Charge Code	40205336
Hospital Revenue Code	270
Min. Negotiated Rate	$718.76
Max. Negotiated Rate	$1,642.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,129.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$1,026.80
Rate for Payer: Aetna Government	$1,026.80
Rate for Payer: Brighton Health Commercial	$1,540.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,642.88
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,396.45
Rate for Payer: Group Health Inc Commercial	$1,026.80
Rate for Payer: Group Health Inc Medicare	$718.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,026.80
Rate for Payer: Hamaspik Choice Inc Medicare	$1,026.80

STRYKER INTERMED SHORT PLATE RT

Facility

$2,888.00

Service Code	HCPCS C1713
Hospital Charge Code	40204496
Hospital Revenue Code	278
Min. Negotiated Rate	$1,444.00
Max. Negotiated Rate	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,444.00

STRYKER INTERMED SHORT PLATE RT

Facility

$2,888.00

Service Code	HCPCS C1713
Hospital Charge Code	40204496
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,032.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,588.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,732.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,444.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,660.60
Rate for Payer: EmblemHealth Commercial	$1,444.00
Rate for Payer: Fidelis Medicare Advantage	$3,032.40
Rate for Payer: Group Health Inc Commercial	$1,444.00
Rate for Payer: Group Health Inc Medicare	$1,010.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,444.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,877.20

STRYKER INTER SHORT PLT RT

Facility

$2,888.00

Service Code	HCPCS C1713
Hospital Charge Code	40204719
Hospital Revenue Code	278
Min. Negotiated Rate	$1,444.00
Max. Negotiated Rate	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,444.00

STRYKER INTER SHORT PLT RT

Facility

$2,888.00

Service Code	HCPCS C1713
Hospital Charge Code	40204719
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,032.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,588.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,732.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,444.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,660.60
Rate for Payer: EmblemHealth Commercial	$1,444.00
Rate for Payer: Fidelis Medicare Advantage	$3,032.40
Rate for Payer: Group Health Inc Commercial	$1,444.00
Rate for Payer: Group Health Inc Medicare	$1,010.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,444.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,877.20

STRYKER INTER STAND PLATE LT

Facility

$2,888.00

Service Code	HCPCS C1713
Hospital Charge Code	40203392
Hospital Revenue Code	278
Min. Negotiated Rate	$1,444.00
Max. Negotiated Rate	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,444.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,444.00

Know your out-of-pocket cost for care.

All Charges