St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER SCREW NON-LK 3.5X20MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004621
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 3.5X20MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004621
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 3.5X22MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004622
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 3.5X22MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004622
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 3.5X26MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004623
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 3.5X26MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004623
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 3.5X28MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004624
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 3.5X28MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004624
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 3.5X30MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004625
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 3.5X30MM

Facility

$308.00

Service Code	HCPCS C1713
Hospital Charge Code	40004625
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 3.5X32MM

Facility

$95.04

Service Code	HCPCS C1713
Hospital Charge Code	40004632
Hospital Revenue Code	278
Min. Negotiated Rate	$47.52
Max. Negotiated Rate	$47.52
Rate for Payer: Hamaspik Choice Inc Medicaid	$47.52
Rate for Payer: Hamaspik Choice Inc Medicare	$47.52

STRYKER SCREW NON-LK 3.5X32MM

Facility

$95.04

Service Code	HCPCS C1713
Hospital Charge Code	40004632
Hospital Revenue Code	278
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$52.27
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$57.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$47.52
Rate for Payer: Cigna LocalPlus Benefit Plan	$54.65
Rate for Payer: EmblemHealth Commercial	$47.52
Rate for Payer: Fidelis Medicare Advantage	$99.79
Rate for Payer: Group Health Inc Commercial	$47.52
Rate for Payer: Group Health Inc Medicare	$33.26
Rate for Payer: Hamaspik Choice Inc Medicaid	$47.52
Rate for Payer: Hamaspik Choice Inc Medicare	$47.52
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$61.78

STRYKER SCREW NONLOCK 2.4CX18MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40005359
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

STRYKER SCREW NONLOCK 2.4CX18MM

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40005359
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$180.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: EmblemHealth Commercial	$150.00
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

STRYKER SCRW BONE 2.3X

Facility

$174.35

Service Code	HCPCS C1713
Hospital Charge Code	40205367
Hospital Revenue Code	278
Min. Negotiated Rate	$61.02
Max. Negotiated Rate	$183.07
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$95.89
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$104.61
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$87.18
Rate for Payer: Cigna LocalPlus Benefit Plan	$100.25
Rate for Payer: EmblemHealth Commercial	$87.18
Rate for Payer: Fidelis Medicare Advantage	$183.07
Rate for Payer: Group Health Inc Commercial	$87.18
Rate for Payer: Group Health Inc Medicare	$61.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.18
Rate for Payer: Hamaspik Choice Inc Medicare	$87.18
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$113.33

STRYKER SCRW BONE 2.3X

Facility

$174.35

Service Code	HCPCS C1713
Hospital Charge Code	40205367
Hospital Revenue Code	278
Min. Negotiated Rate	$87.18
Max. Negotiated Rate	$87.18
Rate for Payer: Hamaspik Choice Inc Medicaid	$87.18
Rate for Payer: Hamaspik Choice Inc Medicare	$87.18

STRYKER SCRW CANC. 6.5 HEX FULL

Facility

$66.00

Service Code	HCPCS C1713
Hospital Charge Code	40207039
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 SCRW CANC. 6.5 HEX FULL

Facility

$66.00

Service Code	HCPCS C1713
Hospital Charge Code	40207039
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 SCRW CANCELLOUS 4.0

Facility

$35.00

Service Code	HCPCS C1776
Hospital Charge Code	40205133
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 SCRW CANCELLOUS 4.0

Facility

$35.00

Service Code	HCPCS C1776
Hospital Charge Code	40205133
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 SCRW CANNULTD 4.0X60MM FT

Facility

$298.00

Service Code	HCPCS C1713
Hospital Charge Code	40205489
Hospital Revenue Code	278
Min. Negotiated Rate	$104.30
Max. Negotiated Rate	$312.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$163.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$178.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$149.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$171.35
Rate for Payer: EmblemHealth Commercial	$149.00
Rate for Payer: Fidelis Medicare Advantage	$312.90
Rate for Payer: Group Health Inc Commercial	$149.00
Rate for Payer: Group Health Inc Medicare	$104.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.00
Rate for Payer: Hamaspik Choice Inc Medicare	$149.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$193.70

STRYKER SCRW CANNULTD 4.0X60MM FT

Facility

$298.00

Service Code	HCPCS C1713
Hospital Charge Code	40205489
Hospital Revenue Code	278
Min. Negotiated Rate	$149.00
Max. Negotiated Rate	$149.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$149.00
Rate for Payer: Hamaspik Choice Inc Medicare	$149.00

STRYKER SCRW CAN P/T 4.0X65MM

Facility

$37.80

Service Code	HCPCS C1713
Hospital Charge Code	40205405
Hospital Revenue Code	278
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.90
Rate for Payer: Hamaspik Choice Inc Medicare	$18.90

STRYKER SCRW CAN P/T 4.0X65MM

Facility

$37.80

Service Code	HCPCS C1713
Hospital Charge Code	40205405
Hospital Revenue Code	278
Min. Negotiated Rate	$13.23
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$20.79
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$22.68
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$18.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$21.74
Rate for Payer: EmblemHealth Commercial	$18.90
Rate for Payer: Fidelis Medicare Advantage	$39.69
Rate for Payer: Group Health Inc Commercial	$18.90
Rate for Payer: Group Health Inc Medicare	$13.23
Rate for Payer: Hamaspik Choice Inc Medicaid	$18.90
Rate for Payer: Hamaspik Choice Inc Medicare	$18.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$24.57

STRYKER SCRW CORTEX 3.5X60MM FT

Facility

$40.60

Service Code	HCPCS C1776
Hospital Charge Code	40208170
Hospital Revenue Code	278
Min. Negotiated Rate	$14.21
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$22.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$24.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$20.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$23.34
Rate for Payer: EmblemHealth Commercial	$20.30
Rate for Payer: Fidelis Medicare Advantage	$42.63
Rate for Payer: Group Health Inc Commercial	$20.30
Rate for Payer: Group Health Inc Medicare	$14.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.30
Rate for Payer: Hamaspik Choice Inc Medicare	$20.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$26.39

Know your out-of-pocket cost for care.

All Charges