St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER OLIVE WIRE 1.5MM

Facility

$312.20

Service Code	HCPCS C1713
Hospital Charge Code	40205937
Hospital Revenue Code	278
Min. Negotiated Rate	$156.10
Max. Negotiated Rate	$156.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.10
Rate for Payer: Hamaspik Choice Inc Medicare	$156.10

STRYKER OLIVE WIRE 1.5MM

Facility

$312.20

Service Code	HCPCS C1713
Hospital Charge Code	40205937
Hospital Revenue Code	278
Min. Negotiated Rate	$109.27
Max. Negotiated Rate	$327.81
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$171.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$187.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$156.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$179.52
Rate for Payer: EmblemHealth Commercial	$156.10
Rate for Payer: Fidelis Medicare Advantage	$327.81
Rate for Payer: Group Health Inc Commercial	$156.10
Rate for Payer: Group Health Inc Medicare	$109.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$156.10
Rate for Payer: Hamaspik Choice Inc Medicare	$156.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$202.93

STRYKER OMEGA COMP SCREW 32.3MM

Facility

$145.60

Service Code	HCPCS C1713
Hospital Charge Code	40204670
Hospital Revenue Code	278
Min. Negotiated Rate	$50.96
Max. Negotiated Rate	$152.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$80.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$87.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$72.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$83.72
Rate for Payer: EmblemHealth Commercial	$72.80
Rate for Payer: Fidelis Medicare Advantage	$152.88
Rate for Payer: Group Health Inc Commercial	$72.80
Rate for Payer: Group Health Inc Medicare	$50.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.80
Rate for Payer: Hamaspik Choice Inc Medicare	$72.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$94.64

STRYKER OMEGA COMP SCREW 32.3MM

Facility

$145.60

Service Code	HCPCS C1713
Hospital Charge Code	40204670
Hospital Revenue Code	278
Min. Negotiated Rate	$72.80
Max. Negotiated Rate	$72.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$72.80
Rate for Payer: Hamaspik Choice Inc Medicare	$72.80

STRYKER OMEGA G/P COCR2.8X230MMTH

Facility

$59.00

Service Code	HCPCS C1713
Hospital Charge Code	40205634
Hospital Revenue Code	278
Min. Negotiated Rate	$29.50
Max. Negotiated Rate	$29.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.50
Rate for Payer: Hamaspik Choice Inc Medicare	$29.50

STRYKER OMEGA G/P COCR2.8X230MMTH

Facility

$59.00

Service Code	HCPCS C1713
Hospital Charge Code	40205634
Hospital Revenue Code	278
Min. Negotiated Rate	$20.65
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$32.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$35.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$29.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$33.92
Rate for Payer: EmblemHealth Commercial	$29.50
Rate for Payer: Fidelis Medicare Advantage	$61.95
Rate for Payer: Group Health Inc Commercial	$29.50
Rate for Payer: Group Health Inc Medicare	$20.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$29.50
Rate for Payer: Hamaspik Choice Inc Medicare	$29.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$38.35

STRYKER ORTHO PATELLA SZ 27

Facility

$2,880.00

Service Code	HCPCS C1776
Hospital Charge Code	40205337
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,024.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,584.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,728.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,440.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,656.00
Rate for Payer: EmblemHealth Commercial	$1,440.00
Rate for Payer: Fidelis Medicare Advantage	$3,024.00
Rate for Payer: Group Health Inc Commercial	$1,440.00
Rate for Payer: Group Health Inc Medicare	$1,008.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,440.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,440.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,872.00

STRYKER ORTHO PATELLA SZ 27

Facility

$2,880.00

Service Code	HCPCS C1776
Hospital Charge Code	40205337
Hospital Revenue Code	278
Min. Negotiated Rate	$1,440.00
Max. Negotiated Rate	$1,440.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,440.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,440.00

STRYKER ORTHO PLATE PUBIC 4H

Facility

$822.00

Service Code	HCPCS C1713
Hospital Charge Code	40205339
Hospital Revenue Code	278
Min. Negotiated Rate	$411.00
Max. Negotiated Rate	$411.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$411.00
Rate for Payer: Hamaspik Choice Inc Medicare	$411.00

STRYKER ORTHO PLATE PUBIC 4H

Facility

$822.00

Service Code	HCPCS C1713
Hospital Charge Code	40205339
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$863.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$452.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$493.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$411.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$472.65
Rate for Payer: EmblemHealth Commercial	$411.00
Rate for Payer: Fidelis Medicare Advantage	$863.10
Rate for Payer: Group Health Inc Commercial	$411.00
Rate for Payer: Group Health Inc Medicare	$287.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$411.00
Rate for Payer: Hamaspik Choice Inc Medicare	$411.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$534.30

STRYKER ORTHO SCREW HEX 2.5MM

Facility

$583.00

Service Code	HCPCS C1713
Hospital Charge Code	40205338
Hospital Revenue Code	278
Min. Negotiated Rate	$291.50
Max. Negotiated Rate	$291.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$291.50
Rate for Payer: Hamaspik Choice Inc Medicare	$291.50

STRYKER ORTHO SCREW HEX 2.5MM

Facility

$583.00

Service Code	HCPCS C1713
Hospital Charge Code	40205338
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$612.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$320.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$349.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$291.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$335.22
Rate for Payer: EmblemHealth Commercial	$291.50
Rate for Payer: Fidelis Medicare Advantage	$612.15
Rate for Payer: Group Health Inc Commercial	$291.50
Rate for Payer: Group Health Inc Medicare	$204.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$291.50
Rate for Payer: Hamaspik Choice Inc Medicare	$291.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$378.95

STRYKER ORTHO SCREW HEX 3.5M

Facility

$583.00

Service Code	HCPCS C1713
Hospital Charge Code	40205340
Hospital Revenue Code	278
Min. Negotiated Rate	$291.50
Max. Negotiated Rate	$291.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$291.50
Rate for Payer: Hamaspik Choice Inc Medicare	$291.50

STRYKER ORTHO SCREW HEX 3.5M

Facility

$583.00

Service Code	HCPCS C1713
Hospital Charge Code	40205340
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$612.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$320.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$349.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$291.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$335.22
Rate for Payer: EmblemHealth Commercial	$291.50
Rate for Payer: Fidelis Medicare Advantage	$612.15
Rate for Payer: Group Health Inc Commercial	$291.50
Rate for Payer: Group Health Inc Medicare	$204.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$291.50
Rate for Payer: Hamaspik Choice Inc Medicare	$291.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$378.95

STRYKER OSTEO TOTAL KNEE STEM EXT

Facility

$2,448.00

Service Code	HCPCS C1776
Hospital Charge Code	40205323
Hospital Revenue Code	278
Min. Negotiated Rate	$1,224.00
Max. Negotiated Rate	$1,224.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,224.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,224.00

STRYKER OSTEO TOTAL KNEE STEM EXT

Facility

$2,448.00

Service Code	HCPCS C1776
Hospital Charge Code	40205323
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,570.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,346.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,468.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,224.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,407.60
Rate for Payer: EmblemHealth Commercial	$1,224.00
Rate for Payer: Fidelis Medicare Advantage	$2,570.40
Rate for Payer: Group Health Inc Commercial	$1,224.00
Rate for Payer: Group Health Inc Medicare	$856.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,224.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,224.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,591.20

STRYKER PATELLA 11

Facility

$2,996.00

Service Code	HCPCS C1776
Hospital Charge Code	40205611
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,145.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,647.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,797.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,498.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,722.70
Rate for Payer: EmblemHealth Commercial	$1,498.00
Rate for Payer: Fidelis Medicare Advantage	$3,145.80
Rate for Payer: Group Health Inc Commercial	$1,498.00
Rate for Payer: Group Health Inc Medicare	$1,048.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,498.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,947.40

STRYKER PATELLA 11

Facility

$2,996.00

Service Code	HCPCS C1776
Hospital Charge Code	40205611
Hospital Revenue Code	278
Min. Negotiated Rate	$1,498.00
Max. Negotiated Rate	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,498.00

STRYKER PELVIC PLATE 4 HOLE

Facility

$491.50

Service Code	HCPCS C1713
Hospital Charge Code	40205483
Hospital Revenue Code	278
Min. Negotiated Rate	$245.75
Max. Negotiated Rate	$245.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.75
Rate for Payer: Hamaspik Choice Inc Medicare	$245.75

STRYKER PELVIC PLATE 4 HOLE

Facility

$491.50

Service Code	HCPCS C1713
Hospital Charge Code	40205483
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$516.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$270.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$294.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$245.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$282.61
Rate for Payer: EmblemHealth Commercial	$245.75
Rate for Payer: Fidelis Medicare Advantage	$516.08
Rate for Payer: Group Health Inc Commercial	$245.75
Rate for Payer: Group Health Inc Medicare	$172.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$245.75
Rate for Payer: Hamaspik Choice Inc Medicare	$245.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$319.48

STRYKER PELVIC SCREW CORTICAL

Facility

$46.20

Service Code	HCPCS C1713
Hospital Charge Code	40207037
Hospital Revenue Code	278
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.10
Rate for Payer: Hamaspik Choice Inc Medicare	$23.10

STRYKER PELVIC SCREW CORTICAL

Facility

$46.20

Service Code	HCPCS C1713
Hospital Charge Code	40207037
Hospital Revenue Code	278
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$27.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.56
Rate for Payer: EmblemHealth Commercial	$23.10
Rate for Payer: Fidelis Medicare Advantage	$48.51
Rate for Payer: Group Health Inc Commercial	$23.10
Rate for Payer: Group Health Inc Medicare	$16.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.10
Rate for Payer: Hamaspik Choice Inc Medicare	$23.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$30.03

STRYKER PELVIC SCRW CORT ST

Facility

$41.00

Service Code	HCPCS C1776
Hospital Charge Code	40206065
Hospital Revenue Code	278
Min. Negotiated Rate	$14.35
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$24.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.58
Rate for Payer: EmblemHealth Commercial	$20.50
Rate for Payer: Fidelis Medicare Advantage	$43.05
Rate for Payer: Group Health Inc Commercial	$20.50
Rate for Payer: Group Health Inc Medicare	$14.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50
Rate for Payer: Hamaspik Choice Inc Medicare	$20.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.65

STRYKER PELVIC SCRW CORT ST

Facility

$41.00

Service Code	HCPCS C1776
Hospital Charge Code	40206065
Hospital Revenue Code	278
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.50
Rate for Payer: Hamaspik Choice Inc Medicare	$20.50

STRYKER PIN

Facility

$25.20

Service Code	HCPCS C1713
Hospital Charge Code	40205088
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.60
Rate for Payer: Hamaspik Choice Inc Medicare	$12.60

Know your out-of-pocket cost for care.

All Charges