St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER SCREW 5X

Facility

$334.60

Service Code	HCPCS C1713
Hospital Charge Code	40206100
Hospital Revenue Code	278
Min. Negotiated Rate	$117.11
Max. Negotiated Rate	$351.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$184.03
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$200.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$167.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$192.40
Rate for Payer: EmblemHealth Commercial	$167.30
Rate for Payer: Fidelis Medicare Advantage	$351.33
Rate for Payer: Group Health Inc Commercial	$167.30
Rate for Payer: Group Health Inc Medicare	$117.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$167.30
Rate for Payer: Hamaspik Choice Inc Medicare	$167.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$217.49

STRYKER SCREW 8MM T2 END CAP ST

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	40205415
Hospital Revenue Code	278
Min. Negotiated Rate	$118.09
Max. Negotiated Rate	$354.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$185.57
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$202.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$194.00
Rate for Payer: EmblemHealth Commercial	$168.70
Rate for Payer: Fidelis Medicare Advantage	$354.27
Rate for Payer: Group Health Inc Commercial	$168.70
Rate for Payer: Group Health Inc Medicare	$118.09
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.70
Rate for Payer: Hamaspik Choice Inc Medicare	$168.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$219.31

STRYKER SCREW 8MM T2 END CAP ST

Facility

$337.40

Service Code	HCPCS C1713
Hospital Charge Code	40205415
Hospital Revenue Code	278
Min. Negotiated Rate	$168.70
Max. Negotiated Rate	$168.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.70
Rate for Payer: Hamaspik Choice Inc Medicare	$168.70

STRYKER SCREW BONE 2.3X18MM

Facility

$119.00

Service Code	HCPCS C1776
Hospital Charge Code	40205246
Hospital Revenue Code	278
Min. Negotiated Rate	$41.65
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$65.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$71.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$59.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.42
Rate for Payer: EmblemHealth Commercial	$59.50
Rate for Payer: Fidelis Medicare Advantage	$124.95
Rate for Payer: Group Health Inc Commercial	$59.50
Rate for Payer: Group Health Inc Medicare	$41.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.50
Rate for Payer: Hamaspik Choice Inc Medicare	$59.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$77.35

STRYKER SCREW BONE 2.3X18MM

Facility

$119.00

Service Code	HCPCS C1776
Hospital Charge Code	40205246
Hospital Revenue Code	278
Min. Negotiated Rate	$59.50
Max. Negotiated Rate	$59.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$59.50
Rate for Payer: Hamaspik Choice Inc Medicare	$59.50

STRYKER SCREW BONE 3.5

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205418
Hospital Revenue Code	278
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60

STRYKER SCREW BONE 3.5

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205418
Hospital Revenue Code	278
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$65.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.79
Rate for Payer: EmblemHealth Commercial	$54.60
Rate for Payer: Fidelis Medicare Advantage	$114.66
Rate for Payer: Group Health Inc Commercial	$54.60
Rate for Payer: Group Health Inc Medicare	$38.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.98

STRYKER SCREW BONE 3.5MM

Facility

$147.88

Service Code	HCPCS C1713
Hospital Charge Code	40205497
Hospital Revenue Code	278
Min. Negotiated Rate	$73.94
Max. Negotiated Rate	$73.94
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.94
Rate for Payer: Hamaspik Choice Inc Medicare	$73.94

STRYKER SCREW BONE 3.5MM

Facility

$147.88

Service Code	HCPCS C1713
Hospital Charge Code	40205497
Hospital Revenue Code	278
Min. Negotiated Rate	$51.76
Max. Negotiated Rate	$155.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$88.73
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$73.94
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.03
Rate for Payer: EmblemHealth Commercial	$73.94
Rate for Payer: Fidelis Medicare Advantage	$155.27
Rate for Payer: Group Health Inc Commercial	$73.94
Rate for Payer: Group Health Inc Medicare	$51.76
Rate for Payer: Hamaspik Choice Inc Medicaid	$73.94
Rate for Payer: Hamaspik Choice Inc Medicare	$73.94
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$96.12

STRYKER SCREW BONE 3.5X10MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205499
Hospital Revenue Code	278
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$65.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.79
Rate for Payer: EmblemHealth Commercial	$54.60
Rate for Payer: Fidelis Medicare Advantage	$114.66
Rate for Payer: Group Health Inc Commercial	$54.60
Rate for Payer: Group Health Inc Medicare	$38.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.98

STRYKER SCREW BONE 3.5X10MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205499
Hospital Revenue Code	278
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60

STRYKER SCREW BONE 3.5X18MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205495
Hospital Revenue Code	278
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$65.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.79
Rate for Payer: EmblemHealth Commercial	$54.60
Rate for Payer: Fidelis Medicare Advantage	$114.66
Rate for Payer: Group Health Inc Commercial	$54.60
Rate for Payer: Group Health Inc Medicare	$38.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.98

STRYKER SCREW BONE 3.5X18MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205495
Hospital Revenue Code	278
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60

STRYKER SCREW BONE 3.5X26MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205530
Hospital Revenue Code	278
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$65.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.79
Rate for Payer: EmblemHealth Commercial	$54.60
Rate for Payer: Fidelis Medicare Advantage	$114.66
Rate for Payer: Group Health Inc Commercial	$54.60
Rate for Payer: Group Health Inc Medicare	$38.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.98

STRYKER SCREW BONE 3.5X26MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205530
Hospital Revenue Code	278
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60

STRYKER SCREW BONE 3.5X42MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205503
Hospital Revenue Code	278
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$54.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60

STRYKER SCREW BONE 3.5X42MM

Facility

$109.20

Service Code	HCPCS C1713
Hospital Charge Code	40205503
Hospital Revenue Code	278
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$60.06
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$65.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$62.79
Rate for Payer: EmblemHealth Commercial	$54.60
Rate for Payer: Fidelis Medicare Advantage	$114.66
Rate for Payer: Group Health Inc Commercial	$54.60
Rate for Payer: Group Health Inc Medicare	$38.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$54.60
Rate for Payer: Hamaspik Choice Inc Medicare	$54.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$70.98

STRYKER SCREW BONE 3.5X60MM

Facility

$114.80

Service Code	HCPCS C1713
Hospital Charge Code	40205504
Hospital Revenue Code	278
Min. Negotiated Rate	$40.18
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$63.14
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$68.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$57.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$66.01
Rate for Payer: EmblemHealth Commercial	$57.40
Rate for Payer: Fidelis Medicare Advantage	$120.54
Rate for Payer: Group Health Inc Commercial	$57.40
Rate for Payer: Group Health Inc Medicare	$40.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$57.40
Rate for Payer: Hamaspik Choice Inc Medicare	$57.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$74.62

STRYKER SCREW BONE 3.5X60MM

Facility

$114.80

Service Code	HCPCS C1713
Hospital Charge Code	40205504
Hospital Revenue Code	278
Min. Negotiated Rate	$57.40
Max. Negotiated Rate	$57.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$57.40
Rate for Payer: Hamaspik Choice Inc Medicare	$57.40

STRYKER SCREW BONE TIT 2.3X16MM

Facility

$78.00

Service Code	HCPCS C1776
Hospital Charge Code	40205247
Hospital Revenue Code	278
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.00
Rate for Payer: Hamaspik Choice Inc Medicare	$39.00

STRYKER SCREW BONE TIT 2.3X16MM

Facility

$78.00

Service Code	HCPCS C1776
Hospital Charge Code	40205247
Hospital Revenue Code	278
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$42.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$46.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$39.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$44.85
Rate for Payer: EmblemHealth Commercial	$39.00
Rate for Payer: Fidelis Medicare Advantage	$81.90
Rate for Payer: Group Health Inc Commercial	$39.00
Rate for Payer: Group Health Inc Medicare	$27.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$39.00
Rate for Payer: Hamaspik Choice Inc Medicare	$39.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$50.70

STRYKER SCREW CANC 4.0X18MM HEX F

Facility

$32.20

Service Code	HCPCS C1713
Hospital Charge Code	40205550
Hospital Revenue Code	278
Min. Negotiated Rate	$16.10
Max. Negotiated Rate	$16.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.10
Rate for Payer: Hamaspik Choice Inc Medicare	$16.10

STRYKER SCREW CANC 4.0X18MM HEX F

Facility

$32.20

Service Code	HCPCS C1713
Hospital Charge Code	40205550
Hospital Revenue Code	278
Min. Negotiated Rate	$11.27
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$17.71
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$19.32
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$16.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$18.52
Rate for Payer: EmblemHealth Commercial	$16.10
Rate for Payer: Fidelis Medicare Advantage	$33.81
Rate for Payer: Group Health Inc Commercial	$16.10
Rate for Payer: Group Health Inc Medicare	$11.27
Rate for Payer: Hamaspik Choice Inc Medicaid	$16.10
Rate for Payer: Hamaspik Choice Inc Medicare	$16.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$20.93

STRYKER SCREW CANN 4.0X60MM PT

Facility

$336.00

Service Code	HCPCS C1713
Hospital Charge Code	40205498
Hospital Revenue Code	278
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.00
Rate for Payer: Hamaspik Choice Inc Medicare	$168.00

STRYKER SCREW CANN 4.0X60MM PT

Facility

$336.00

Service Code	HCPCS C1713
Hospital Charge Code	40205498
Hospital Revenue Code	278
Min. Negotiated Rate	$117.60
Max. Negotiated Rate	$352.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$184.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$201.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$193.20
Rate for Payer: EmblemHealth Commercial	$168.00
Rate for Payer: Fidelis Medicare Advantage	$352.80
Rate for Payer: Group Health Inc Commercial	$168.00
Rate for Payer: Group Health Inc Medicare	$117.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$168.00
Rate for Payer: Hamaspik Choice Inc Medicare	$168.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$218.40

Know your out-of-pocket cost for care.

All Charges