St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$339.17
Max. Negotiated Rate	$2,212.92
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,159.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,264.52
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,053.77
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,211.84
Rate for Payer: EmblemHealth Commercial	$1,053.77
Rate for Payer: Fidelis Medicare Advantage	$2,212.92
Rate for Payer: Group Health Inc Commercial	$1,053.77
Rate for Payer: Group Health Inc Medicare	$737.64
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,053.77
Rate for Payer: Hamaspik Choice Inc Medicare	$1,053.77
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,369.90

STRYKER SPINE OASYS ROD3.5MMX80MM

Facility

$630.00

Service Code	HCPCS C1776
Hospital Charge Code	40201422
Hospital Revenue Code	278
Min. Negotiated Rate	$315.00
Max. Negotiated Rate	$315.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$315.00
Rate for Payer: Hamaspik Choice Inc Medicare	$315.00

STRYKER SPINE OASYS ROD3.5MMX80MM

Facility

$630.00

Service Code	HCPCS C1776
Hospital Charge Code	40201422
Hospital Revenue Code	278
Min. Negotiated Rate	$220.50
Max. Negotiated Rate	$661.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$346.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$378.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$315.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$362.25
Rate for Payer: EmblemHealth Commercial	$315.00
Rate for Payer: Fidelis Medicare Advantage	$661.50
Rate for Payer: Group Health Inc Commercial	$315.00
Rate for Payer: Group Health Inc Medicare	$220.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$315.00
Rate for Payer: Hamaspik Choice Inc Medicare	$315.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$409.50

STRYKER SPINE SCREW 14MM NONBIAS

Facility

$2,683.00

Service Code	HCPCS C1713
Hospital Charge Code	40205801
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,817.15
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,475.65
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,609.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,341.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,542.72
Rate for Payer: EmblemHealth Commercial	$1,341.50
Rate for Payer: Fidelis Medicare Advantage	$2,817.15
Rate for Payer: Group Health Inc Commercial	$1,341.50
Rate for Payer: Group Health Inc Medicare	$939.05
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,341.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,341.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,743.95

STRYKER SPINE SCREW 14MM NONBIAS

Facility

$2,683.00

Service Code	HCPCS C1713
Hospital Charge Code	40205801
Hospital Revenue Code	278
Min. Negotiated Rate	$1,341.50
Max. Negotiated Rate	$1,341.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,341.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,341.50

STRYKER SPINE SCREW 6.6MMX40MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205260
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 SCREW 6.6MMX40MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205260
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 STEP K-WIRE W OLIVE STOP

Facility

$46.20

Service Code	HCPCS C1776
Hospital Charge Code	40205207
Hospital Revenue Code	278
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$339.17
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$25.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$27.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$23.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$26.56
Rate for Payer: EmblemHealth Commercial	$23.10
Rate for Payer: Fidelis Medicare Advantage	$48.51
Rate for Payer: Group Health Inc Commercial	$23.10
Rate for Payer: Group Health Inc Medicare	$16.17
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.10
Rate for Payer: Hamaspik Choice Inc Medicare	$23.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$30.03

STRYKER STEP K-WIRE W OLIVE STOP

Facility

$46.20

Service Code	HCPCS C1776
Hospital Charge Code	40205207
Hospital Revenue Code	278
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$23.10
Rate for Payer: Hamaspik Choice Inc Medicare	$23.10

STRYKER STRAIGHT POST

Facility

$151.20

Hospital Charge Code	40209418
Hospital Revenue Code	270
Min. Negotiated Rate	$52.92
Max. Negotiated Rate	$120.96
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$83.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$75.60
Rate for Payer: Aetna Government	$75.60
Rate for Payer: Brighton Health Commercial	$113.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$120.96
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.82
Rate for Payer: Group Health Inc Commercial	$75.60
Rate for Payer: Group Health Inc Medicare	$52.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$75.60
Rate for Payer: Hamaspik Choice Inc Medicare	$75.60

STRYKER SYMMETRIC PATELLA 36X10MM

Facility

$2,996.00

Service Code	HCPCS C1776
Hospital Charge Code	40205669
Hospital Revenue Code	278
Min. Negotiated Rate	$1,498.00
Max. Negotiated Rate	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,498.00

STRYKER SYMMETRIC PATELLA 36X10MM

Facility

$2,996.00

Service Code	HCPCS C1776
Hospital Charge Code	40205669
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,145.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,647.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,797.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,498.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,722.70
Rate for Payer: EmblemHealth Commercial	$1,498.00
Rate for Payer: Fidelis Medicare Advantage	$3,145.80
Rate for Payer: Group Health Inc Commercial	$1,498.00
Rate for Payer: Group Health Inc Medicare	$1,048.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,498.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,498.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,947.40

STRYKER SYS REAMER SHAFT 8.5MM

Facility

$806.00

Hospital Charge Code	40205422
Hospital Revenue Code	270
Min. Negotiated Rate	$282.10
Max. Negotiated Rate	$644.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$443.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$403.00
Rate for Payer: Aetna Government	$403.00
Rate for Payer: Brighton Health Commercial	$604.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$644.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$548.08
Rate for Payer: Group Health Inc Commercial	$403.00
Rate for Payer: Group Health Inc Medicare	$282.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$403.00
Rate for Payer: Hamaspik Choice Inc Medicare	$403.00

STRYKER SYS REAMER SHAFT 8X510MM

Facility

$631.00

Hospital Charge Code	40205332
Hospital Revenue Code	270
Min. Negotiated Rate	$220.85
Max. Negotiated Rate	$504.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$347.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$315.50
Rate for Payer: Aetna Government	$315.50
Rate for Payer: Brighton Health Commercial	$473.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$504.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$429.08
Rate for Payer: Group Health Inc Commercial	$315.50
Rate for Payer: Group Health Inc Medicare	$220.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$315.50
Rate for Payer: Hamaspik Choice Inc Medicare	$315.50

STRYKER T2 FEMORAL/NAIL L 12X360

Facility

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205268
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,208.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,728.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,976.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,480.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,852.00
Rate for Payer: EmblemHealth Commercial	$2,480.00
Rate for Payer: Fidelis Medicare Advantage	$5,208.00
Rate for Payer: Group Health Inc Commercial	$2,480.00
Rate for Payer: Group Health Inc Medicare	$1,736.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,224.00

STRYKER T2 FEMORAL/NAIL L 12X360

Facility

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205268
Hospital Revenue Code	278
Min. Negotiated Rate	$2,480.00
Max. Negotiated Rate	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00

STRYKER T2 FEMORAL N/LFT 12X400MM

Facility

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205661
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,208.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,728.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,976.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,480.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,852.00
Rate for Payer: EmblemHealth Commercial	$2,480.00
Rate for Payer: Fidelis Medicare Advantage	$5,208.00
Rate for Payer: Group Health Inc Commercial	$2,480.00
Rate for Payer: Group Health Inc Medicare	$1,736.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,224.00

STRYKER T2 FEMORAL N/LFT 12X400MM

Facility

$4,960.00

Service Code	HCPCS C1713
Hospital Charge Code	40205661
Hospital Revenue Code	278
Min. Negotiated Rate	$2,480.00
Max. Negotiated Rate	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,480.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,480.00

STRYKER T2 FEMUR 9X380MM

Facility

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205587
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,270.75
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,713.25
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,869.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,557.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,791.12
Rate for Payer: EmblemHealth Commercial	$1,557.50
Rate for Payer: Fidelis Medicare Advantage	$3,270.75
Rate for Payer: Group Health Inc Commercial	$1,557.50
Rate for Payer: Group Health Inc Medicare	$1,090.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,024.75

STRYKER T2 FEMUR 9X380MM

Facility

$3,115.00

Service Code	HCPCS C1713
Hospital Charge Code	40205587
Hospital Revenue Code	278
Min. Negotiated Rate	$1,557.50
Max. Negotiated Rate	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,557.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,557.50

STRYKER T2 GTN 10MMX420MM NAIL RT

Facility

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40206230
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,919.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,184.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,052.10
Rate for Payer: EmblemHealth Commercial	$2,654.00
Rate for Payer: Fidelis Medicare Advantage	$5,573.40
Rate for Payer: Group Health Inc Commercial	$2,654.00
Rate for Payer: Group Health Inc Medicare	$1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,450.20

STRYKER T2 GTN 10MMX420MM NAIL RT

Facility

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40206230
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

STRYKER T2 GTN 12MMX400 FEM N RGT

Facility

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40209984
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$5,573.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,919.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,184.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,654.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,052.10
Rate for Payer: EmblemHealth Commercial	$2,654.00
Rate for Payer: Fidelis Medicare Advantage	$5,573.40
Rate for Payer: Group Health Inc Commercial	$2,654.00
Rate for Payer: Group Health Inc Medicare	$1,857.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,450.20

STRYKER T2 GTN 12MMX400 FEM N RGT

Facility

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40209984
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

STRYKER T2 GTN FEMORAL NAIL RGHT

Facility

$5,308.00

Service Code	HCPCS C1713
Hospital Charge Code	40209636
Hospital Revenue Code	278
Min. Negotiated Rate	$2,654.00
Max. Negotiated Rate	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,654.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,654.00

Know your out-of-pocket cost for care.

All Charges