St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER PLATE COMPRESSION

Facility

$274.40

Service Code	HCPCS C1713
Hospital Charge Code	40206838
Hospital Revenue Code	278
Min. Negotiated Rate	$96.04
Max. Negotiated Rate	$288.12
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$150.92
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$164.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$137.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$157.78
Rate for Payer: EmblemHealth Commercial	$137.20
Rate for Payer: Fidelis Medicare Advantage	$288.12
Rate for Payer: Group Health Inc Commercial	$137.20
Rate for Payer: Group Health Inc Medicare	$96.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$137.20
Rate for Payer: Hamaspik Choice Inc Medicare	$137.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$178.36

STRYKER PLATE FIXATOR

Facility

$1,054.00

Service Code	HCPCS C1713
Hospital Charge Code	40204700
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,106.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$579.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$632.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$527.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$606.05
Rate for Payer: EmblemHealth Commercial	$527.00
Rate for Payer: Fidelis Medicare Advantage	$1,106.70
Rate for Payer: Group Health Inc Commercial	$527.00
Rate for Payer: Group Health Inc Medicare	$368.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$527.00
Rate for Payer: Hamaspik Choice Inc Medicare	$527.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$685.10

STRYKER PLATE FIXATOR

Facility

$1,054.00

Service Code	HCPCS C1713
Hospital Charge Code	40204700
Hospital Revenue Code	278
Min. Negotiated Rate	$527.00
Max. Negotiated Rate	$527.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$527.00
Rate for Payer: Hamaspik Choice Inc Medicare	$527.00

STRYKER PLATE OLECRANON 4H LFT

Facility

$2,406.00

Service Code	HCPCS C1713
Hospital Charge Code	40205536
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,526.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,323.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,443.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,203.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,383.45
Rate for Payer: EmblemHealth Commercial	$1,203.00
Rate for Payer: Fidelis Medicare Advantage	$2,526.30
Rate for Payer: Group Health Inc Commercial	$1,203.00
Rate for Payer: Group Health Inc Medicare	$842.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,203.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,563.90

STRYKER PLATE OLECRANON 4H LFT

Facility

$2,406.00

Service Code	HCPCS C1713
Hospital Charge Code	40205536
Hospital Revenue Code	278
Min. Negotiated Rate	$1,203.00
Max. Negotiated Rate	$1,203.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,203.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,203.00

STRYKER PLATE R108 6 HOLE

Facility

$646.80

Service Code	HCPCS C1713
Hospital Charge Code	40205713
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$679.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$355.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$388.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$323.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$371.91
Rate for Payer: EmblemHealth Commercial	$323.40
Rate for Payer: Fidelis Medicare Advantage	$679.14
Rate for Payer: Group Health Inc Commercial	$323.40
Rate for Payer: Group Health Inc Medicare	$226.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$323.40
Rate for Payer: Hamaspik Choice Inc Medicare	$323.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$420.42

STRYKER PLATE R108 6 HOLE

Facility

$646.80

Service Code	HCPCS C1713
Hospital Charge Code	40205713
Hospital Revenue Code	278
Min. Negotiated Rate	$323.40
Max. Negotiated Rate	$323.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$323.40
Rate for Payer: Hamaspik Choice Inc Medicare	$323.40

STRYKER PLATE RADIUS

Facility

$2,758.00

Service Code	HCPCS C1713
Hospital Charge Code	40205564
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,895.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,516.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,654.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,379.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,585.85
Rate for Payer: EmblemHealth Commercial	$1,379.00
Rate for Payer: Fidelis Medicare Advantage	$2,895.90
Rate for Payer: Group Health Inc Commercial	$1,379.00
Rate for Payer: Group Health Inc Medicare	$965.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,379.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,379.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,792.70

STRYKER PLATE RADIUS

Facility

$2,758.00

Service Code	HCPCS C1713
Hospital Charge Code	40205564
Hospital Revenue Code	278
Min. Negotiated Rate	$1,379.00
Max. Negotiated Rate	$1,379.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,379.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,379.00

STRYKER PLATE TUBULAR 1/3 11HOLES

Facility

$135.00

Service Code	HCPCS C1713
Hospital Charge Code	40209434
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.50
Rate for Payer: Hamaspik Choice Inc Medicare	$67.50

STRYKER PLATE TUBULAR 1/3 11HOLES

Facility

$135.00

Service Code	HCPCS C1713
Hospital Charge Code	40209434
Hospital Revenue Code	278
Min. Negotiated Rate	$47.25
Max. Negotiated Rate	$141.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$74.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$81.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$67.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$77.62
Rate for Payer: EmblemHealth Commercial	$67.50
Rate for Payer: Fidelis Medicare Advantage	$141.75
Rate for Payer: Group Health Inc Commercial	$67.50
Rate for Payer: Group Health Inc Medicare	$47.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$67.50
Rate for Payer: Hamaspik Choice Inc Medicare	$67.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$87.75

STRYKER PLATE TUBULAR 1/3 3 H

Facility

$81.20

Service Code	HCPCS C1713
Hospital Charge Code	40205719
Hospital Revenue Code	278
Min. Negotiated Rate	$40.60
Max. Negotiated Rate	$40.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.60
Rate for Payer: Hamaspik Choice Inc Medicare	$40.60

STRYKER PLATE TUBULAR 1/3 3 H

Facility

$81.20

Service Code	HCPCS C1713
Hospital Charge Code	40205719
Hospital Revenue Code	278
Min. Negotiated Rate	$28.42
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$44.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$48.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$40.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.69
Rate for Payer: EmblemHealth Commercial	$40.60
Rate for Payer: Fidelis Medicare Advantage	$85.26
Rate for Payer: Group Health Inc Commercial	$40.60
Rate for Payer: Group Health Inc Medicare	$28.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$40.60
Rate for Payer: Hamaspik Choice Inc Medicare	$40.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$52.78

STRYKER PLATE TUBULAR 1/3 8HOLES

Facility

$121.50

Service Code	HCPCS C1713
Hospital Charge Code	40209443
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.75
Rate for Payer: Hamaspik Choice Inc Medicare	$60.75

STRYKER PLATE TUBULAR 1/3 8HOLES

Facility

$121.50

Service Code	HCPCS C1713
Hospital Charge Code	40209443
Hospital Revenue Code	278
Min. Negotiated Rate	$42.52
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$72.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$60.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$69.86
Rate for Payer: EmblemHealth Commercial	$60.75
Rate for Payer: Fidelis Medicare Advantage	$127.58
Rate for Payer: Group Health Inc Commercial	$60.75
Rate for Payer: Group Health Inc Medicare	$42.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.75
Rate for Payer: Hamaspik Choice Inc Medicare	$60.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$78.98

STRYKER PLATE TUBULAR 1/3 9HOLES

Facility

$121.50

Service Code	HCPCS C1713
Hospital Charge Code	40209444
Hospital Revenue Code	278
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.75
Rate for Payer: Hamaspik Choice Inc Medicare	$60.75

STRYKER PLATE TUBULAR 1/3 9HOLES

Facility

$121.50

Service Code	HCPCS C1713
Hospital Charge Code	40209444
Hospital Revenue Code	278
Min. Negotiated Rate	$42.52
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$66.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$72.90
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$60.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$69.86
Rate for Payer: EmblemHealth Commercial	$60.75
Rate for Payer: Fidelis Medicare Advantage	$127.58
Rate for Payer: Group Health Inc Commercial	$60.75
Rate for Payer: Group Health Inc Medicare	$42.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$60.75
Rate for Payer: Hamaspik Choice Inc Medicare	$60.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$78.98

STRYKER POINT REDUCTION

Facility

$677.00

Hospital Charge Code	40205491
Hospital Revenue Code	270
Min. Negotiated Rate	$236.95
Max. Negotiated Rate	$541.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$372.35
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$338.50
Rate for Payer: Aetna Government	$338.50
Rate for Payer: Brighton Health Commercial	$507.75
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$541.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$460.36
Rate for Payer: Group Health Inc Commercial	$338.50
Rate for Payer: Group Health Inc Medicare	$236.95
Rate for Payer: Hamaspik Choice Inc Medicaid	$338.50
Rate for Payer: Hamaspik Choice Inc Medicare	$338.50

STRYKER POSTERIORLY STAB/FEMORAL

Facility

$6,324.00

Service Code	HCPCS C1776
Hospital Charge Code	40207045
Hospital Revenue Code	278
Min. Negotiated Rate	$3,162.00
Max. Negotiated Rate	$3,162.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,162.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,162.00

STRYKER POSTERIORLY STAB/FEMORAL

Facility

$6,324.00

Service Code	HCPCS C1776
Hospital Charge Code	40207045
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,640.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,478.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,794.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,162.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,636.30
Rate for Payer: EmblemHealth Commercial	$3,162.00
Rate for Payer: Fidelis Medicare Advantage	$6,640.20
Rate for Payer: Group Health Inc Commercial	$3,162.00
Rate for Payer: Group Health Inc Medicare	$2,213.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,162.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,162.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,110.60

STRYKER PROX HUMERAL NAIL 8X280MM

Facility

$3,162.00

Service Code	HCPCS C1776
Hospital Charge Code	40205143
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,320.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,739.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,897.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,581.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,818.15
Rate for Payer: EmblemHealth Commercial	$1,581.00
Rate for Payer: Fidelis Medicare Advantage	$3,320.10
Rate for Payer: Group Health Inc Commercial	$1,581.00
Rate for Payer: Group Health Inc Medicare	$1,106.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,581.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,581.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,055.30

STRYKER PROX HUMERAL NAIL 8X280MM

Facility

$3,162.00

Service Code	HCPCS C1776
Hospital Charge Code	40205143
Hospital Revenue Code	278
Min. Negotiated Rate	$1,581.00
Max. Negotiated Rate	$1,581.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,581.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,581.00

STRYKER PS FEM COMP #2 R CEMENTED

Facility

$5,352.00

Service Code	HCPCS C1776
Hospital Charge Code	40205218
Hospital Revenue Code	278
Min. Negotiated Rate	$2,676.00
Max. Negotiated Rate	$2,676.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,676.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,676.00

STRYKER PS FEM COMP #2 R CEMENTED

Facility

$5,352.00

Service Code	HCPCS C1776
Hospital Charge Code	40205218
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,619.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,943.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,211.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,676.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,077.40
Rate for Payer: EmblemHealth Commercial	$2,676.00
Rate for Payer: Fidelis Medicare Advantage	$5,619.60
Rate for Payer: Group Health Inc Commercial	$2,676.00
Rate for Payer: Group Health Inc Medicare	$1,873.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,676.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,676.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,478.80

STRYKER PS TIBIAL B/I SIZE 4

Facility

$5,808.00

Service Code	HCPCS C1776
Hospital Charge Code	40205205
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,098.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,194.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,484.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,904.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,339.60
Rate for Payer: EmblemHealth Commercial	$2,904.00
Rate for Payer: Fidelis Medicare Advantage	$6,098.40
Rate for Payer: Group Health Inc Commercial	$2,904.00
Rate for Payer: Group Health Inc Medicare	$2,032.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,904.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,904.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,775.20

Know your out-of-pocket cost for care.

All Charges