St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

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	$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 KIDS SYS 2.5 PRE CURVD

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	40205314
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$703.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$368.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$402.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$335.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$385.25
Rate for Payer: EmblemHealth Commercial	$335.00
Rate for Payer: Fidelis Medicare Advantage	$703.50
Rate for Payer: Group Health Inc Commercial	$335.00
Rate for Payer: Group Health Inc Medicare	$234.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$335.00
Rate for Payer: Hamaspik Choice Inc Medicare	$335.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$435.50

STRYKER T2 KIDS SYS 2.5 PRE CURVD

Facility

$670.00

Service Code	HCPCS C1713
Hospital Charge Code	40205314
Hospital Revenue Code	278
Min. Negotiated Rate	$335.00
Max. Negotiated Rate	$335.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$335.00
Rate for Payer: Hamaspik Choice Inc Medicare	$335.00

STRYKER T2 SCN 10X300-320MM

Facility

$3,623.20

Service Code	HCPCS C1713
Hospital Charge Code	40205895
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,804.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,992.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,173.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,811.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,083.34
Rate for Payer: EmblemHealth Commercial	$1,811.60
Rate for Payer: Fidelis Medicare Advantage	$3,804.36
Rate for Payer: Group Health Inc Commercial	$1,811.60
Rate for Payer: Group Health Inc Medicare	$1,268.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,811.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,811.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,355.08

STRYKER T2 SCN 10X300-320MM

Facility

$3,623.20

Service Code	HCPCS C1713
Hospital Charge Code	40205895
Hospital Revenue Code	278
Min. Negotiated Rate	$1,811.60
Max. Negotiated Rate	$1,811.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,811.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,811.60

STRYKER T2 SCN 11 X400MM

Facility

$3,805.20

Service Code	HCPCS C1713
Hospital Charge Code	40205759
Hospital Revenue Code	278
Min. Negotiated Rate	$1,902.60
Max. Negotiated Rate	$1,902.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,902.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,902.60

STRYKER T2 SCN 11 X400MM

Facility

$3,805.20

Service Code	HCPCS C1713
Hospital Charge Code	40205759
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,995.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,092.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,283.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,902.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,187.99
Rate for Payer: EmblemHealth Commercial	$1,902.60
Rate for Payer: Fidelis Medicare Advantage	$3,995.46
Rate for Payer: Group Health Inc Commercial	$1,902.60
Rate for Payer: Group Health Inc Medicare	$1,331.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,902.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,902.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,473.38

STRYKER TAB 4.5X100

Facility

$218.00

Hospital Charge Code	40203651
Hospital Revenue Code	272
Min. Negotiated Rate	$76.30
Max. Negotiated Rate	$174.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$119.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$109.00
Rate for Payer: Aetna Government	$109.00
Rate for Payer: Brighton Health Commercial	$163.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$174.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$148.24
Rate for Payer: Group Health Inc Commercial	$109.00
Rate for Payer: Group Health Inc Medicare	$76.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$109.00
Rate for Payer: Hamaspik Choice Inc Medicare	$109.00

STRYKER TAP 3.5

Facility

$210.00

Hospital Charge Code	40205417
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$168.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$115.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$105.00
Rate for Payer: Aetna Government	$105.00
Rate for Payer: Brighton Health Commercial	$157.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$168.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$142.80
Rate for Payer: Group Health Inc Commercial	$105.00
Rate for Payer: Group Health Inc Medicare	$73.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$105.00
Rate for Payer: Hamaspik Choice Inc Medicare	$105.00

STRYKER T-BUTTRESS PLATE

Facility

$547.40

Service Code	HCPCS C1713
Hospital Charge Code	40205487
Hospital Revenue Code	278
Min. Negotiated Rate	$273.70
Max. Negotiated Rate	$273.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$273.70
Rate for Payer: Hamaspik Choice Inc Medicare	$273.70

STRYKER T-BUTTRESS PLATE

Facility

$547.40

Service Code	HCPCS C1713
Hospital Charge Code	40205487
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$574.77
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$301.07
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$328.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$273.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$314.76
Rate for Payer: EmblemHealth Commercial	$273.70
Rate for Payer: Fidelis Medicare Advantage	$574.77
Rate for Payer: Group Health Inc Commercial	$273.70
Rate for Payer: Group Health Inc Medicare	$191.59
Rate for Payer: Hamaspik Choice Inc Medicaid	$273.70
Rate for Payer: Hamaspik Choice Inc Medicare	$273.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$355.81

STRYKER TEFLON TUBE STERILE

Facility

$246.00

Hospital Charge Code	40205145
Hospital Revenue Code	270
Min. Negotiated Rate	$86.10
Max. Negotiated Rate	$196.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$135.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$123.00
Rate for Payer: Aetna Government	$123.00
Rate for Payer: Brighton Health Commercial	$184.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$196.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$167.28
Rate for Payer: Group Health Inc Commercial	$123.00
Rate for Payer: Group Health Inc Medicare	$86.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$123.00
Rate for Payer: Hamaspik Choice Inc Medicare	$123.00

STRYKER TIBIAL BEARING INSERT 5

Facility

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205610
Hospital Revenue Code	278
Min. Negotiated Rate	$3,020.00
Max. Negotiated Rate	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,020.00

STRYKER TIBIAL BEARING INSERT 5

Facility

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205610
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,342.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,322.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,624.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,020.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,473.00
Rate for Payer: EmblemHealth Commercial	$3,020.00
Rate for Payer: Fidelis Medicare Advantage	$6,342.00
Rate for Payer: Group Health Inc Commercial	$3,020.00
Rate for Payer: Group Health Inc Medicare	$2,114.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,020.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,020.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,926.00

STRYKER TORQUE LIMITER

Facility

$1,190.00

Service Code	HCPCS C1776
Hospital Charge Code	40205153
Hospital Revenue Code	278
Min. Negotiated Rate	$595.00
Max. Negotiated Rate	$595.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$595.00
Rate for Payer: Hamaspik Choice Inc Medicare	$595.00

STRYKER TORQUE LIMITER

Facility

$1,190.00

Service Code	HCPCS C1776
Hospital Charge Code	40205153
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,249.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$654.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$714.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$595.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$684.25
Rate for Payer: EmblemHealth Commercial	$595.00
Rate for Payer: Fidelis Medicare Advantage	$1,249.50
Rate for Payer: Group Health Inc Commercial	$595.00
Rate for Payer: Group Health Inc Medicare	$416.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$595.00
Rate for Payer: Hamaspik Choice Inc Medicare	$595.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$773.50

STRYKER TOTAL K CEM STM 12MMX50MM

Facility

$2,850.00

Service Code	HCPCS C1776
Hospital Charge Code	40206074
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,992.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,567.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,710.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,425.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,638.75
Rate for Payer: EmblemHealth Commercial	$1,425.00
Rate for Payer: Fidelis Medicare Advantage	$2,992.50
Rate for Payer: Group Health Inc Commercial	$1,425.00
Rate for Payer: Group Health Inc Medicare	$997.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,852.50

STRYKER TOTAL K CEM STM 12MMX50MM

Facility

$2,850.00

Service Code	HCPCS C1776
Hospital Charge Code	40206074
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,425.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,425.00

STRYKER TOTAL KNEE FEM COMPONENT

Facility

$5,405.40

Service Code	HCPCS C1776
Hospital Charge Code	40029623
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,675.67
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,972.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,243.24
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,702.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,108.10
Rate for Payer: EmblemHealth Commercial	$2,702.70
Rate for Payer: Fidelis Medicare Advantage	$5,675.67
Rate for Payer: Group Health Inc Commercial	$2,702.70
Rate for Payer: Group Health Inc Medicare	$1,891.89
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,702.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2,702.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,513.51

STRYKER TOTAL KNEE FEM COMPONENT

Facility

$5,405.40

Service Code	HCPCS C1776
Hospital Charge Code	40029623
Hospital Revenue Code	278
Min. Negotiated Rate	$2,702.70
Max. Negotiated Rate	$2,702.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,702.70
Rate for Payer: Hamaspik Choice Inc Medicare	$2,702.70

STRYKER TOTAL KNEE KRAMTA

Facility

$608.00

Service Code	HCPCS C1776
Hospital Charge Code	40029627
Hospital Revenue Code	278
Min. Negotiated Rate	$212.80
Max. Negotiated Rate	$638.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$334.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$364.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$304.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$349.60
Rate for Payer: EmblemHealth Commercial	$304.00
Rate for Payer: Fidelis Medicare Advantage	$638.40
Rate for Payer: Group Health Inc Commercial	$304.00
Rate for Payer: Group Health Inc Medicare	$212.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$304.00
Rate for Payer: Hamaspik Choice Inc Medicare	$304.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$395.20

STRYKER TOTAL KNEE KRAMTA

Facility

$608.00

Service Code	HCPCS C1776
Hospital Charge Code	40029627
Hospital Revenue Code	278
Min. Negotiated Rate	$304.00
Max. Negotiated Rate	$304.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$304.00
Rate for Payer: Hamaspik Choice Inc Medicare	$304.00

STRYKER TOTAL KNEE SYMM PATELLA

Facility

$1,845.20

Service Code	HCPCS C1776
Hospital Charge Code	40029626
Hospital Revenue Code	278
Min. Negotiated Rate	$922.60
Max. Negotiated Rate	$922.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$922.60
Rate for Payer: Hamaspik Choice Inc Medicare	$922.60

STRYKER TOTAL KNEE SYMM PATELLA

Facility

$1,845.20

Service Code	HCPCS C1776
Hospital Charge Code	40029626
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,937.46
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,014.86
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,107.12
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$922.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,060.99
Rate for Payer: EmblemHealth Commercial	$922.60
Rate for Payer: Fidelis Medicare Advantage	$1,937.46
Rate for Payer: Group Health Inc Commercial	$922.60
Rate for Payer: Group Health Inc Medicare	$645.82
Rate for Payer: Hamaspik Choice Inc Medicaid	$922.60
Rate for Payer: Hamaspik Choice Inc Medicare	$922.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,199.38

STRYKER TOTAL KNEE TIBIAL BASEPLT

Facility

$3,288.60

Service Code	HCPCS C1776
Hospital Charge Code	40029624
Hospital Revenue Code	278
Min. Negotiated Rate	$1,644.30
Max. Negotiated Rate	$1,644.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,644.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,644.30

Know your out-of-pocket cost for care.

All Charges