St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER SCRW CORTEX 3.5X60MM FT

Facility

$40.60

Service Code	HCPCS C1776
Hospital Charge Code	40208170
Hospital Revenue Code	278
Min. Negotiated Rate	$20.30
Max. Negotiated Rate	$20.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$20.30
Rate for Payer: Hamaspik Choice Inc Medicare	$20.30

STRYKER SCRW C/TEX 4.5X34MM HEX

Facility

$43.40

Service Code	HCPCS C1776
Hospital Charge Code	40205280
Hospital Revenue Code	278
Min. Negotiated Rate	$21.70
Max. Negotiated Rate	$21.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.70
Rate for Payer: Hamaspik Choice Inc Medicare	$21.70

STRYKER SCRW C/TEX 4.5X34MM HEX

Facility

$43.40

Service Code	HCPCS C1776
Hospital Charge Code	40205280
Hospital Revenue Code	278
Min. Negotiated Rate	$15.19
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$26.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.96
Rate for Payer: EmblemHealth Commercial	$21.70
Rate for Payer: Fidelis Medicare Advantage	$45.57
Rate for Payer: Group Health Inc Commercial	$21.70
Rate for Payer: Group Health Inc Medicare	$15.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.70
Rate for Payer: Hamaspik Choice Inc Medicare	$21.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28.21

STRYKER SCRW LCKNG 4.0X

Facility

$166.00

Service Code	HCPCS C1713
Hospital Charge Code	40205407
Hospital Revenue Code	278
Min. Negotiated Rate	$58.10
Max. Negotiated Rate	$174.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$91.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$99.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$83.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$95.45
Rate for Payer: EmblemHealth Commercial	$83.00
Rate for Payer: Fidelis Medicare Advantage	$174.30
Rate for Payer: Group Health Inc Commercial	$83.00
Rate for Payer: Group Health Inc Medicare	$58.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.00
Rate for Payer: Hamaspik Choice Inc Medicare	$83.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$107.90

STRYKER SCRW LCKNG 4.0X

Facility

$166.00

Service Code	HCPCS C1713
Hospital Charge Code	40205407
Hospital Revenue Code	278
Min. Negotiated Rate	$83.00
Max. Negotiated Rate	$83.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$83.00
Rate for Payer: Hamaspik Choice Inc Medicare	$83.00

STRYKER SECURE HIP STEM

Facility

$10,632.60

Service Code	HCPCS C1776
Hospital Charge Code	40029618
Hospital Revenue Code	278
Min. Negotiated Rate	$5,316.30
Max. Negotiated Rate	$5,316.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,316.30
Rate for Payer: Hamaspik Choice Inc Medicare	$5,316.30

STRYKER SECURE HIP STEM

Facility

$10,632.60

Service Code	HCPCS C1776
Hospital Charge Code	40029618
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$11,164.23
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,847.93
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$6,379.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$5,316.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$6,113.74
Rate for Payer: EmblemHealth Commercial	$5,316.30
Rate for Payer: Fidelis Medicare Advantage	$11,164.23
Rate for Payer: Group Health Inc Commercial	$5,316.30
Rate for Payer: Group Health Inc Medicare	$3,721.41
Rate for Payer: Hamaspik Choice Inc Medicaid	$5,316.30
Rate for Payer: Hamaspik Choice Inc Medicare	$5,316.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,911.19

STRYKER SHORT DRILL BIT 3.1

Facility

$438.80

Hospital Charge Code	40204499
Hospital Revenue Code	272
Min. Negotiated Rate	$153.58
Max. Negotiated Rate	$351.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$241.34
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$219.40
Rate for Payer: Aetna Government	$219.40
Rate for Payer: Brighton Health Commercial	$329.10
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$351.04
Rate for Payer: Cigna LocalPlus Benefit Plan	$298.38
Rate for Payer: Group Health Inc Commercial	$219.40
Rate for Payer: Group Health Inc Medicare	$153.58
Rate for Payer: Hamaspik Choice Inc Medicaid	$219.40
Rate for Payer: Hamaspik Choice Inc Medicare	$219.40

STRYKER SOLAR ELBW H COM LG L RT

Facility

$13,898.00

Service Code	HCPCS C1776
Hospital Charge Code	40205157
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$14,592.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,643.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$8,338.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,949.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,991.35
Rate for Payer: EmblemHealth Commercial	$6,949.00
Rate for Payer: Fidelis Medicare Advantage	$14,592.90
Rate for Payer: Group Health Inc Commercial	$6,949.00
Rate for Payer: Group Health Inc Medicare	$4,864.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,949.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,949.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9,033.70

STRYKER SOLAR ELBW H COM LG L RT

Facility

$13,898.00

Service Code	HCPCS C1776
Hospital Charge Code	40205157
Hospital Revenue Code	278
Min. Negotiated Rate	$6,949.00
Max. Negotiated Rate	$6,949.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,949.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,949.00

STRYKER SOLAR ELBW ULNA COMP ST R

Facility

$6,784.00

Service Code	HCPCS C1713
Hospital Charge Code	40205447
Hospital Revenue Code	278
Min. Negotiated Rate	$3,392.00
Max. Negotiated Rate	$3,392.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,392.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,392.00

STRYKER SOLAR ELBW ULNA COMP ST R

Facility

$6,784.00

Service Code	HCPCS C1713
Hospital Charge Code	40205447
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,123.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,731.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,070.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,392.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,900.80
Rate for Payer: EmblemHealth Commercial	$3,392.00
Rate for Payer: Fidelis Medicare Advantage	$7,123.20
Rate for Payer: Group Health Inc Commercial	$3,392.00
Rate for Payer: Group Health Inc Medicare	$2,374.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,392.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,392.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,409.60

STRYKER SOLID STEP DRILL

Facility

$328.00

Hospital Charge Code	40204667
Hospital Revenue Code	272
Min. Negotiated Rate	$114.80
Max. Negotiated Rate	$262.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$180.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$164.00
Rate for Payer: Aetna Government	$164.00
Rate for Payer: Brighton Health Commercial	$246.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$262.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$223.04
Rate for Payer: Group Health Inc Commercial	$164.00
Rate for Payer: Group Health Inc Medicare	$114.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$164.00
Rate for Payer: Hamaspik Choice Inc Medicare	$164.00

STRYKER SPINE 3.5X60MM ROD

Facility

$543.16

Hospital Charge Code	40204469
Hospital Revenue Code	272
Min. Negotiated Rate	$190.11
Max. Negotiated Rate	$434.53
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$298.74
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$271.58
Rate for Payer: Aetna Government	$271.58
Rate for Payer: Brighton Health Commercial	$407.37
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$434.53
Rate for Payer: Cigna LocalPlus Benefit Plan	$369.35
Rate for Payer: Group Health Inc Commercial	$271.58
Rate for Payer: Group Health Inc Medicare	$190.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$271.58
Rate for Payer: Hamaspik Choice Inc Medicare	$271.58

STRYKER SPINE 6.5MMX35MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205259
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,548.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,858.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,027.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,689.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,943.47
Rate for Payer: EmblemHealth Commercial	$1,689.97
Rate for Payer: Fidelis Medicare Advantage	$3,548.94
Rate for Payer: Group Health Inc Commercial	$1,689.97
Rate for Payer: Group Health Inc Medicare	$1,182.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,689.97
Rate for Payer: Hamaspik Choice Inc Medicare	$1,689.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,196.96

STRYKER SPINE 6.5MMX35MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205259
Hospital Revenue Code	278
Min. Negotiated Rate	$1,689.97
Max. Negotiated Rate	$1,689.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,689.97
Rate for Payer: Hamaspik Choice Inc Medicare	$1,689.97

STRYKER SPINE 7.5MMX30MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205261
Hospital Revenue Code	278
Min. Negotiated Rate	$1,689.97
Max. Negotiated Rate	$1,689.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,689.97
Rate for Payer: Hamaspik Choice Inc Medicare	$1,689.97

STRYKER SPINE 7.5MMX30MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205261
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,548.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,858.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,027.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,689.97
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,943.47
Rate for Payer: EmblemHealth Commercial	$1,689.97
Rate for Payer: Fidelis Medicare Advantage	$3,548.94
Rate for Payer: Group Health Inc Commercial	$1,689.97
Rate for Payer: Group Health Inc Medicare	$1,182.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,689.97
Rate for Payer: Hamaspik Choice Inc Medicare	$1,689.97
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,196.96

STRYKER SPINE ALLOCRAFT DBM 10CC

Facility

$2,170.00

Service Code	HCPCS C1776
Hospital Charge Code	40205007
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,278.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,193.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,302.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,085.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,247.75
Rate for Payer: EmblemHealth Commercial	$1,085.00
Rate for Payer: Fidelis Medicare Advantage	$2,278.50
Rate for Payer: Group Health Inc Commercial	$1,085.00
Rate for Payer: Group Health Inc Medicare	$759.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,085.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,085.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,410.50

STRYKER SPINE ALLOCRAFT DBM 10CC

Facility

$2,170.00

Service Code	HCPCS C1776
Hospital Charge Code	40205007
Hospital Revenue Code	278
Min. Negotiated Rate	$1,085.00
Max. Negotiated Rate	$1,085.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,085.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,085.00

STRYKER SPINE ALLOCRFT DBM 10CC

Facility

$2,917.22

Service Code	HCPCS C1713
Hospital Charge Code	40208152
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,063.08
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,604.47
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,750.33
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,458.61
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,677.40
Rate for Payer: EmblemHealth Commercial	$1,458.61
Rate for Payer: Fidelis Medicare Advantage	$3,063.08
Rate for Payer: Group Health Inc Commercial	$1,458.61
Rate for Payer: Group Health Inc Medicare	$1,021.03
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,458.61
Rate for Payer: Hamaspik Choice Inc Medicare	$1,458.61
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,896.19

STRYKER SPINE ALLOCRFT DBM 10CC

Facility

$2,917.22

Service Code	HCPCS C1713
Hospital Charge Code	40208152
Hospital Revenue Code	278
Min. Negotiated Rate	$1,458.61
Max. Negotiated Rate	$1,458.61
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,458.61
Rate for Payer: Hamaspik Choice Inc Medicare	$1,458.61

STRYKER SPINE BONE GRAFT SUB 10CC

Facility

$8,400.00

Service Code	HCPCS C1713
Hospital Charge Code	40205804
Hospital Revenue Code	278
Min. Negotiated Rate	$4,200.00
Max. Negotiated Rate	$4,200.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,200.00

STRYKER SPINE BONE GRAFT SUB 10CC

Facility

$8,400.00

Service Code	HCPCS C1713
Hospital Charge Code	40205804
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,820.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,620.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,040.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,200.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,830.00
Rate for Payer: EmblemHealth Commercial	$4,200.00
Rate for Payer: Fidelis Medicare Advantage	$8,820.00
Rate for Payer: Group Health Inc Commercial	$4,200.00
Rate for Payer: Group Health Inc Medicare	$2,940.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,200.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,200.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,460.00

STRYKER SPINE OASYS BA 3.5X10MM

Facility

$2,107.54

Service Code	HCPCS C1776
Hospital Charge Code	40205008
Hospital Revenue Code	278
Min. Negotiated Rate	$1,053.77
Max. Negotiated Rate	$1,053.77
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,053.77
Rate for Payer: Hamaspik Choice Inc Medicare	$1,053.77

Know your out-of-pocket cost for care.

All Charges