St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER LOCKING SCREW 1.7

Facility

$229.13

Service Code	HCPCS C1713
Hospital Charge Code	40209612
Hospital Revenue Code	278
Min. Negotiated Rate	$114.56
Max. Negotiated Rate	$114.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$114.56
Rate for Payer: Hamaspik Choice Inc Medicare	$114.56

STRYKER LOCKING SCREW 2.3X12MM

Facility

$136.00

Service Code	HCPCS C1776
Hospital Charge Code	40205249
Hospital Revenue Code	278
Min. Negotiated Rate	$68.00
Max. Negotiated Rate	$68.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.00
Rate for Payer: Hamaspik Choice Inc Medicare	$68.00

STRYKER LOCKING SCREW 2.3X12MM

Facility

$136.00

Service Code	HCPCS C1776
Hospital Charge Code	40205249
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$81.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$68.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$78.20
Rate for Payer: EmblemHealth Commercial	$68.00
Rate for Payer: Fidelis Medicare Advantage	$142.80
Rate for Payer: Group Health Inc Commercial	$68.00
Rate for Payer: Group Health Inc Medicare	$47.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$68.00
Rate for Payer: Hamaspik Choice Inc Medicare	$68.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$88.40

STRYKER LOCKING SCREW 2.3X16MM

Facility

$162.40

Service Code	HCPCS C1776
Hospital Charge Code	40205250
Hospital Revenue Code	278
Min. Negotiated Rate	$81.20
Max. Negotiated Rate	$81.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.20
Rate for Payer: Hamaspik Choice Inc Medicare	$81.20

STRYKER LOCKING SCREW 2.3X16MM

Facility

$162.40

Service Code	HCPCS C1776
Hospital Charge Code	40205250
Hospital Revenue Code	278
Min. Negotiated Rate	$56.84
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$89.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$97.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$93.38
Rate for Payer: EmblemHealth Commercial	$81.20
Rate for Payer: Fidelis Medicare Advantage	$170.52
Rate for Payer: Group Health Inc Commercial	$81.20
Rate for Payer: Group Health Inc Medicare	$56.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.20
Rate for Payer: Hamaspik Choice Inc Medicare	$81.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$105.56

STRYKER LOCKING SCREW 2.3X18MM

Facility

$117.60

Service Code	HCPCS C1713
Hospital Charge Code	40205251
Hospital Revenue Code	278
Min. Negotiated Rate	$41.16
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$64.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$70.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$67.62
Rate for Payer: EmblemHealth Commercial	$58.80
Rate for Payer: Fidelis Medicare Advantage	$123.48
Rate for Payer: Group Health Inc Commercial	$58.80
Rate for Payer: Group Health Inc Medicare	$41.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.80
Rate for Payer: Hamaspik Choice Inc Medicare	$58.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$76.44

STRYKER LOCKING SCREW 2.3X18MM

Facility

$117.60

Service Code	HCPCS C1713
Hospital Charge Code	40205251
Hospital Revenue Code	278
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$58.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.80
Rate for Payer: Hamaspik Choice Inc Medicare	$58.80

STRYKER LOCKING SCREW 2.3X20MM

Facility

$124.60

Service Code	HCPCS C1776
Hospital Charge Code	40205252
Hospital Revenue Code	278
Min. Negotiated Rate	$43.61
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$68.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$74.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$62.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$71.64
Rate for Payer: EmblemHealth Commercial	$62.30
Rate for Payer: Fidelis Medicare Advantage	$130.83
Rate for Payer: Group Health Inc Commercial	$62.30
Rate for Payer: Group Health Inc Medicare	$43.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.30
Rate for Payer: Hamaspik Choice Inc Medicare	$62.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$80.99

STRYKER LOCKING SCREW 2.3X20MM

Facility

$124.60

Service Code	HCPCS C1776
Hospital Charge Code	40205252
Hospital Revenue Code	278
Min. Negotiated Rate	$62.30
Max. Negotiated Rate	$62.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$62.30
Rate for Payer: Hamaspik Choice Inc Medicare	$62.30

STRYKER LOCKING SCREW 2.3 X 22MM

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029597
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 2.3 X 22MM

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029597
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 2.3 X 24MM

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029598
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 2.3 X 24MM

Facility

$160.00

Service Code	HCPCS C1713
Hospital Charge Code	40029598
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 2.7X10MM

Facility

$219.00

Service Code	HCPCS C1713
Hospital Charge Code	40205595
Hospital Revenue Code	278
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$109.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.50
Rate for Payer: Hamaspik Choice Inc Medicare	$109.50

STRYKER LOCKING SCREW 2.7X10MM

Facility

$219.00

Service Code	HCPCS C1713
Hospital Charge Code	40205595
Hospital Revenue Code	278
Min. Negotiated Rate	$76.65
Max. Negotiated Rate	$229.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$120.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$131.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$109.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$125.92
Rate for Payer: EmblemHealth Commercial	$109.50
Rate for Payer: Fidelis Medicare Advantage	$229.95
Rate for Payer: Group Health Inc Commercial	$109.50
Rate for Payer: Group Health Inc Medicare	$76.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.50
Rate for Payer: Hamaspik Choice Inc Medicare	$109.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$142.35

STRYKER LOCKING SCREW 3.5

Facility

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	40205279
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$451.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$236.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$258.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$215.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$247.25
Rate for Payer: EmblemHealth Commercial	$215.00
Rate for Payer: Fidelis Medicare Advantage	$451.50
Rate for Payer: Group Health Inc Commercial	$215.00
Rate for Payer: Group Health Inc Medicare	$150.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.00
Rate for Payer: Hamaspik Choice Inc Medicare	$215.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$279.50

STRYKER LOCKING SCREW 3.5

Facility

$392.00

Service Code	HCPCS C1713
Hospital Charge Code	40205217
Hospital Revenue Code	278
Min. Negotiated Rate	$196.00
Max. Negotiated Rate	$196.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$196.00
Rate for Payer: Hamaspik Choice Inc Medicare	$196.00

STRYKER LOCKING SCREW 3.5

Facility

$430.00

Service Code	HCPCS C1713
Hospital Charge Code	40205279
Hospital Revenue Code	278
Min. Negotiated Rate	$215.00
Max. Negotiated Rate	$215.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$215.00
Rate for Payer: Hamaspik Choice Inc Medicare	$215.00

STRYKER LOCKING SCREW 3.5

Facility

$392.00

Service Code	HCPCS C1713
Hospital Charge Code	40205217
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$411.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$215.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$235.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$196.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$225.40
Rate for Payer: EmblemHealth Commercial	$196.00
Rate for Payer: Fidelis Medicare Advantage	$411.60
Rate for Payer: Group Health Inc Commercial	$196.00
Rate for Payer: Group Health Inc Medicare	$137.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$196.00
Rate for Payer: Hamaspik Choice Inc Medicare	$196.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$254.80

STRYKER LOCKING SCREW 3.5MM

Facility

$330.20

Service Code	HCPCS C1713
Hospital Charge Code	40205485
Hospital Revenue Code	278
Min. Negotiated Rate	$165.10
Max. Negotiated Rate	$165.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.10
Rate for Payer: Hamaspik Choice Inc Medicare	$165.10

STRYKER LOCKING SCREW 3.5MM

Facility

$330.20

Service Code	HCPCS C1713
Hospital Charge Code	40205485
Hospital Revenue Code	278
Min. Negotiated Rate	$115.57
Max. Negotiated Rate	$346.71
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$181.61
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$198.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$165.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$189.86
Rate for Payer: EmblemHealth Commercial	$165.10
Rate for Payer: Fidelis Medicare Advantage	$346.71
Rate for Payer: Group Health Inc Commercial	$165.10
Rate for Payer: Group Health Inc Medicare	$115.57
Rate for Payer: Hamaspik Choice Inc Medicaid	$165.10
Rate for Payer: Hamaspik Choice Inc Medicare	$165.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$214.63

STRYKER LOCKING SCREW 3.5X20MM

Facility

$408.00

Service Code	HCPCS C1776
Hospital Charge Code	40205017
Hospital Revenue Code	278
Min. Negotiated Rate	$142.80
Max. Negotiated Rate	$428.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$244.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$204.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$234.60
Rate for Payer: EmblemHealth Commercial	$204.00
Rate for Payer: Fidelis Medicare Advantage	$428.40
Rate for Payer: Group Health Inc Commercial	$204.00
Rate for Payer: Group Health Inc Medicare	$142.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$265.20

STRYKER LOCKING SCREW 3.5X20MM

Facility

$408.00

Service Code	HCPCS C1776
Hospital Charge Code	40205017
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$204.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.00
Rate for Payer: Hamaspik Choice Inc Medicare	$204.00

STRYKER LOCKING SCREW 3.5X36MM

Facility

$196.00

Service Code	HCPCS C1776
Hospital Charge Code	40205019
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00

STRYKER LOCKING SCREW 3.5X36MM

Facility

$196.00

Service Code	HCPCS C1776
Hospital Charge Code	40205019
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$117.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: EmblemHealth Commercial	$98.00
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

Know your out-of-pocket cost for care.

All Charges