St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER LOCKING SCRW 3.5 X

Facility

$247.80

Service Code	HCPCS C1713
Hospital Charge Code	40208075
Hospital Revenue Code	278
Min. Negotiated Rate	$123.90
Max. Negotiated Rate	$123.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90

STRYKER LOCKING SCRWN FTH5X45MM

Facility

$317.80

Service Code	HCPCS C1713
Hospital Charge Code	40206076
Hospital Revenue Code	278
Min. Negotiated Rate	$111.23
Max. Negotiated Rate	$333.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$174.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 LOCKING SCRWN FTH5X45MM

Facility

$317.80

Service Code	HCPCS C1713
Hospital Charge Code	40206076
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 LOCK SCREW THREAD5X30MM

Facility

$343.20

Service Code	HCPCS C1713
Hospital Charge Code	40005867
Hospital Revenue Code	278
Min. Negotiated Rate	$171.60
Max. Negotiated Rate	$171.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.60
Rate for Payer: Hamaspik Choice Inc Medicare	$171.60

STRYKER LOCK SCREW THREAD5X30MM

Facility

$343.20

Service Code	HCPCS C1713
Hospital Charge Code	40005867
Hospital Revenue Code	278
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$360.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$188.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$205.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$171.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$197.34
Rate for Payer: EmblemHealth Commercial	$171.60
Rate for Payer: Fidelis Medicare Advantage	$360.36
Rate for Payer: Group Health Inc Commercial	$171.60
Rate for Payer: Group Health Inc Medicare	$120.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.60
Rate for Payer: Hamaspik Choice Inc Medicare	$171.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$223.08

STRYKER LOCK SCREW THREAD 5X50MM

Facility

$351.00

Service Code	HCPCS C1713
Hospital Charge Code	40005360
Hospital Revenue Code	278
Min. Negotiated Rate	$175.50
Max. Negotiated Rate	$175.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.50
Rate for Payer: Hamaspik Choice Inc Medicare	$175.50

STRYKER LOCK SCREW THREAD 5X50MM

Facility

$351.00

Service Code	HCPCS C1713
Hospital Charge Code	40005360
Hospital Revenue Code	278
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$368.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$193.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$210.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$175.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$201.82
Rate for Payer: EmblemHealth Commercial	$175.50
Rate for Payer: Fidelis Medicare Advantage	$368.55
Rate for Payer: Group Health Inc Commercial	$175.50
Rate for Payer: Group Health Inc Medicare	$122.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$175.50
Rate for Payer: Hamaspik Choice Inc Medicare	$175.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$228.15

STRYKER LONG NAIL KIT R2.0 RGHT

Facility

$3,683.40

Service Code	HCPCS C1713
Hospital Charge Code	40205199
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,867.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,025.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,210.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,841.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,117.96
Rate for Payer: EmblemHealth Commercial	$1,841.70
Rate for Payer: Fidelis Medicare Advantage	$3,867.57
Rate for Payer: Group Health Inc Commercial	$1,841.70
Rate for Payer: Group Health Inc Medicare	$1,289.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,841.70
Rate for Payer: Hamaspik Choice Inc Medicare	$1,841.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,394.21

STRYKER LONG NAIL KIT R2.0 RGHT

Facility

$3,683.40

Service Code	HCPCS C1713
Hospital Charge Code	40205199
Hospital Revenue Code	278
Min. Negotiated Rate	$1,841.70
Max. Negotiated Rate	$1,841.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,841.70
Rate for Payer: Hamaspik Choice Inc Medicare	$1,841.70

STRYKER LW PROF BURRHOLE CVR,10MM

Facility

$466.00

Service Code	HCPCS C1713
Hospital Charge Code	40201224
Hospital Revenue Code	278
Min. Negotiated Rate	$233.00
Max. Negotiated Rate	$233.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00

STRYKER LW PROF BURRHOLE CVR,10MM

Facility

$466.00

Service Code	HCPCS C1713
Hospital Charge Code	40201224
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$489.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$256.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$279.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$233.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$267.95
Rate for Payer: EmblemHealth Commercial	$233.00
Rate for Payer: Fidelis Medicare Advantage	$489.30
Rate for Payer: Group Health Inc Commercial	$233.00
Rate for Payer: Group Health Inc Medicare	$163.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$233.00
Rate for Payer: Hamaspik Choice Inc Medicare	$233.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$302.90

STRYKER LW PROF X PLATE 4 HOLE

Facility

$572.64

Service Code	HCPCS C1713
Hospital Charge Code	40206243
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$601.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$314.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$343.58
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$286.32
Rate for Payer: Cigna LocalPlus Benefit Plan	$329.27
Rate for Payer: EmblemHealth Commercial	$286.32
Rate for Payer: Fidelis Medicare Advantage	$601.27
Rate for Payer: Group Health Inc Commercial	$286.32
Rate for Payer: Group Health Inc Medicare	$200.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.32
Rate for Payer: Hamaspik Choice Inc Medicare	$286.32
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$372.22

STRYKER LW PROF X PLATE 4 HOLE

Facility

$572.64

Service Code	HCPCS C1713
Hospital Charge Code	40206243
Hospital Revenue Code	278
Min. Negotiated Rate	$286.32
Max. Negotiated Rate	$286.32
Rate for Payer: Hamaspik Choice Inc Medicaid	$286.32
Rate for Payer: Hamaspik Choice Inc Medicare	$286.32

STRYKER MEMOMETAL EASY CLIP 10MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	40206250
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,125.00

STRYKER MEMOMETAL EASY CLIP 10MM

Facility

$2,250.00

Service Code	HCPCS C1713
Hospital Charge Code	40206250
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,362.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,237.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,350.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,125.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,293.75
Rate for Payer: EmblemHealth Commercial	$1,125.00
Rate for Payer: Fidelis Medicare Advantage	$2,362.50
Rate for Payer: Group Health Inc Commercial	$1,125.00
Rate for Payer: Group Health Inc Medicare	$787.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,125.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,125.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,462.50

STRYKER MINI PLATE 4 HOLES W/BAR

Facility

$163.90

Service Code	HCPCS C1713
Hospital Charge Code	40203427
Hospital Revenue Code	278
Min. Negotiated Rate	$57.36
Max. Negotiated Rate	$172.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$90.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$98.34
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$81.95
Rate for Payer: Cigna LocalPlus Benefit Plan	$94.24
Rate for Payer: EmblemHealth Commercial	$81.95
Rate for Payer: Fidelis Medicare Advantage	$172.10
Rate for Payer: Group Health Inc Commercial	$81.95
Rate for Payer: Group Health Inc Medicare	$57.36
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.95
Rate for Payer: Hamaspik Choice Inc Medicare	$81.95
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$106.54

STRYKER MINI PLATE 4 HOLES W/BAR

Facility

$163.90

Service Code	HCPCS C1713
Hospital Charge Code	40203427
Hospital Revenue Code	278
Min. Negotiated Rate	$81.95
Max. Negotiated Rate	$81.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$81.95
Rate for Payer: Hamaspik Choice Inc Medicare	$81.95

STRYKER MINI PLATE 4H WITH BAR

Facility

$1,924.00

Service Code	HCPCS C1713
Hospital Charge Code	40209943
Hospital Revenue Code	278
Min. Negotiated Rate	$962.00
Max. Negotiated Rate	$962.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$962.00
Rate for Payer: Hamaspik Choice Inc Medicare	$962.00

STRYKER MINI PLATE 4H WITH BAR

Facility

$1,924.00

Service Code	HCPCS C1713
Hospital Charge Code	40209943
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,020.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,058.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,154.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$962.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,106.30
Rate for Payer: EmblemHealth Commercial	$962.00
Rate for Payer: Fidelis Medicare Advantage	$2,020.20
Rate for Payer: Group Health Inc Commercial	$962.00
Rate for Payer: Group Health Inc Medicare	$673.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$962.00
Rate for Payer: Hamaspik Choice Inc Medicare	$962.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,250.60

STRYKER MRH BUSHING SLEEVE NEUTRA

Facility

$4,238.00

Service Code	HCPCS C1776
Hospital Charge Code	40205320
Hospital Revenue Code	278
Min. Negotiated Rate	$2,119.00
Max. Negotiated Rate	$2,119.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,119.00

STRYKER MRH BUSHING SLEEVE NEUTRA

Facility

$4,238.00

Service Code	HCPCS C1776
Hospital Charge Code	40205320
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,449.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,330.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,542.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,119.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,436.85
Rate for Payer: EmblemHealth Commercial	$2,119.00
Rate for Payer: Fidelis Medicare Advantage	$4,449.90
Rate for Payer: Group Health Inc Commercial	$2,119.00
Rate for Payer: Group Health Inc Medicare	$1,483.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,119.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,119.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,754.70

STRYKER MRH KNEE AXLE

Facility

$2,714.00

Service Code	HCPCS C1776
Hospital Charge Code	40205326
Hospital Revenue Code	278
Min. Negotiated Rate	$1,357.00
Max. Negotiated Rate	$1,357.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,357.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,357.00

STRYKER MRH KNEE AXLE

Facility

$2,714.00

Service Code	HCPCS C1776
Hospital Charge Code	40205326
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,849.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,492.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,628.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,357.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,560.55
Rate for Payer: EmblemHealth Commercial	$1,357.00
Rate for Payer: Fidelis Medicare Advantage	$2,849.70
Rate for Payer: Group Health Inc Commercial	$1,357.00
Rate for Payer: Group Health Inc Medicare	$949.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,357.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,357.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,764.10

STRYKER MRH KNEE BASEPLATE MED-2

Facility

$8,002.00

Service Code	HCPCS C1713
Hospital Charge Code	40205327
Hospital Revenue Code	278
Min. Negotiated Rate	$4,001.00
Max. Negotiated Rate	$4,001.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,001.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,001.00

STRYKER MRH KNEE BASEPLATE MED-2

Facility

$8,002.00

Service Code	HCPCS C1713
Hospital Charge Code	40205327
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,402.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,401.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,801.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,001.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,601.15
Rate for Payer: EmblemHealth Commercial	$4,001.00
Rate for Payer: Fidelis Medicare Advantage	$8,402.10
Rate for Payer: Group Health Inc Commercial	$4,001.00
Rate for Payer: Group Health Inc Medicare	$2,800.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,001.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,001.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,201.30

Know your out-of-pocket cost for care.

All Charges