St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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

STRYKER K-WIRE 1.0MM

Facility

$5.60

Hospital Charge Code	40205402
Hospital Revenue Code	270
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$4.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$2.80
Rate for Payer: Aetna Government	$2.80
Rate for Payer: Brighton Health Commercial	$4.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$3.81
Rate for Payer: Group Health Inc Commercial	$2.80
Rate for Payer: Group Health Inc Medicare	$1.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$2.80
Rate for Payer: Hamaspik Choice Inc Medicare	$2.80

STRYKER K-WIRE 1.14 X 160MM

Facility

$120.00

Hospital Charge Code	40029592
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$96.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$60.00
Rate for Payer: Aetna Government	$60.00
Rate for Payer: Brighton Health Commercial	$90.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$96.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$81.60
Rate for Payer: Group Health Inc Commercial	$60.00
Rate for Payer: Group Health Inc Medicare	$42.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.00
Rate for Payer: Hamaspik Choice Inc Medicare	$60.00

STRYKER K WIRE 1.2

Facility

$57.40

Hospital Charge Code	40205582
Hospital Revenue Code	270
Min. Negotiated Rate	$20.09
Max. Negotiated Rate	$45.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$28.70
Rate for Payer: Aetna Government	$28.70
Rate for Payer: Brighton Health Commercial	$43.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$45.92
Rate for Payer: Cigna LocalPlus Benefit Plan	$39.03
Rate for Payer: Group Health Inc Commercial	$28.70
Rate for Payer: Group Health Inc Medicare	$20.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.70
Rate for Payer: Hamaspik Choice Inc Medicare	$28.70

STRYKER K WIRE 1.6 X200

Facility

$78.40

Hospital Charge Code	40205590
Hospital Revenue Code	270
Min. Negotiated Rate	$27.44
Max. Negotiated Rate	$62.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$43.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$39.20
Rate for Payer: Aetna Government	$39.20
Rate for Payer: Brighton Health Commercial	$58.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.72
Rate for Payer: Cigna LocalPlus Benefit Plan	$53.31
Rate for Payer: Group Health Inc Commercial	$39.20
Rate for Payer: Group Health Inc Medicare	$27.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.20
Rate for Payer: Hamaspik Choice Inc Medicare	$39.20

STRYKER K-WIRE 3.2X450MM

Facility

$161.00

Service Code	HCPCS C1769
Hospital Charge Code	40202400
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$169.05
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$96.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.58
Rate for Payer: EmblemHealth Commercial	$80.50
Rate for Payer: Fidelis Medicare Advantage	$169.05
Rate for Payer: Group Health Inc Commercial	$80.50
Rate for Payer: Group Health Inc Medicare	$56.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.50
Rate for Payer: Hamaspik Choice Inc Medicare	$80.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.65

STRYKER K-WIRE 3.2X450MM

Facility

$161.00

Service Code	HCPCS C1769
Hospital Charge Code	40202400
Hospital Revenue Code	278
Min. Negotiated Rate	$80.50
Max. Negotiated Rate	$80.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.50
Rate for Payer: Hamaspik Choice Inc Medicare	$80.50

STRYKER K-WIRES 2.0X150MM

Facility

$14.00

Service Code	HCPCS C1769
Hospital Charge Code	40205277
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$14.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$8.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$8.05
Rate for Payer: EmblemHealth Commercial	$7.00
Rate for Payer: Fidelis Medicare Advantage	$14.70
Rate for Payer: Group Health Inc Commercial	$7.00
Rate for Payer: Group Health Inc Medicare	$4.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.00
Rate for Payer: Hamaspik Choice Inc Medicare	$7.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9.10

STRYKER K-WIRES 2.0X150MM

Facility

$14.00

Service Code	HCPCS C1769
Hospital Charge Code	40205277
Hospital Revenue Code	278
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$7.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$7.00
Rate for Payer: Hamaspik Choice Inc Medicare	$7.00

STRYKER LAG 6.5 X 75MM

Facility

$444.60

Service Code	HCPCS C1713
Hospital Charge Code	40204662
Hospital Revenue Code	278
Min. Negotiated Rate	$222.30
Max. Negotiated Rate	$222.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$222.30
Rate for Payer: Hamaspik Choice Inc Medicare	$222.30

STRYKER LAG 6.5 X 75MM

Facility

$444.60

Service Code	HCPCS C1713
Hospital Charge Code	40204662
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$466.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$244.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$266.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$222.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$255.64
Rate for Payer: EmblemHealth Commercial	$222.30
Rate for Payer: Fidelis Medicare Advantage	$466.83
Rate for Payer: Group Health Inc Commercial	$222.30
Rate for Payer: Group Health Inc Medicare	$155.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$222.30
Rate for Payer: Hamaspik Choice Inc Medicare	$222.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$288.99

STRYKER LCKNG CMP PLT 10H/L 136MM

Facility

$195.00

Service Code	HCPCS C1776
Hospital Charge Code	40205245
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$117.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.12
Rate for Payer: EmblemHealth Commercial	$97.50
Rate for Payer: Fidelis Medicare Advantage	$204.75
Rate for Payer: Group Health Inc Commercial	$97.50
Rate for Payer: Group Health Inc Medicare	$68.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.50
Rate for Payer: Hamaspik Choice Inc Medicare	$97.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$126.75

STRYKER LCKNG CMP PLT 10H/L 136MM

Facility

$195.00

Service Code	HCPCS C1776
Hospital Charge Code	40205245
Hospital Revenue Code	278
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.50
Rate for Payer: Hamaspik Choice Inc Medicare	$97.50

STRYKER LCKNG RECON PLT 8H/L144MM

Facility

$594.00

Service Code	HCPCS C1713
Hospital Charge Code	40205448
Hospital Revenue Code	278
Min. Negotiated Rate	$297.00
Max. Negotiated Rate	$297.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$297.00
Rate for Payer: Hamaspik Choice Inc Medicare	$297.00

STRYKER LCKNG RECON PLT 8H/L144MM

Facility

$594.00

Service Code	HCPCS C1713
Hospital Charge Code	40205448
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$623.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$326.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$356.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$297.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$341.55
Rate for Payer: EmblemHealth Commercial	$297.00
Rate for Payer: Fidelis Medicare Advantage	$623.70
Rate for Payer: Group Health Inc Commercial	$297.00
Rate for Payer: Group Health Inc Medicare	$207.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$297.00
Rate for Payer: Hamaspik Choice Inc Medicare	$297.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$386.10

STRYKER LCKNG SCRW FT 5X40MM

Facility

$266.00

Service Code	HCPCS C1776
Hospital Charge Code	40208104
Hospital Revenue Code	278
Min. Negotiated Rate	$93.10
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$159.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$152.95
Rate for Payer: EmblemHealth Commercial	$133.00
Rate for Payer: Fidelis Medicare Advantage	$279.30
Rate for Payer: Group Health Inc Commercial	$133.00
Rate for Payer: Group Health Inc Medicare	$93.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.00
Rate for Payer: Hamaspik Choice Inc Medicare	$133.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$172.90

STRYKER LCKNG SCRW FT 5X40MM

Facility

$266.00

Service Code	HCPCS C1776
Hospital Charge Code	40208104
Hospital Revenue Code	278
Min. Negotiated Rate	$133.00
Max. Negotiated Rate	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.00
Rate for Payer: Hamaspik Choice Inc Medicare	$133.00

STRYKER LCKNG SCRW FT 5X60MM

Facility

$317.80

Service Code	HCPCS C1776
Hospital Charge Code	40208169
Hospital Revenue Code	278
Min. Negotiated Rate	$158.90
Max. Negotiated Rate	$158.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.90
Rate for Payer: Hamaspik Choice Inc Medicare	$158.90

STRYKER LCKNG SCRW FT 5X60MM

Facility

$317.80

Service Code	HCPCS C1776
Hospital Charge Code	40208169
Hospital Revenue Code	278
Min. Negotiated Rate	$111.23
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$174.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$190.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$158.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$182.74
Rate for Payer: EmblemHealth Commercial	$158.90
Rate for Payer: Fidelis Medicare Advantage	$333.69
Rate for Payer: Group Health Inc Commercial	$158.90
Rate for Payer: Group Health Inc Medicare	$111.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$158.90
Rate for Payer: Hamaspik Choice Inc Medicare	$158.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$206.57

STRYKER LCK PLT PROX LAT TIB 2H L

Facility

$1,458.00

Service Code	HCPCS C1776
Hospital Charge Code	40205134
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,530.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$801.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$874.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$729.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$838.35
Rate for Payer: EmblemHealth Commercial	$729.00
Rate for Payer: Fidelis Medicare Advantage	$1,530.90
Rate for Payer: Group Health Inc Commercial	$729.00
Rate for Payer: Group Health Inc Medicare	$510.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$729.00
Rate for Payer: Hamaspik Choice Inc Medicare	$729.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$947.70

STRYKER LCK PLT PROX LAT TIB 2H L

Facility

$1,458.00

Service Code	HCPCS C1776
Hospital Charge Code	40205134
Hospital Revenue Code	278
Min. Negotiated Rate	$729.00
Max. Negotiated Rate	$729.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$729.00
Rate for Payer: Hamaspik Choice Inc Medicare	$729.00

STRYKER LCK RECON PLT 10 H/144MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	40205736
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$704.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$369.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$402.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$335.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$385.82
Rate for Payer: EmblemHealth Commercial	$335.50
Rate for Payer: Fidelis Medicare Advantage	$704.55
Rate for Payer: Group Health Inc Commercial	$335.50
Rate for Payer: Group Health Inc Medicare	$234.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$335.50
Rate for Payer: Hamaspik Choice Inc Medicare	$335.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$436.15

STRYKER LCK RECON PLT 10 H/144MM

Facility

$671.00

Service Code	HCPCS C1713
Hospital Charge Code	40205736
Hospital Revenue Code	278
Min. Negotiated Rate	$335.50
Max. Negotiated Rate	$335.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$335.50
Rate for Payer: Hamaspik Choice Inc Medicare	$335.50

STRYKER LEIBINGER M/F 1.5 SCREW

Facility

$162.00

Service Code	HCPCS C1713
Hospital Charge Code	40207038
Hospital Revenue Code	278
Min. Negotiated Rate	$56.70
Max. Negotiated Rate	$170.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$97.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.15
Rate for Payer: EmblemHealth Commercial	$81.00
Rate for Payer: Fidelis Medicare Advantage	$170.10
Rate for Payer: Group Health Inc Commercial	$81.00
Rate for Payer: Group Health Inc Medicare	$56.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.00
Rate for Payer: Hamaspik Choice Inc Medicare	$81.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.30

STRYKER LEIBINGER M/F 1.5 SCREW

Facility

$162.00

Service Code	HCPCS C1713
Hospital Charge Code	40207038
Hospital Revenue Code	278
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$81.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.00
Rate for Payer: Hamaspik Choice Inc Medicare	$81.00

Know your out-of-pocket cost for care.

All Charges