St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER ROD 11X300MM

Facility

$726.60

Service Code	HCPCS C1713
Hospital Charge Code	40006505
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$762.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$399.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$435.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$363.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$417.80
Rate for Payer: EmblemHealth Commercial	$363.30
Rate for Payer: Fidelis Medicare Advantage	$762.93
Rate for Payer: Group Health Inc Commercial	$363.30
Rate for Payer: Group Health Inc Medicare	$254.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$363.30
Rate for Payer: Hamaspik Choice Inc Medicare	$363.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$472.29

STRYKER ROD 11X300MM

Facility

$726.60

Service Code	HCPCS C1713
Hospital Charge Code	40006505
Hospital Revenue Code	278
Min. Negotiated Rate	$363.30
Max. Negotiated Rate	$363.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$363.30
Rate for Payer: Hamaspik Choice Inc Medicare	$363.30

STRYKER ROD 8X350MM

Facility

$1,724.00

Service Code	HCPCS C1713
Hospital Charge Code	40202145
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,810.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$948.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,034.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$862.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$991.30
Rate for Payer: EmblemHealth Commercial	$862.00
Rate for Payer: Fidelis Medicare Advantage	$1,810.20
Rate for Payer: Group Health Inc Commercial	$862.00
Rate for Payer: Group Health Inc Medicare	$603.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$862.00
Rate for Payer: Hamaspik Choice Inc Medicare	$862.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,120.60

STRYKER ROD 8X350MM

Facility

$1,724.00

Service Code	HCPCS C1713
Hospital Charge Code	40202145
Hospital Revenue Code	278
Min. Negotiated Rate	$862.00
Max. Negotiated Rate	$862.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$862.00
Rate for Payer: Hamaspik Choice Inc Medicare	$862.00

STRYKER RODS 100MM

Facility

$81.20

Service Code	HCPCS C1713
Hospital Charge Code	40205827
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 RODS 100MM

Facility

$81.20

Service Code	HCPCS C1713
Hospital Charge Code	40205827
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 ROD UNIVERSAL

Facility

$784.00

Service Code	HCPCS C1713
Hospital Charge Code	40205579
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$823.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$431.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$470.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$392.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$450.80
Rate for Payer: EmblemHealth Commercial	$392.00
Rate for Payer: Fidelis Medicare Advantage	$823.20
Rate for Payer: Group Health Inc Commercial	$392.00
Rate for Payer: Group Health Inc Medicare	$274.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$392.00
Rate for Payer: Hamaspik Choice Inc Medicare	$392.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$509.60

STRYKER ROD UNIVERSAL

Facility

$784.00

Service Code	HCPCS C1713
Hospital Charge Code	40205579
Hospital Revenue Code	278
Min. Negotiated Rate	$392.00
Max. Negotiated Rate	$392.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$392.00
Rate for Payer: Hamaspik Choice Inc Medicare	$392.00

STRYKER SCFREW 1.7X6MM

Facility

$183.30

Service Code	HCPCS C1713
Hospital Charge Code	40204488
Hospital Revenue Code	278
Min. Negotiated Rate	$91.65
Max. Negotiated Rate	$91.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.65
Rate for Payer: Hamaspik Choice Inc Medicare	$91.65

STRYKER SCFREW 1.7X6MM

Facility

$183.30

Service Code	HCPCS C1713
Hospital Charge Code	40204488
Hospital Revenue Code	278
Min. Negotiated Rate	$64.16
Max. Negotiated Rate	$192.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$100.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$109.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$91.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$105.40
Rate for Payer: EmblemHealth Commercial	$91.65
Rate for Payer: Fidelis Medicare Advantage	$192.46
Rate for Payer: Group Health Inc Commercial	$91.65
Rate for Payer: Group Health Inc Medicare	$64.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.65
Rate for Payer: Hamaspik Choice Inc Medicare	$91.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$119.14

STRYKER SCFREW LOCKING 1.7MMX5

Facility

$183.30

Service Code	HCPCS C1713
Hospital Charge Code	40204487
Hospital Revenue Code	278
Min. Negotiated Rate	$91.65
Max. Negotiated Rate	$91.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.65
Rate for Payer: Hamaspik Choice Inc Medicare	$91.65

STRYKER SCFREW LOCKING 1.7MMX5

Facility

$183.30

Service Code	HCPCS C1713
Hospital Charge Code	40204487
Hospital Revenue Code	278
Min. Negotiated Rate	$64.16
Max. Negotiated Rate	$192.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$100.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$109.98
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$91.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$105.40
Rate for Payer: EmblemHealth Commercial	$91.65
Rate for Payer: Fidelis Medicare Advantage	$192.46
Rate for Payer: Group Health Inc Commercial	$91.65
Rate for Payer: Group Health Inc Medicare	$64.16
Rate for Payer: Hamaspik Choice Inc Medicaid	$91.65
Rate for Payer: Hamaspik Choice Inc Medicare	$91.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$119.14

STRYKER SCREW 2.4X10

Facility

$119.89

Service Code	HCPCS C1713
Hospital Charge Code	40202654
Hospital Revenue Code	278
Min. Negotiated Rate	$59.94
Max. Negotiated Rate	$59.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.94
Rate for Payer: Hamaspik Choice Inc Medicare	$59.94

STRYKER SCREW 2.4X10

Facility

$119.89

Service Code	HCPCS C1713
Hospital Charge Code	40202654
Hospital Revenue Code	278
Min. Negotiated Rate	$41.96
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$71.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.94
Rate for Payer: EmblemHealth Commercial	$59.94
Rate for Payer: Fidelis Medicare Advantage	$125.88
Rate for Payer: Group Health Inc Commercial	$59.94
Rate for Payer: Group Health Inc Medicare	$41.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.94
Rate for Payer: Hamaspik Choice Inc Medicare	$59.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$77.93

STRYKER SCREW 2.4X12

Facility

$119.89

Service Code	HCPCS C1713
Hospital Charge Code	40202655
Hospital Revenue Code	278
Min. Negotiated Rate	$41.96
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.94
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$71.93
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.94
Rate for Payer: EmblemHealth Commercial	$59.94
Rate for Payer: Fidelis Medicare Advantage	$125.88
Rate for Payer: Group Health Inc Commercial	$59.94
Rate for Payer: Group Health Inc Medicare	$41.96
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.94
Rate for Payer: Hamaspik Choice Inc Medicare	$59.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$77.93

STRYKER SCREW 2.4X12

Facility

$119.89

Service Code	HCPCS C1713
Hospital Charge Code	40202655
Hospital Revenue Code	278
Min. Negotiated Rate	$59.94
Max. Negotiated Rate	$59.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.94
Rate for Payer: Hamaspik Choice Inc Medicare	$59.94

STRYKER SCREW 35MM (1896-5035S)

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40029611
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$294.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$154.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$168.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$140.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.00
Rate for Payer: EmblemHealth Commercial	$140.00
Rate for Payer: Fidelis Medicare Advantage	$294.00
Rate for Payer: Group Health Inc Commercial	$140.00
Rate for Payer: Group Health Inc Medicare	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$182.00

STRYKER SCREW 35MM (1896-5035S)

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40029611
Hospital Revenue Code	278
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$140.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00

STRYKER SCREW 40 MM (1896-5040S)

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40029610
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$294.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$154.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$168.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$140.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.00
Rate for Payer: EmblemHealth Commercial	$140.00
Rate for Payer: Fidelis Medicare Advantage	$294.00
Rate for Payer: Group Health Inc Commercial	$140.00
Rate for Payer: Group Health Inc Medicare	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$182.00

STRYKER SCREW 40 MM (1896-5040S)

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40029610
Hospital Revenue Code	278
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$140.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00

STRYKER SCREW 45MM (1896-5045S)

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40029609
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$294.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$154.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$168.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$140.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$161.00
Rate for Payer: EmblemHealth Commercial	$140.00
Rate for Payer: Fidelis Medicare Advantage	$294.00
Rate for Payer: Group Health Inc Commercial	$140.00
Rate for Payer: Group Health Inc Medicare	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$182.00

STRYKER SCREW 45MM (1896-5045S)

Facility

$280.00

Service Code	HCPCS C1713
Hospital Charge Code	40029609
Hospital Revenue Code	278
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$140.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$140.00
Rate for Payer: Hamaspik Choice Inc Medicare	$140.00

STRYKER SCREW 5MM T2 NAILING SYS

Facility

$266.00

Service Code	HCPCS C1776
Hospital Charge Code	40205181
Hospital Revenue Code	278
Min. Negotiated Rate	$93.10
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$146.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$159.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$133.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$152.95
Rate for Payer: EmblemHealth Commercial	$133.00
Rate for Payer: Fidelis Medicare Advantage	$279.30
Rate for Payer: Group Health Inc Commercial	$133.00
Rate for Payer: Group Health Inc Medicare	$93.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.00
Rate for Payer: Hamaspik Choice Inc Medicare	$133.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$172.90

STRYKER SCREW 5MM T2 NAILING SYS

Facility

$266.00

Service Code	HCPCS C1776
Hospital Charge Code	40205181
Hospital Revenue Code	278
Min. Negotiated Rate	$133.00
Max. Negotiated Rate	$133.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$133.00
Rate for Payer: Hamaspik Choice Inc Medicare	$133.00

STRYKER SCREW 5X

Facility

$334.60

Service Code	HCPCS C1713
Hospital Charge Code	40206100
Hospital Revenue Code	278
Min. Negotiated Rate	$167.30
Max. Negotiated Rate	$167.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$167.30
Rate for Payer: Hamaspik Choice Inc Medicare	$167.30

Know your out-of-pocket cost for care.

All Charges