St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$481.60
Max. Negotiated Rate	$481.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60

STRYKER SCREW LAG 10.5X110MM

Facility

$963.20

Service Code	HCPCS C1776
Hospital Charge Code	40206055
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

STRYKER SCREW LAG 10.5X110MM

Facility

$963.20

Service Code	HCPCS C1776
Hospital Charge Code	40206055
Hospital Revenue Code	278
Min. Negotiated Rate	$481.60
Max. Negotiated Rate	$481.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$481.60
Rate for Payer: Hamaspik Choice Inc Medicare	$481.60

STRYKER SCREW LAG 6.5 X 70MM

Facility

$444.60

Service Code	HCPCS C1713
Hospital Charge Code	40204664
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$466.83
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$244.53
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$266.76
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$222.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$255.64
Rate for Payer: EmblemHealth Commercial	$222.30
Rate for Payer: Fidelis Medicare Advantage	$466.83
Rate for Payer: Group Health Inc Commercial	$222.30
Rate for Payer: Group Health Inc Medicare	$155.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$222.30
Rate for Payer: Hamaspik Choice Inc Medicare	$222.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$288.99

STRYKER SCREW LAG 6.5 X 70MM

Facility

$444.60

Service Code	HCPCS C1713
Hospital Charge Code	40204664
Hospital Revenue Code	278
Min. Negotiated Rate	$222.30
Max. Negotiated Rate	$222.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$222.30
Rate for Payer: Hamaspik Choice Inc Medicare	$222.30

STRYKER SCREW LAG 6.5X80MM T2 REC

Facility

$443.80

Service Code	HCPCS C1713
Hospital Charge Code	40204665
Hospital Revenue Code	278
Min. Negotiated Rate	$221.90
Max. Negotiated Rate	$221.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$221.90
Rate for Payer: Hamaspik Choice Inc Medicare	$221.90

STRYKER SCREW LAG 6.5X80MM T2 REC

Facility

$443.80

Service Code	HCPCS C1713
Hospital Charge Code	40204665
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$465.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$244.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$266.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$221.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$255.18
Rate for Payer: EmblemHealth Commercial	$221.90
Rate for Payer: Fidelis Medicare Advantage	$465.99
Rate for Payer: Group Health Inc Commercial	$221.90
Rate for Payer: Group Health Inc Medicare	$155.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$221.90
Rate for Payer: Hamaspik Choice Inc Medicare	$221.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$288.47

STRYKER SCREW LAG 6.5 X 85MM

Facility

$402.60

Service Code	HCPCS C1713
Hospital Charge Code	40204666
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$422.73
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$221.43
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$241.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$201.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$231.50
Rate for Payer: EmblemHealth Commercial	$201.30
Rate for Payer: Fidelis Medicare Advantage	$422.73
Rate for Payer: Group Health Inc Commercial	$201.30
Rate for Payer: Group Health Inc Medicare	$140.91
Rate for Payer: Hamaspik Choice Inc Medicaid	$201.30
Rate for Payer: Hamaspik Choice Inc Medicare	$201.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$261.69

STRYKER SCREW LAG 6.5 X 85MM

Facility

$402.60

Service Code	HCPCS C1713
Hospital Charge Code	40204666
Hospital Revenue Code	278
Min. Negotiated Rate	$201.30
Max. Negotiated Rate	$201.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$201.30
Rate for Payer: Hamaspik Choice Inc Medicare	$201.30

STRYKER SCREW LOCKING 1.7MMX8

Facility

$183.30

Service Code	HCPCS C1713
Hospital Charge Code	40204489
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 LOCKING 1.7MMX8

Facility

$183.30

Service Code	HCPCS C1713
Hospital Charge Code	40204489
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 SCREW LOCKING 1.9MMX5

Facility

$157.30

Service Code	HCPCS C1713
Hospital Charge Code	40204490
Hospital Revenue Code	278
Min. Negotiated Rate	$55.06
Max. Negotiated Rate	$165.16
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$94.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$90.45
Rate for Payer: EmblemHealth Commercial	$78.65
Rate for Payer: Fidelis Medicare Advantage	$165.16
Rate for Payer: Group Health Inc Commercial	$78.65
Rate for Payer: Group Health Inc Medicare	$55.06
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.65
Rate for Payer: Hamaspik Choice Inc Medicare	$78.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$102.24

STRYKER SCREW LOCKING 1.9MMX5

Facility

$157.30

Service Code	HCPCS C1713
Hospital Charge Code	40204490
Hospital Revenue Code	278
Min. Negotiated Rate	$78.65
Max. Negotiated Rate	$78.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.65
Rate for Payer: Hamaspik Choice Inc Medicare	$78.65

STRYKER SCREW LOCKING 2.3X

Facility

$230.70

Service Code	HCPCS C1776
Hospital Charge Code	40205368
Hospital Revenue Code	278
Min. Negotiated Rate	$115.35
Max. Negotiated Rate	$115.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.35
Rate for Payer: Hamaspik Choice Inc Medicare	$115.35

STRYKER SCREW LOCKING 2.3X

Facility

$230.70

Service Code	HCPCS C1776
Hospital Charge Code	40205368
Hospital Revenue Code	278
Min. Negotiated Rate	$80.74
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$126.88
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$138.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$115.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.65
Rate for Payer: EmblemHealth Commercial	$115.35
Rate for Payer: Fidelis Medicare Advantage	$242.24
Rate for Payer: Group Health Inc Commercial	$115.35
Rate for Payer: Group Health Inc Medicare	$80.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.35
Rate for Payer: Hamaspik Choice Inc Medicare	$115.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$149.96

STRYKER SCREW LOCKING 3.5

Facility

$247.80

Service Code	HCPCS C1713
Hospital Charge Code	40205421
Hospital Revenue Code	278
Min. Negotiated Rate	$123.90
Max. Negotiated Rate	$123.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90

STRYKER SCREW LOCKING 3.5

Facility

$247.80

Service Code	HCPCS C1713
Hospital Charge Code	40205421
Hospital Revenue Code	278
Min. Negotiated Rate	$86.73
Max. Negotiated Rate	$260.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$148.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$123.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.48
Rate for Payer: EmblemHealth Commercial	$123.90
Rate for Payer: Fidelis Medicare Advantage	$260.19
Rate for Payer: Group Health Inc Commercial	$123.90
Rate for Payer: Group Health Inc Medicare	$86.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$161.07

STRYKER SCREW LOCKING 3.5MM

Facility

$247.80

Service Code	HCPCS C1713
Hospital Charge Code	40205496
Hospital Revenue Code	278
Min. Negotiated Rate	$86.73
Max. Negotiated Rate	$260.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$136.29
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$148.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$123.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.48
Rate for Payer: EmblemHealth Commercial	$123.90
Rate for Payer: Fidelis Medicare Advantage	$260.19
Rate for Payer: Group Health Inc Commercial	$123.90
Rate for Payer: Group Health Inc Medicare	$86.73
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$161.07

STRYKER SCREW LOCKING 3.5MM

Facility

$247.80

Service Code	HCPCS C1713
Hospital Charge Code	40205496
Hospital Revenue Code	278
Min. Negotiated Rate	$123.90
Max. Negotiated Rate	$123.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.90
Rate for Payer: Hamaspik Choice Inc Medicare	$123.90

STRYKER SCREW NON-LK 3.5X14MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004619
Hospital Revenue Code	278
Min. Negotiated Rate	$107.80
Max. Negotiated Rate	$323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$169.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$184.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$154.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$177.10
Rate for Payer: EmblemHealth Commercial	$154.00
Rate for Payer: Fidelis Medicare Advantage	$323.40
Rate for Payer: Group Health Inc Commercial	$154.00
Rate for Payer: Group Health Inc Medicare	$107.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00
Rate for Payer: Hamaspik Choice Inc Medicare	$154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$200.20

STRYKER SCREW NON-LK 3.5X14MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004619
Hospital Revenue Code	278
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$154.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00
Rate for Payer: Hamaspik Choice Inc Medicare	$154.00

STRYKER SCREW NON-LK 3.5X18MM

Facility

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	40004620
Hospital Revenue Code	278
Min. Negotiated Rate	$160.00
Max. Negotiated Rate	$160.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00

STRYKER SCREW NON-LK 3.5X18MM

Facility

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	40004620
Hospital Revenue Code	278
Min. Negotiated Rate	$112.00
Max. Negotiated Rate	$336.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$176.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$192.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$160.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.00
Rate for Payer: EmblemHealth Commercial	$160.00
Rate for Payer: Fidelis Medicare Advantage	$336.00
Rate for Payer: Group Health Inc Commercial	$160.00
Rate for Payer: Group Health Inc Medicare	$112.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$208.00

STRYKER SCREW NON-LK 3.5X20 MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004626
Hospital Revenue Code	278
Min. Negotiated Rate	$154.00
Max. Negotiated Rate	$154.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00
Rate for Payer: Hamaspik Choice Inc Medicare	$154.00

STRYKER SCREW NON-LK 3.5X20 MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004626
Hospital Revenue Code	278
Min. Negotiated Rate	$107.80
Max. Negotiated Rate	$323.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$169.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$184.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$154.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$177.10
Rate for Payer: EmblemHealth Commercial	$154.00
Rate for Payer: Fidelis Medicare Advantage	$323.40
Rate for Payer: Group Health Inc Commercial	$154.00
Rate for Payer: Group Health Inc Medicare	$107.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$154.00
Rate for Payer: Hamaspik Choice Inc Medicare	$154.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$200.20

Know your out-of-pocket cost for care.

All Charges