St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER SCREW CANN 4.0X65 PT

Facility

$448.00

Service Code	HCPCS C1713
Hospital Charge Code	40205522
Hospital Revenue Code	278
Min. Negotiated Rate	$224.00
Max. Negotiated Rate	$224.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.00
Rate for Payer: Hamaspik Choice Inc Medicare	$224.00

STRYKER SCREW CANN 4.0X65 PT

Facility

$448.00

Service Code	HCPCS C1713
Hospital Charge Code	40205522
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$470.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$268.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$224.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$257.60
Rate for Payer: EmblemHealth Commercial	$224.00
Rate for Payer: Fidelis Medicare Advantage	$470.40
Rate for Payer: Group Health Inc Commercial	$224.00
Rate for Payer: Group Health Inc Medicare	$156.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.00
Rate for Payer: Hamaspik Choice Inc Medicare	$224.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$291.20

STRYKER SCREW CANN 6.5

Facility

$594.95

Service Code	HCPCS C1713
Hospital Charge Code	40205947
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$624.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$327.22
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$356.97
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$297.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$342.10
Rate for Payer: EmblemHealth Commercial	$297.48
Rate for Payer: Fidelis Medicare Advantage	$624.70
Rate for Payer: Group Health Inc Commercial	$297.48
Rate for Payer: Group Health Inc Medicare	$208.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$297.48
Rate for Payer: Hamaspik Choice Inc Medicare	$297.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$386.72

STRYKER SCREW CANN 6.5

Facility

$594.95

Service Code	HCPCS C1713
Hospital Charge Code	40205947
Hospital Revenue Code	278
Min. Negotiated Rate	$297.48
Max. Negotiated Rate	$297.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$297.48
Rate for Payer: Hamaspik Choice Inc Medicare	$297.48

STRYKER SCREW CANN 6.5 X 95 MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	40201569
Hospital Revenue Code	278
Min. Negotiated Rate	$102.50
Max. Negotiated Rate	$102.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.50
Rate for Payer: Hamaspik Choice Inc Medicare	$102.50

STRYKER SCREW CANN 6.5 X 95 MM

Facility

$205.00

Service Code	HCPCS C1713
Hospital Charge Code	40201569
Hospital Revenue Code	278
Min. Negotiated Rate	$71.75
Max. Negotiated Rate	$215.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$112.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$123.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$102.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$117.88
Rate for Payer: EmblemHealth Commercial	$102.50
Rate for Payer: Fidelis Medicare Advantage	$215.25
Rate for Payer: Group Health Inc Commercial	$102.50
Rate for Payer: Group Health Inc Medicare	$71.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$102.50
Rate for Payer: Hamaspik Choice Inc Medicare	$102.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$133.25

STRYKER SCREW CANN ASNIS III

Facility

$612.95

Service Code	HCPCS C1713
Hospital Charge Code	40206254
Hospital Revenue Code	278
Min. Negotiated Rate	$306.48
Max. Negotiated Rate	$306.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$306.48
Rate for Payer: Hamaspik Choice Inc Medicare	$306.48

STRYKER SCREW CANN ASNIS III

Facility

$612.95

Service Code	HCPCS C1713
Hospital Charge Code	40206254
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$643.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$337.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$367.77
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$306.48
Rate for Payer: Cigna LocalPlus Benefit Plan	$352.45
Rate for Payer: EmblemHealth Commercial	$306.48
Rate for Payer: Fidelis Medicare Advantage	$643.60
Rate for Payer: Group Health Inc Commercial	$306.48
Rate for Payer: Group Health Inc Medicare	$214.53
Rate for Payer: Hamaspik Choice Inc Medicaid	$306.48
Rate for Payer: Hamaspik Choice Inc Medicare	$306.48
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$398.42

STRYKER SCREW CANN LP 6.5MM

Facility

$1,228.50

Service Code	HCPCS C1713
Hospital Charge Code	40205792
Hospital Revenue Code	278
Min. Negotiated Rate	$614.25
Max. Negotiated Rate	$614.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$614.25
Rate for Payer: Hamaspik Choice Inc Medicare	$614.25

STRYKER SCREW CANN LP 6.5MM

Facility

$1,228.50

Service Code	HCPCS C1713
Hospital Charge Code	40205792
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,289.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$675.68
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$737.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$614.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$706.39
Rate for Payer: EmblemHealth Commercial	$614.25
Rate for Payer: Fidelis Medicare Advantage	$1,289.92
Rate for Payer: Group Health Inc Commercial	$614.25
Rate for Payer: Group Health Inc Medicare	$429.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$614.25
Rate for Payer: Hamaspik Choice Inc Medicare	$614.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$798.52

STRYKER SCREW CANN SS FT 4.0

Facility

$40.38

Service Code	HCPCS C1713
Hospital Charge Code	40205551
Hospital Revenue Code	278
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$20.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.19
Rate for Payer: Hamaspik Choice Inc Medicare	$20.19

STRYKER SCREW CANN SS FT 4.0

Facility

$40.38

Service Code	HCPCS C1713
Hospital Charge Code	40205551
Hospital Revenue Code	278
Min. Negotiated Rate	$14.13
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.21
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$24.23
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.19
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.22
Rate for Payer: EmblemHealth Commercial	$20.19
Rate for Payer: Fidelis Medicare Advantage	$42.40
Rate for Payer: Group Health Inc Commercial	$20.19
Rate for Payer: Group Health Inc Medicare	$14.13
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.19
Rate for Payer: Hamaspik Choice Inc Medicare	$20.19
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.25

STRYKER SCREW CANNULATED 4.0X50MM

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	40205591
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$409.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$214.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$234.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$195.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$224.25
Rate for Payer: EmblemHealth Commercial	$195.00
Rate for Payer: Fidelis Medicare Advantage	$409.50
Rate for Payer: Group Health Inc Commercial	$195.00
Rate for Payer: Group Health Inc Medicare	$136.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$253.50

STRYKER SCREW CANNULATED 4.0X50MM

Facility

$390.00

Service Code	HCPCS C1713
Hospital Charge Code	40205591
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$195.00
Rate for Payer: Hamaspik Choice Inc Medicare	$195.00

STRYKER SCREW CORTEX 4.5X 40MM

Facility

$28.00

Service Code	HCPCS C1713
Hospital Charge Code	40203832
Hospital Revenue Code	278
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$14.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.00
Rate for Payer: Hamaspik Choice Inc Medicare	$14.00

STRYKER SCREW CORTEX 4.5X 40MM

Facility

$28.00

Service Code	HCPCS C1713
Hospital Charge Code	40203832
Hospital Revenue Code	278
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$15.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$16.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$14.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$16.10
Rate for Payer: EmblemHealth Commercial	$14.00
Rate for Payer: Fidelis Medicare Advantage	$29.40
Rate for Payer: Group Health Inc Commercial	$14.00
Rate for Payer: Group Health Inc Medicare	$9.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$14.00
Rate for Payer: Hamaspik Choice Inc Medicare	$14.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$18.20

STRYKER SCREW CORTEX 4.5X42 HEX

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40203833
Hospital Revenue Code	278
Min. Negotiated Rate	$19.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$31.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$34.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$28.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$32.71
Rate for Payer: EmblemHealth Commercial	$28.44
Rate for Payer: Fidelis Medicare Advantage	$59.72
Rate for Payer: Group Health Inc Commercial	$28.44
Rate for Payer: Group Health Inc Medicare	$19.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$36.97

STRYKER SCREW CORTEX 4.5X42 HEX

Facility

$56.88

Service Code	HCPCS C1713
Hospital Charge Code	40203833
Hospital Revenue Code	278
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$28.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$28.44
Rate for Payer: Hamaspik Choice Inc Medicare	$28.44

STRYKER SCREW CORTEX 4.5X48

Facility

$116.88

Service Code	HCPCS C1713
Hospital Charge Code	40203834
Hospital Revenue Code	278
Min. Negotiated Rate	$58.44
Max. Negotiated Rate	$58.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.44
Rate for Payer: Hamaspik Choice Inc Medicare	$58.44

STRYKER SCREW CORTEX 4.5X48

Facility

$116.88

Service Code	HCPCS C1713
Hospital Charge Code	40203834
Hospital Revenue Code	278
Min. Negotiated Rate	$40.91
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$64.28
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$70.13
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$58.44
Rate for Payer: Cigna LocalPlus Benefit Plan	$67.21
Rate for Payer: EmblemHealth Commercial	$58.44
Rate for Payer: Fidelis Medicare Advantage	$122.72
Rate for Payer: Group Health Inc Commercial	$58.44
Rate for Payer: Group Health Inc Medicare	$40.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$58.44
Rate for Payer: Hamaspik Choice Inc Medicare	$58.44
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$75.97

STRYKER SCREW CORTEX ST 3.5MM X

Facility

$60.15

Service Code	HCPCS C1713
Hospital Charge Code	40205369
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$33.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$36.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$30.08
Rate for Payer: Cigna LocalPlus Benefit Plan	$34.59
Rate for Payer: EmblemHealth Commercial	$30.08
Rate for Payer: Fidelis Medicare Advantage	$63.16
Rate for Payer: Group Health Inc Commercial	$30.08
Rate for Payer: Group Health Inc Medicare	$21.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.08
Rate for Payer: Hamaspik Choice Inc Medicare	$30.08
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$39.10

STRYKER SCREW CORTEX ST 3.5MM X

Facility

$60.15

Service Code	HCPCS C1713
Hospital Charge Code	40205369
Hospital Revenue Code	278
Min. Negotiated Rate	$30.08
Max. Negotiated Rate	$30.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$30.08
Rate for Payer: Hamaspik Choice Inc Medicare	$30.08

STRYKER SCREW CORTX ST 3.5MMX16MM

Facility

$35.00

Service Code	HCPCS C1776
Hospital Charge Code	40205172
Hospital Revenue Code	278
Min. Negotiated Rate	$17.50
Max. Negotiated Rate	$17.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50

STRYKER SCREW CORTX ST 3.5MMX16MM

Facility

$35.00

Service Code	HCPCS C1776
Hospital Charge Code	40205172
Hospital Revenue Code	278
Min. Negotiated Rate	$12.25
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$19.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$21.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$17.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$20.12
Rate for Payer: EmblemHealth Commercial	$17.50
Rate for Payer: Fidelis Medicare Advantage	$36.75
Rate for Payer: Group Health Inc Commercial	$17.50
Rate for Payer: Group Health Inc Medicare	$12.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$17.50
Rate for Payer: Hamaspik Choice Inc Medicare	$17.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$22.75

STRYKER SCREW LAG 10.5 X 100MM

Facility

$963.20

Service Code	HCPCS C1776
Hospital Charge Code	40208098
Hospital Revenue Code	278
Min. Negotiated Rate	$337.12
Max. Negotiated Rate	$1,011.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$529.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$577.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$481.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$553.84
Rate for Payer: EmblemHealth Commercial	$481.60
Rate for Payer: Fidelis Medicare Advantage	$1,011.36
Rate for Payer: Group Health Inc Commercial	$481.60
Rate for Payer: Group Health Inc Medicare	$337.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$626.08

Know your out-of-pocket cost for care.

All Charges