St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$2,904.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,904.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,904.00

STRYKER PT CANCELLOUS SCREW 6.5MM

Facility

$53.20

Service Code	HCPCS C1713
Hospital Charge Code	40205275
Hospital Revenue Code	278
Min. Negotiated Rate	$26.60
Max. Negotiated Rate	$26.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.60
Rate for Payer: Hamaspik Choice Inc Medicare	$26.60

STRYKER PT CANCELLOUS SCREW 6.5MM

Facility

$53.20

Service Code	HCPCS C1713
Hospital Charge Code	40205275
Hospital Revenue Code	278
Min. Negotiated Rate	$18.62
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$29.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$31.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$26.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$30.59
Rate for Payer: EmblemHealth Commercial	$26.60
Rate for Payer: Fidelis Medicare Advantage	$55.86
Rate for Payer: Group Health Inc Commercial	$26.60
Rate for Payer: Group Health Inc Medicare	$18.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$26.60
Rate for Payer: Hamaspik Choice Inc Medicare	$26.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$34.58

STRYKER PT CNCLL SCRW 6.5X60MM

Facility

$66.00

Service Code	HCPCS C1713
Hospital Charge Code	40205274
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.00
Rate for Payer: Hamaspik Choice Inc Medicare	$33.00

STRYKER PT CNCLL SCRW 6.5X60MM

Facility

$66.00

Service Code	HCPCS C1713
Hospital Charge Code	40205274
Hospital Revenue Code	278
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$36.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$39.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$33.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.95
Rate for Payer: EmblemHealth Commercial	$33.00
Rate for Payer: Fidelis Medicare Advantage	$69.30
Rate for Payer: Group Health Inc Commercial	$33.00
Rate for Payer: Group Health Inc Medicare	$23.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$33.00
Rate for Payer: Hamaspik Choice Inc Medicare	$33.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$42.90

STRYKER R88 4HOLE MPS CURVED PLT

Facility

$547.40

Service Code	HCPCS C1713
Hospital Charge Code	40205682
Hospital Revenue Code	278
Min. Negotiated Rate	$273.70
Max. Negotiated Rate	$273.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$273.70
Rate for Payer: Hamaspik Choice Inc Medicare	$273.70

STRYKER R88 4HOLE MPS CURVED PLT

Facility

$547.40

Service Code	HCPCS C1713
Hospital Charge Code	40205682
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$574.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$301.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$328.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$273.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$314.76
Rate for Payer: EmblemHealth Commercial	$273.70
Rate for Payer: Fidelis Medicare Advantage	$574.77
Rate for Payer: Group Health Inc Commercial	$273.70
Rate for Payer: Group Health Inc Medicare	$191.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$273.70
Rate for Payer: Hamaspik Choice Inc Medicare	$273.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$355.81

STRYKER R88 5H MPS CURVED PLATE

Facility

$597.80

Service Code	HCPCS C1713
Hospital Charge Code	40205683
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$627.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$328.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 R88 5H MPS CURVED PLATE

Facility

$597.80

Service Code	HCPCS C1713
Hospital Charge Code	40205683
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 RAD ROD XIA3 6MMX 70

Facility

$1,131.16

Service Code	HCPCS C1713
Hospital Charge Code	40205397
Hospital Revenue Code	278
Min. Negotiated Rate	$565.58
Max. Negotiated Rate	$565.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$565.58
Rate for Payer: Hamaspik Choice Inc Medicare	$565.58

STRYKER RAD ROD XIA3 6MMX 70

Facility

$1,131.16

Service Code	HCPCS C1713
Hospital Charge Code	40205397
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,187.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$622.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$678.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$565.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$650.42
Rate for Payer: EmblemHealth Commercial	$565.58
Rate for Payer: Fidelis Medicare Advantage	$1,187.72
Rate for Payer: Group Health Inc Commercial	$565.58
Rate for Payer: Group Health Inc Medicare	$395.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$565.58
Rate for Payer: Hamaspik Choice Inc Medicare	$565.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$735.25

STRYKER RAD TO ROD 70MM

Facility

$1,131.16

Service Code	HCPCS C1713
Hospital Charge Code	40205531
Hospital Revenue Code	278
Min. Negotiated Rate	$565.58
Max. Negotiated Rate	$565.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$565.58
Rate for Payer: Hamaspik Choice Inc Medicare	$565.58

STRYKER RAD TO ROD 70MM

Facility

$1,131.16

Service Code	HCPCS C1713
Hospital Charge Code	40205531
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,187.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$622.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$678.70
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$565.58
Rate for Payer: Cigna LocalPlus Benefit Plan	$650.42
Rate for Payer: EmblemHealth Commercial	$565.58
Rate for Payer: Fidelis Medicare Advantage	$1,187.72
Rate for Payer: Group Health Inc Commercial	$565.58
Rate for Payer: Group Health Inc Medicare	$395.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$565.58
Rate for Payer: Hamaspik Choice Inc Medicare	$565.58
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$735.25

STRYKER RAD TO ROD XIA 6MM X 40

Facility

$1,106.92

Service Code	HCPCS C1713
Hospital Charge Code	40208153
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,162.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$608.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$664.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$553.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$636.48
Rate for Payer: EmblemHealth Commercial	$553.46
Rate for Payer: Fidelis Medicare Advantage	$1,162.27
Rate for Payer: Group Health Inc Commercial	$553.46
Rate for Payer: Group Health Inc Medicare	$387.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$553.46
Rate for Payer: Hamaspik Choice Inc Medicare	$553.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$719.50

STRYKER RAD TO ROD XIA 6MM X 40

Facility

$1,106.92

Service Code	HCPCS C1713
Hospital Charge Code	40208153
Hospital Revenue Code	278
Min. Negotiated Rate	$553.46
Max. Negotiated Rate	$553.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$553.46
Rate for Payer: Hamaspik Choice Inc Medicare	$553.46

STRYKER REJU SPT MODULAR STEM SZ7

Facility

$13,368.00

Service Code	HCPCS C1776
Hospital Charge Code	40205243
Hospital Revenue Code	278
Min. Negotiated Rate	$6,684.00
Max. Negotiated Rate	$6,684.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,684.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,684.00

STRYKER REJU SPT MODULAR STEM SZ7

Facility

$13,368.00

Service Code	HCPCS C1776
Hospital Charge Code	40205243
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$14,036.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,352.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$8,020.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,684.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,686.60
Rate for Payer: EmblemHealth Commercial	$6,684.00
Rate for Payer: Fidelis Medicare Advantage	$14,036.40
Rate for Payer: Group Health Inc Commercial	$6,684.00
Rate for Payer: Group Health Inc Medicare	$4,678.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,684.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,684.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8,689.20

STRYKER REJUVE MODULAR HEAD 9MM

Facility

$13,770.00

Service Code	HCPCS C1776
Hospital Charge Code	40205597
Hospital Revenue Code	278
Min. Negotiated Rate	$6,885.00
Max. Negotiated Rate	$6,885.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,885.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,885.00

STRYKER REJUVE MODULAR HEAD 9MM

Facility

$13,770.00

Service Code	HCPCS C1776
Hospital Charge Code	40205597
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$14,458.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,573.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$8,262.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,885.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,917.75
Rate for Payer: EmblemHealth Commercial	$6,885.00
Rate for Payer: Fidelis Medicare Advantage	$14,458.50
Rate for Payer: Group Health Inc Commercial	$6,885.00
Rate for Payer: Group Health Inc Medicare	$4,819.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,885.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,885.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8,950.50

STRYKER REJUV.MON STEM 26MMX115MM

Facility

$13,968.00

Service Code	HCPCS C1713
Hospital Charge Code	40205826
Hospital Revenue Code	278
Min. Negotiated Rate	$6,984.00
Max. Negotiated Rate	$6,984.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,984.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,984.00

STRYKER REJUV.MON STEM 26MMX115MM

Facility

$13,968.00

Service Code	HCPCS C1713
Hospital Charge Code	40205826
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$14,666.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,682.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$8,380.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,984.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$8,031.60
Rate for Payer: EmblemHealth Commercial	$6,984.00
Rate for Payer: Fidelis Medicare Advantage	$14,666.40
Rate for Payer: Group Health Inc Commercial	$6,984.00
Rate for Payer: Group Health Inc Medicare	$4,888.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,984.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,984.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9,079.20

STRYKER REJUV SPT MOD STEM SZ 8

Facility

$13,368.00

Service Code	HCPCS C1776
Hospital Charge Code	40205013
Hospital Revenue Code	278
Min. Negotiated Rate	$6,684.00
Max. Negotiated Rate	$6,684.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,684.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,684.00

STRYKER REJUV SPT MOD STEM SZ 8

Facility

$13,368.00

Service Code	HCPCS C1776
Hospital Charge Code	40205013
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$14,036.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,352.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$8,020.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,684.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,686.60
Rate for Payer: EmblemHealth Commercial	$6,684.00
Rate for Payer: Fidelis Medicare Advantage	$14,036.40
Rate for Payer: Group Health Inc Commercial	$6,684.00
Rate for Payer: Group Health Inc Medicare	$4,678.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,684.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,684.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$8,689.20

STRYKER RING HALF

Facility

$210.00

Hospital Charge Code	40009345
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

STRYKER RING HALF

Facility

$210.00

Hospital Charge Code	40203362
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

Know your out-of-pocket cost for care.

All Charges