St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER PIN

Facility

$25.20

Service Code	HCPCS C1713
Hospital Charge Code	40205088
Hospital Revenue Code	278
Min. Negotiated Rate	$8.82
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$15.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$14.49
Rate for Payer: EmblemHealth Commercial	$12.60
Rate for Payer: Fidelis Medicare Advantage	$26.46
Rate for Payer: Group Health Inc Commercial	$12.60
Rate for Payer: Group Health Inc Medicare	$8.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$12.60
Rate for Payer: Hamaspik Choice Inc Medicare	$12.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16.38

STRYKER PIN APEX M TRANSFX3X250MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	40205553
Hospital Revenue Code	278
Min. Negotiated Rate	$80.85
Max. Negotiated Rate	$242.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$127.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$138.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$115.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.82
Rate for Payer: EmblemHealth Commercial	$115.50
Rate for Payer: Fidelis Medicare Advantage	$242.55
Rate for Payer: Group Health Inc Commercial	$115.50
Rate for Payer: Group Health Inc Medicare	$80.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.50
Rate for Payer: Hamaspik Choice Inc Medicare	$115.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$150.15

STRYKER PIN APEX M TRANSFX3X250MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	40205553
Hospital Revenue Code	278
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.50
Rate for Payer: Hamaspik Choice Inc Medicare	$115.50

STRYKER PIN CLAMP

Facility

$2,179.80

Service Code	HCPCS C1713
Hospital Charge Code	40203002
Hospital Revenue Code	278
Min. Negotiated Rate	$1,089.90
Max. Negotiated Rate	$1,089.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,089.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,089.90

STRYKER PIN CLAMP

Facility

$2,179.80

Service Code	HCPCS C1713
Hospital Charge Code	40203002
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,288.79
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,198.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,307.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,089.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,253.38
Rate for Payer: EmblemHealth Commercial	$1,089.90
Rate for Payer: Fidelis Medicare Advantage	$2,288.79
Rate for Payer: Group Health Inc Commercial	$1,089.90
Rate for Payer: Group Health Inc Medicare	$762.93
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,089.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,089.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,416.87

STRYKER PIN CLAMP 10 HOLE

Facility

$1,496.60

Service Code	HCPCS C1713
Hospital Charge Code	40205557
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,571.43
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$823.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$897.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$748.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$860.54
Rate for Payer: EmblemHealth Commercial	$748.30
Rate for Payer: Fidelis Medicare Advantage	$1,571.43
Rate for Payer: Group Health Inc Commercial	$748.30
Rate for Payer: Group Health Inc Medicare	$523.81
Rate for Payer: Hamaspik Choice Inc Medicaid	$748.30
Rate for Payer: Hamaspik Choice Inc Medicare	$748.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$972.79

STRYKER PIN CLAMP 10 HOLE

Facility

$1,496.60

Service Code	HCPCS C1713
Hospital Charge Code	40205557
Hospital Revenue Code	278
Min. Negotiated Rate	$748.30
Max. Negotiated Rate	$748.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$748.30
Rate for Payer: Hamaspik Choice Inc Medicare	$748.30

STRYKER PIN DRIVER COMPACT

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	40203360
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$756.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$396.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$432.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$360.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$414.00
Rate for Payer: EmblemHealth Commercial	$360.00
Rate for Payer: Fidelis Medicare Advantage	$756.00
Rate for Payer: Group Health Inc Commercial	$360.00
Rate for Payer: Group Health Inc Medicare	$252.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$360.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$468.00

STRYKER PIN DRIVER COMPACT

Facility

$720.00

Service Code	HCPCS C1713
Hospital Charge Code	40203360
Hospital Revenue Code	278
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$360.00

STRYKER PIN DRIVER COMPACT

Facility

$720.00

Hospital Charge Code	40009343
Hospital Revenue Code	272
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$576.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$396.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$360.00
Rate for Payer: Aetna Government	$360.00
Rate for Payer: Brighton Health Commercial	$540.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$576.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$489.60
Rate for Payer: Group Health Inc Commercial	$360.00
Rate for Payer: Group Health Inc Medicare	$252.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$360.00

STRYKER PIN HALF MOD 4X120MM

Facility

$200.10

Service Code	HCPCS C1713
Hospital Charge Code	40205554
Hospital Revenue Code	278
Min. Negotiated Rate	$100.05
Max. Negotiated Rate	$100.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.05
Rate for Payer: Hamaspik Choice Inc Medicare	$100.05

STRYKER PIN HALF MOD 4X120MM

Facility

$200.10

Service Code	HCPCS C1713
Hospital Charge Code	40205554
Hospital Revenue Code	278
Min. Negotiated Rate	$70.04
Max. Negotiated Rate	$210.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$110.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$120.06
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$100.05
Rate for Payer: Cigna LocalPlus Benefit Plan	$115.06
Rate for Payer: EmblemHealth Commercial	$100.05
Rate for Payer: Fidelis Medicare Advantage	$210.10
Rate for Payer: Group Health Inc Commercial	$100.05
Rate for Payer: Group Health Inc Medicare	$70.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$100.05
Rate for Payer: Hamaspik Choice Inc Medicare	$100.05
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$130.06

STRYKER PLATE 2 HOLE RIGHT

Facility

$1,838.00

Service Code	HCPCS C1713
Hospital Charge Code	40206225
Hospital Revenue Code	278
Min. Negotiated Rate	$919.00
Max. Negotiated Rate	$919.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$919.00
Rate for Payer: Hamaspik Choice Inc Medicare	$919.00

STRYKER PLATE 2 HOLE RIGHT

Facility

$1,838.00

Service Code	HCPCS C1713
Hospital Charge Code	40206225
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,929.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,010.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,102.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$919.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,056.85
Rate for Payer: EmblemHealth Commercial	$919.00
Rate for Payer: Fidelis Medicare Advantage	$1,929.90
Rate for Payer: Group Health Inc Commercial	$919.00
Rate for Payer: Group Health Inc Medicare	$643.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$919.00
Rate for Payer: Hamaspik Choice Inc Medicare	$919.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,194.70

STRYKER PLATE 5 HOLE

Facility

$267.60

Service Code	HCPCS C1713
Hospital Charge Code	40209412
Hospital Revenue Code	278
Min. Negotiated Rate	$133.80
Max. Negotiated Rate	$133.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.80
Rate for Payer: Hamaspik Choice Inc Medicare	$133.80

STRYKER PLATE 5 HOLE

Facility

$267.60

Service Code	HCPCS C1713
Hospital Charge Code	40209412
Hospital Revenue Code	278
Min. Negotiated Rate	$93.66
Max. Negotiated Rate	$280.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$147.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$160.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$153.87
Rate for Payer: EmblemHealth Commercial	$133.80
Rate for Payer: Fidelis Medicare Advantage	$280.98
Rate for Payer: Group Health Inc Commercial	$133.80
Rate for Payer: Group Health Inc Medicare	$93.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.80
Rate for Payer: Hamaspik Choice Inc Medicare	$133.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$173.94

STRYKER PLATE 6 HOLE FLEX

Facility

$597.80

Service Code	HCPCS C1776
Hospital Charge Code	40205374
Hospital Revenue Code	278
Min. Negotiated Rate	$209.23
Max. Negotiated Rate	$627.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$328.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
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 PLATE 6 HOLE FLEX

Facility

$597.80

Service Code	HCPCS C1776
Hospital Charge Code	40205374
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 PLATE 8 HOLE

Facility

$697.20

Service Code	HCPCS C1713
Hospital Charge Code	40205760
Hospital Revenue Code	278
Min. Negotiated Rate	$348.60
Max. Negotiated Rate	$348.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$348.60
Rate for Payer: Hamaspik Choice Inc Medicare	$348.60

STRYKER PLATE 8 HOLE

Facility

$697.20

Service Code	HCPCS C1713
Hospital Charge Code	40205760
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$732.06
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$383.46
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$418.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$348.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$400.89
Rate for Payer: EmblemHealth Commercial	$348.60
Rate for Payer: Fidelis Medicare Advantage	$732.06
Rate for Payer: Group Health Inc Commercial	$348.60
Rate for Payer: Group Health Inc Medicare	$244.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$348.60
Rate for Payer: Hamaspik Choice Inc Medicare	$348.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$453.18

STRYKER PLATE 8 HOLE FLEX

Facility

$673.40

Service Code	HCPCS C1713
Hospital Charge Code	40205365
Hospital Revenue Code	278
Min. Negotiated Rate	$336.70
Max. Negotiated Rate	$336.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$336.70
Rate for Payer: Hamaspik Choice Inc Medicare	$336.70

STRYKER PLATE 8 HOLE FLEX

Facility

$673.40

Service Code	HCPCS C1713
Hospital Charge Code	40205365
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$707.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$370.37
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$404.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$336.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$387.20
Rate for Payer: EmblemHealth Commercial	$336.70
Rate for Payer: Fidelis Medicare Advantage	$707.07
Rate for Payer: Group Health Inc Commercial	$336.70
Rate for Payer: Group Health Inc Medicare	$235.69
Rate for Payer: Hamaspik Choice Inc Medicaid	$336.70
Rate for Payer: Hamaspik Choice Inc Medicare	$336.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$437.71

STRYKER PLATE CALCANEAL

Facility

$925.20

Service Code	HCPCS C1713
Hospital Charge Code	40209982
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$971.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$508.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$555.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$462.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$531.99
Rate for Payer: EmblemHealth Commercial	$462.60
Rate for Payer: Fidelis Medicare Advantage	$971.46
Rate for Payer: Group Health Inc Commercial	$462.60
Rate for Payer: Group Health Inc Medicare	$323.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$462.60
Rate for Payer: Hamaspik Choice Inc Medicare	$462.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$601.38

STRYKER PLATE CALCANEAL

Facility

$925.20

Service Code	HCPCS C1713
Hospital Charge Code	40209982
Hospital Revenue Code	278
Min. Negotiated Rate	$462.60
Max. Negotiated Rate	$462.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$462.60
Rate for Payer: Hamaspik Choice Inc Medicare	$462.60

STRYKER PLATE COMPRESSION

Facility

$274.40

Service Code	HCPCS C1713
Hospital Charge Code	40206838
Hospital Revenue Code	278
Min. Negotiated Rate	$137.20
Max. Negotiated Rate	$137.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.20
Rate for Payer: Hamaspik Choice Inc Medicare	$137.20

Know your out-of-pocket cost for care.

All Charges