St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER LFIT V40 FEM/HEAD 28MM

Facility

$2,272.00

Service Code	HCPCS C1776
Hospital Charge Code	40205903
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,385.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,249.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,363.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,136.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,306.40
Rate for Payer: EmblemHealth Commercial	$1,136.00
Rate for Payer: Fidelis Medicare Advantage	$2,385.60
Rate for Payer: Group Health Inc Commercial	$1,136.00
Rate for Payer: Group Health Inc Medicare	$795.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,136.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,136.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,476.80

STRYKER LFIT V40 FEM/HEAD 28MM

Facility

$2,272.00

Service Code	HCPCS C1776
Hospital Charge Code	40205903
Hospital Revenue Code	278
Min. Negotiated Rate	$1,136.00
Max. Negotiated Rate	$1,136.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,136.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,136.00

STRYKER LOCK 2.4MMX22MM 656022

Facility

$540.00

Service Code	HCPCS C1713
Hospital Charge Code	40005351
Hospital Revenue Code	278
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$270.00
Rate for Payer: Hamaspik Choice Inc Medicare	$270.00

STRYKER LOCK 2.4MMX22MM 656022

Facility

$540.00

Service Code	HCPCS C1713
Hospital Charge Code	40005351
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$567.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$297.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$324.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$270.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$310.50
Rate for Payer: EmblemHealth Commercial	$270.00
Rate for Payer: Fidelis Medicare Advantage	$567.00
Rate for Payer: Group Health Inc Commercial	$270.00
Rate for Payer: Group Health Inc Medicare	$189.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$270.00
Rate for Payer: Hamaspik Choice Inc Medicare	$270.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$351.00

STRYKER LOCKIG SCREW, FT 5X

Facility

$351.40

Service Code	HCPCS C1776
Hospital Charge Code	40208135
Hospital Revenue Code	278
Min. Negotiated Rate	$122.99
Max. Negotiated Rate	$368.97
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$193.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$210.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$175.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$202.06
Rate for Payer: EmblemHealth Commercial	$175.70
Rate for Payer: Fidelis Medicare Advantage	$368.97
Rate for Payer: Group Health Inc Commercial	$175.70
Rate for Payer: Group Health Inc Medicare	$122.99
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.70
Rate for Payer: Hamaspik Choice Inc Medicare	$175.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$228.41

STRYKER LOCKIG SCREW, FT 5X

Facility

$351.40

Service Code	HCPCS C1776
Hospital Charge Code	40208135
Hospital Revenue Code	278
Min. Negotiated Rate	$175.70
Max. Negotiated Rate	$175.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.70
Rate for Payer: Hamaspik Choice Inc Medicare	$175.70

STRYKER LOCKING 2.4MMX20MM 656020

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40005355
Hospital Revenue Code	278
Min. Negotiated Rate	$260.00
Max. Negotiated Rate	$260.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00

STRYKER LOCKING 2.4MMX20MM 656020

Facility

$520.00

Service Code	HCPCS C1713
Hospital Charge Code	40005355
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$546.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$286.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$312.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$260.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$299.00
Rate for Payer: EmblemHealth Commercial	$260.00
Rate for Payer: Fidelis Medicare Advantage	$546.00
Rate for Payer: Group Health Inc Commercial	$260.00
Rate for Payer: Group Health Inc Medicare	$182.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$260.00
Rate for Payer: Hamaspik Choice Inc Medicare	$260.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$338.00

STRYKER LOCKING 3.5

Facility

$597.80

Service Code	HCPCS C1713
Hospital Charge Code	40205366
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$627.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$328.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$358.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$298.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$343.74
Rate for Payer: EmblemHealth Commercial	$298.90
Rate for Payer: Fidelis Medicare Advantage	$627.69
Rate for Payer: Group Health Inc Commercial	$298.90
Rate for Payer: Group Health Inc Medicare	$209.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$298.90
Rate for Payer: Hamaspik Choice Inc Medicare	$298.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$388.57

STRYKER LOCKING 3.5

Facility

$597.80

Service Code	HCPCS C1713
Hospital Charge Code	40205366
Hospital Revenue Code	278
Min. Negotiated Rate	$298.90
Max. Negotiated Rate	$298.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$298.90
Rate for Payer: Hamaspik Choice Inc Medicare	$298.90

STRYKER LOCKING COMP PLATE 7 HOLE

Facility

$166.00

Service Code	HCPCS C1776
Hospital Charge Code	40208146
Hospital Revenue Code	278
Min. Negotiated Rate	$58.10
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$99.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$83.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$95.45
Rate for Payer: EmblemHealth Commercial	$83.00
Rate for Payer: Fidelis Medicare Advantage	$174.30
Rate for Payer: Group Health Inc Commercial	$83.00
Rate for Payer: Group Health Inc Medicare	$58.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.00
Rate for Payer: Hamaspik Choice Inc Medicare	$83.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.90

STRYKER LOCKING COMP PLATE 7 HOLE

Facility

$166.00

Service Code	HCPCS C1776
Hospital Charge Code	40208146
Hospital Revenue Code	278
Min. Negotiated Rate	$83.00
Max. Negotiated Rate	$83.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.00
Rate for Payer: Hamaspik Choice Inc Medicare	$83.00

STRYKER LOCKING COMP PLT 8H

Facility

$209.00

Service Code	HCPCS C1713
Hospital Charge Code	40205144
Hospital Revenue Code	278
Min. Negotiated Rate	$73.15
Max. Negotiated Rate	$219.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$114.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$125.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$104.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$120.18
Rate for Payer: EmblemHealth Commercial	$104.50
Rate for Payer: Fidelis Medicare Advantage	$219.45
Rate for Payer: Group Health Inc Commercial	$104.50
Rate for Payer: Group Health Inc Medicare	$73.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$104.50
Rate for Payer: Hamaspik Choice Inc Medicare	$104.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$135.85

STRYKER LOCKING COMP PLT 8H

Facility

$209.00

Service Code	HCPCS C1713
Hospital Charge Code	40205144
Hospital Revenue Code	278
Min. Negotiated Rate	$104.50
Max. Negotiated Rate	$104.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$104.50
Rate for Payer: Hamaspik Choice Inc Medicare	$104.50

STRYKER LOCKING INSERT 4.0

Facility

$63.00

Service Code	HCPCS C1776
Hospital Charge Code	40205254
Hospital Revenue Code	278
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.50
Rate for Payer: Hamaspik Choice Inc Medicare	$31.50

STRYKER LOCKING INSERT 4.0

Facility

$63.00

Service Code	HCPCS C1776
Hospital Charge Code	40205254
Hospital Revenue Code	278
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$34.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$37.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$31.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$36.22
Rate for Payer: EmblemHealth Commercial	$31.50
Rate for Payer: Fidelis Medicare Advantage	$66.15
Rate for Payer: Group Health Inc Commercial	$31.50
Rate for Payer: Group Health Inc Medicare	$22.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$31.50
Rate for Payer: Hamaspik Choice Inc Medicare	$31.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$40.95

STRYKER LOCKING INSERT 4.0MM L/S

Facility

$76.00

Service Code	HCPCS C1776
Hospital Charge Code	40208147
Hospital Revenue Code	278
Min. Negotiated Rate	$38.00
Max. Negotiated Rate	$38.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.00
Rate for Payer: Hamaspik Choice Inc Medicare	$38.00

STRYKER LOCKING INSERT 4.0MM L/S

Facility

$76.00

Service Code	HCPCS C1776
Hospital Charge Code	40208147
Hospital Revenue Code	278
Min. Negotiated Rate	$26.60
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$41.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$45.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$38.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$43.70
Rate for Payer: EmblemHealth Commercial	$38.00
Rate for Payer: Fidelis Medicare Advantage	$79.80
Rate for Payer: Group Health Inc Commercial	$38.00
Rate for Payer: Group Health Inc Medicare	$26.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$38.00
Rate for Payer: Hamaspik Choice Inc Medicare	$38.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$49.40

STRYKER LOCKING PEG 2.0MMX22

Facility

$560.00

Service Code	HCPCS C1713
Hospital Charge Code	40005356
Hospital Revenue Code	278
Min. Negotiated Rate	$280.00
Max. Negotiated Rate	$280.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$280.00
Rate for Payer: Hamaspik Choice Inc Medicare	$280.00

STRYKER LOCKING PEG 2.0MMX22

Facility

$560.00

Service Code	HCPCS C1713
Hospital Charge Code	40005356
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$588.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$308.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$336.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$280.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$322.00
Rate for Payer: EmblemHealth Commercial	$280.00
Rate for Payer: Fidelis Medicare Advantage	$588.00
Rate for Payer: Group Health Inc Commercial	$280.00
Rate for Payer: Group Health Inc Medicare	$196.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$280.00
Rate for Payer: Hamaspik Choice Inc Medicare	$280.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$364.00

STRYKER LOCKING REC PLATE 7 HOLE

Facility

$1,999.20

Service Code	HCPCS C1713
Hospital Charge Code	40209940
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,099.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,099.56
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,199.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$999.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,149.54
Rate for Payer: EmblemHealth Commercial	$999.60
Rate for Payer: Fidelis Medicare Advantage	$2,099.16
Rate for Payer: Group Health Inc Commercial	$999.60
Rate for Payer: Group Health Inc Medicare	$699.72
Rate for Payer: Hamaspik Choice Inc Medicaid	$999.60
Rate for Payer: Hamaspik Choice Inc Medicare	$999.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,299.48

STRYKER LOCKING REC PLATE 7 HOLE

Facility

$1,999.20

Service Code	HCPCS C1713
Hospital Charge Code	40209940
Hospital Revenue Code	278
Min. Negotiated Rate	$999.60
Max. Negotiated Rate	$999.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$999.60
Rate for Payer: Hamaspik Choice Inc Medicare	$999.60

STRYKER LOCKING SCREW

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029596
Hospital Revenue Code	278
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$80.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00

STRYKER LOCKING SCREW

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029596
Hospital Revenue Code	278
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$88.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$96.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$92.00
Rate for Payer: EmblemHealth Commercial	$80.00
Rate for Payer: Fidelis Medicare Advantage	$168.00
Rate for Payer: Group Health Inc Commercial	$80.00
Rate for Payer: Group Health Inc Medicare	$56.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$80.00
Rate for Payer: Hamaspik Choice Inc Medicare	$80.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$104.00

STRYKER LOCKING SCREW 1.7

Facility

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	40209612
Hospital Revenue Code	278
Min. Negotiated Rate	$80.20
Max. Negotiated Rate	$240.59
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$137.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$114.56
Rate for Payer: Cigna LocalPlus Benefit Plan	$131.75
Rate for Payer: EmblemHealth Commercial	$114.56
Rate for Payer: Fidelis Medicare Advantage	$240.59
Rate for Payer: Group Health Inc Commercial	$114.56
Rate for Payer: Group Health Inc Medicare	$80.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$148.93

Know your out-of-pocket cost for care.

All Charges