St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER LOCKING SCREW 4.0

Facility

$212.80

Service Code	HCPCS C1713
Hospital Charge Code	40208115
Hospital Revenue Code	278
Min. Negotiated Rate	$74.48
Max. Negotiated Rate	$223.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$117.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$127.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$106.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$122.36
Rate for Payer: EmblemHealth Commercial	$106.40
Rate for Payer: Fidelis Medicare Advantage	$223.44
Rate for Payer: Group Health Inc Commercial	$106.40
Rate for Payer: Group Health Inc Medicare	$74.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.40
Rate for Payer: Hamaspik Choice Inc Medicare	$106.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$138.32

STRYKER LOCKING SCREW 4.0

Facility

$212.80

Service Code	HCPCS C1713
Hospital Charge Code	40208115
Hospital Revenue Code	278
Min. Negotiated Rate	$106.40
Max. Negotiated Rate	$106.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$106.40
Rate for Payer: Hamaspik Choice Inc Medicare	$106.40

STRYKER LOCKING SCREW 4.0MM

Facility

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	40205457
Hospital Revenue Code	278
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$253.31
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$132.69
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$144.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$138.72
Rate for Payer: EmblemHealth Commercial	$120.62
Rate for Payer: Fidelis Medicare Advantage	$253.31
Rate for Payer: Group Health Inc Commercial	$120.62
Rate for Payer: Group Health Inc Medicare	$84.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$156.81

STRYKER LOCKING SCREW 4.0MM

Facility

$241.25

Service Code	HCPCS C1713
Hospital Charge Code	40205457
Hospital Revenue Code	278
Min. Negotiated Rate	$120.62
Max. Negotiated Rate	$120.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$120.62
Rate for Payer: Hamaspik Choice Inc Medicare	$120.62

STRYKER LOCKING SCREW 4.0X16MM

Facility

$189.00

Service Code	HCPCS C1776
Hospital Charge Code	40208148
Hospital Revenue Code	278
Min. Negotiated Rate	$66.15
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$103.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$113.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$94.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$108.68
Rate for Payer: EmblemHealth Commercial	$94.50
Rate for Payer: Fidelis Medicare Advantage	$198.45
Rate for Payer: Group Health Inc Commercial	$94.50
Rate for Payer: Group Health Inc Medicare	$66.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$94.50
Rate for Payer: Hamaspik Choice Inc Medicare	$94.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$122.85

STRYKER LOCKING SCREW 4.0X16MM

Facility

$189.00

Service Code	HCPCS C1776
Hospital Charge Code	40208148
Hospital Revenue Code	278
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$94.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$94.50
Rate for Payer: Hamaspik Choice Inc Medicare	$94.50

STRYKER LOCKING SCREW 4.0X20MM

Facility

$166.00

Service Code	HCPCS C1776
Hospital Charge Code	40205271
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 SCREW 4.0X20MM

Facility

$166.00

Service Code	HCPCS C1776
Hospital Charge Code	40205271
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 SCREW 4.0X30-70MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40206226
Hospital Revenue Code	278
Min. Negotiated Rate	$61.25
Max. Negotiated Rate	$183.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$96.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$105.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.62
Rate for Payer: EmblemHealth Commercial	$87.50
Rate for Payer: Fidelis Medicare Advantage	$183.75
Rate for Payer: Group Health Inc Commercial	$87.50
Rate for Payer: Group Health Inc Medicare	$61.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$113.75

STRYKER LOCKING SCREW 4.0X30-70MM

Facility

$175.00

Service Code	HCPCS C1713
Hospital Charge Code	40206226
Hospital Revenue Code	278
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$87.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.50
Rate for Payer: Hamaspik Choice Inc Medicare	$87.50

STRYKER LOCKING SCREW 4X20MM FT T

Facility

$324.80

Service Code	HCPCS C1713
Hospital Charge Code	40205747
Hospital Revenue Code	278
Min. Negotiated Rate	$162.40
Max. Negotiated Rate	$162.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$162.40
Rate for Payer: Hamaspik Choice Inc Medicare	$162.40

STRYKER LOCKING SCREW 4X20MM FT T

Facility

$324.80

Service Code	HCPCS C1713
Hospital Charge Code	40205747
Hospital Revenue Code	278
Min. Negotiated Rate	$113.68
Max. Negotiated Rate	$341.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$178.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$194.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$162.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$186.76
Rate for Payer: EmblemHealth Commercial	$162.40
Rate for Payer: Fidelis Medicare Advantage	$341.04
Rate for Payer: Group Health Inc Commercial	$162.40
Rate for Payer: Group Health Inc Medicare	$113.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$162.40
Rate for Payer: Hamaspik Choice Inc Medicare	$162.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$211.12

STRYKER LOCKING SCREW 4X28MM

Facility

$277.20

Service Code	HCPCS C1776
Hospital Charge Code	40205148
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.60
Rate for Payer: Hamaspik Choice Inc Medicare	$138.60

STRYKER LOCKING SCREW 4X28MM

Facility

$277.20

Service Code	HCPCS C1776
Hospital Charge Code	40205148
Hospital Revenue Code	278
Min. Negotiated Rate	$97.02
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$166.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$138.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.39
Rate for Payer: EmblemHealth Commercial	$138.60
Rate for Payer: Fidelis Medicare Advantage	$291.06
Rate for Payer: Group Health Inc Commercial	$138.60
Rate for Payer: Group Health Inc Medicare	$97.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.60
Rate for Payer: Hamaspik Choice Inc Medicare	$138.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.18

STRYKER LOCKING SCREW 4X40MM F/T

Facility

$277.20

Service Code	HCPCS C1713
Hospital Charge Code	40205465
Hospital Revenue Code	278
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.60
Rate for Payer: Hamaspik Choice Inc Medicare	$138.60

STRYKER LOCKING SCREW 4X40MM F/T

Facility

$277.20

Service Code	HCPCS C1713
Hospital Charge Code	40205465
Hospital Revenue Code	278
Min. Negotiated Rate	$97.02
Max. Negotiated Rate	$291.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$152.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$166.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$138.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$159.39
Rate for Payer: EmblemHealth Commercial	$138.60
Rate for Payer: Fidelis Medicare Advantage	$291.06
Rate for Payer: Group Health Inc Commercial	$138.60
Rate for Payer: Group Health Inc Medicare	$97.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$138.60
Rate for Payer: Hamaspik Choice Inc Medicare	$138.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$180.18

STRYKER LOCKING SCREW 5.0

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	40207036
Hospital Revenue Code	278
Min. Negotiated Rate	$65.10
Max. Negotiated Rate	$195.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$102.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$111.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$93.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$106.95
Rate for Payer: EmblemHealth Commercial	$93.00
Rate for Payer: Fidelis Medicare Advantage	$195.30
Rate for Payer: Group Health Inc Commercial	$93.00
Rate for Payer: Group Health Inc Medicare	$65.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.00
Rate for Payer: Hamaspik Choice Inc Medicare	$93.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$120.90

STRYKER LOCKING SCREW 5.0

Facility

$186.00

Service Code	HCPCS C1713
Hospital Charge Code	40207036
Hospital Revenue Code	278
Min. Negotiated Rate	$93.00
Max. Negotiated Rate	$93.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$93.00
Rate for Payer: Hamaspik Choice Inc Medicare	$93.00

STRYKER LOCKING SCREW 5.0

Facility

$203.00

Service Code	HCPCS C1713
Hospital Charge Code	40205273
Hospital Revenue Code	278
Min. Negotiated Rate	$101.50
Max. Negotiated Rate	$101.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.50
Rate for Payer: Hamaspik Choice Inc Medicare	$101.50

STRYKER LOCKING SCREW 5.0

Facility

$203.00

Service Code	HCPCS C1713
Hospital Charge Code	40205273
Hospital Revenue Code	278
Min. Negotiated Rate	$71.05
Max. Negotiated Rate	$213.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$111.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$121.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$101.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$116.72
Rate for Payer: EmblemHealth Commercial	$101.50
Rate for Payer: Fidelis Medicare Advantage	$213.15
Rate for Payer: Group Health Inc Commercial	$101.50
Rate for Payer: Group Health Inc Medicare	$71.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$101.50
Rate for Payer: Hamaspik Choice Inc Medicare	$101.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$131.95

STRYKER LOCKING SCREW 5.0 F/T

Facility

$351.40

Service Code	HCPCS C1713
Hospital Charge Code	40206224
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 SCREW 5.0 F/T

Facility

$351.40

Service Code	HCPCS C1713
Hospital Charge Code	40206224
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	$134.20
Rate for Payer: Aetna Government	$134.20
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 LOCKING SCREW 50MM

Facility

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	40205442
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$214.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$214.50
Rate for Payer: Hamaspik Choice Inc Medicare	$214.50

STRYKER LOCKING SCREW 50MM

Facility

$429.00

Service Code	HCPCS C1713
Hospital Charge Code	40205442
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$450.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$235.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$257.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$214.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$246.68
Rate for Payer: EmblemHealth Commercial	$214.50
Rate for Payer: Fidelis Medicare Advantage	$450.45
Rate for Payer: Group Health Inc Commercial	$214.50
Rate for Payer: Group Health Inc Medicare	$150.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$214.50
Rate for Payer: Hamaspik Choice Inc Medicare	$214.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$278.85

STRYKER LOCKING SCRW 3.5 X

Facility

$247.80

Service Code	HCPCS C1713
Hospital Charge Code	40208075
Hospital Revenue Code	278
Min. Negotiated Rate	$86.73
Max. Negotiated Rate	$260.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$148.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$123.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.48
Rate for Payer: EmblemHealth Commercial	$123.90
Rate for Payer: Fidelis Medicare Advantage	$260.19
Rate for Payer: Group Health Inc Commercial	$123.90
Rate for Payer: Group Health Inc Medicare	$86.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$161.07

Know your out-of-pocket cost for care.

All Charges