St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER TOTAL KNEE TIBIAL BASEPLT

Facility

$3,288.60

Service Code	HCPCS C1776
Hospital Charge Code	40029624
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,453.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,808.73
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,973.16
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,644.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,890.94
Rate for Payer: EmblemHealth Commercial	$1,644.30
Rate for Payer: Fidelis Medicare Advantage	$3,453.03
Rate for Payer: Group Health Inc Commercial	$1,644.30
Rate for Payer: Group Health Inc Medicare	$1,151.01
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,644.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,644.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,137.59

STRYKER TOTAL STABILIZER T/I #5

Facility

$6,720.00

Service Code	HCPCS C1713
Hospital Charge Code	40205820
Hospital Revenue Code	278
Min. Negotiated Rate	$3,360.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,360.00

STRYKER TOTAL STABILIZER T/I #5

Facility

$6,720.00

Service Code	HCPCS C1713
Hospital Charge Code	40205820
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,056.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,696.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,032.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,360.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,864.00
Rate for Payer: EmblemHealth Commercial	$3,360.00
Rate for Payer: Fidelis Medicare Advantage	$7,056.00
Rate for Payer: Group Health Inc Commercial	$3,360.00
Rate for Payer: Group Health Inc Medicare	$2,352.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,360.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,360.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,368.00

STRYKER T-PLATE 1.7MM

Facility

$408.80

Service Code	HCPCS C1713
Hospital Charge Code	40209607
Hospital Revenue Code	278
Min. Negotiated Rate	$204.40
Max. Negotiated Rate	$204.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.40
Rate for Payer: Hamaspik Choice Inc Medicare	$204.40

STRYKER T-PLATE 1.7MM

Facility

$408.80

Service Code	HCPCS C1713
Hospital Charge Code	40209607
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$429.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$245.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$204.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$235.06
Rate for Payer: EmblemHealth Commercial	$204.40
Rate for Payer: Fidelis Medicare Advantage	$429.24
Rate for Payer: Group Health Inc Commercial	$204.40
Rate for Payer: Group Health Inc Medicare	$143.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$204.40
Rate for Payer: Hamaspik Choice Inc Medicare	$204.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$265.72

STRYKER TRANSFXNG PINS 60X250MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	40205558
Hospital Revenue Code	278
Min. Negotiated Rate	$80.85
Max. Negotiated Rate	$242.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$127.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$138.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$115.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$132.82
Rate for Payer: EmblemHealth Commercial	$115.50
Rate for Payer: Fidelis Medicare Advantage	$242.55
Rate for Payer: Group Health Inc Commercial	$115.50
Rate for Payer: Group Health Inc Medicare	$80.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.50
Rate for Payer: Hamaspik Choice Inc Medicare	$115.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$150.15

STRYKER TRANSFXNG PINS 60X250MM

Facility

$231.00

Service Code	HCPCS C1713
Hospital Charge Code	40205558
Hospital Revenue Code	278
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$115.50
Rate for Payer: Hamaspik Choice Inc Medicare	$115.50

STRYKER TRI #3X11MM TIB B/I PS

Facility

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205219
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 TRI #3X11MM TIB B/I PS

Facility

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205219
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 TRIATHLON 3X13MM TIB B/I

Facility

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205288
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 TRIATHLON 3X13MM TIB B/I

Facility

$6,040.00

Service Code	HCPCS C1776
Hospital Charge Code	40205288
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 TRIDENT CERAMIC INSRT HIP

Facility

$4,614.00

Service Code	HCPCS C1776
Hospital Charge Code	40029617
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,844.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,537.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,768.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,307.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,653.05
Rate for Payer: EmblemHealth Commercial	$2,307.00
Rate for Payer: Fidelis Medicare Advantage	$4,844.70
Rate for Payer: Group Health Inc Commercial	$2,307.00
Rate for Payer: Group Health Inc Medicare	$1,614.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,307.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,307.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,999.10

STRYKER TRIDENT CERAMIC INSRT HIP

Facility

$4,614.00

Service Code	HCPCS C1776
Hospital Charge Code	40029617
Hospital Revenue Code	278
Min. Negotiated Rate	$2,307.00
Max. Negotiated Rate	$2,307.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,307.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,307.00

STRYKER TRI P/S FEMORAL 6 LFT

Facility

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205609
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$9,298.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,870.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$5,313.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,428.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,092.20
Rate for Payer: EmblemHealth Commercial	$4,428.00
Rate for Payer: Fidelis Medicare Advantage	$9,298.80
Rate for Payer: Group Health Inc Commercial	$4,428.00
Rate for Payer: Group Health Inc Medicare	$3,099.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,756.40

STRYKER TRI P/S FEMORAL 6 LFT

Facility

$8,856.00

Service Code	HCPCS C1776
Hospital Charge Code	40205609
Hospital Revenue Code	278
Min. Negotiated Rate	$4,428.00
Max. Negotiated Rate	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,428.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,428.00

STRYKER TRI TOTL K TIB BAS PLTSZ7

Facility

$4,662.00

Service Code	HCPCS C1776
Hospital Charge Code	40206073
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,895.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,564.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,797.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,331.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,680.65
Rate for Payer: EmblemHealth Commercial	$2,331.00
Rate for Payer: Fidelis Medicare Advantage	$4,895.10
Rate for Payer: Group Health Inc Commercial	$2,331.00
Rate for Payer: Group Health Inc Medicare	$1,631.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,331.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,331.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,030.30

STRYKER TRI TOTL K TIB BAS PLTSZ7

Facility

$4,662.00

Service Code	HCPCS C1776
Hospital Charge Code	40206073
Hospital Revenue Code	278
Min. Negotiated Rate	$2,331.00
Max. Negotiated Rate	$2,331.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,331.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,331.00

STRYKER TROCHANT/NAIL 11X180MM

Facility

$2,528.00

Service Code	HCPCS C1713
Hospital Charge Code	40205194
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,654.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,390.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,516.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,264.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,453.60
Rate for Payer: EmblemHealth Commercial	$1,264.00
Rate for Payer: Fidelis Medicare Advantage	$2,654.40
Rate for Payer: Group Health Inc Commercial	$1,264.00
Rate for Payer: Group Health Inc Medicare	$884.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,643.20

STRYKER TROCHANT/NAIL 11X180MM

Facility

$2,528.00

Service Code	HCPCS C1713
Hospital Charge Code	40205194
Hospital Revenue Code	278
Min. Negotiated Rate	$1,264.00
Max. Negotiated Rate	$1,264.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,264.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,264.00

STRYKER TWIST DRILL 1.6X35MM

Facility

$533.92

Hospital Charge Code	40204686
Hospital Revenue Code	272
Min. Negotiated Rate	$186.87
Max. Negotiated Rate	$427.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$293.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$266.96
Rate for Payer: Aetna Government	$266.96
Rate for Payer: Brighton Health Commercial	$400.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$427.14
Rate for Payer: Cigna LocalPlus Benefit Plan	$363.07
Rate for Payer: Group Health Inc Commercial	$266.96
Rate for Payer: Group Health Inc Medicare	$186.87
Rate for Payer: Hamaspik Choice Inc Medicaid	$266.96
Rate for Payer: Hamaspik Choice Inc Medicare	$266.96

STRYKER UH B/P COMP 53MMX26MM

Facility

$2,149.00

Service Code	HCPCS C1713
Hospital Charge Code	40205953
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$2,256.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,181.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,289.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,074.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,235.68
Rate for Payer: EmblemHealth Commercial	$1,074.50
Rate for Payer: Fidelis Medicare Advantage	$2,256.45
Rate for Payer: Group Health Inc Commercial	$1,074.50
Rate for Payer: Group Health Inc Medicare	$752.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,074.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,396.85

STRYKER UH B/P COMP 53MMX26MM

Facility

$2,149.00

Service Code	HCPCS C1713
Hospital Charge Code	40205953
Hospital Revenue Code	278
Min. Negotiated Rate	$1,074.50
Max. Negotiated Rate	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicare	$1,074.50

STRYKER UHR BI/ COMP 49MMX26MM

Facility

$3,010.00

Service Code	HCPCS C1776
Hospital Charge Code	40205784
Hospital Revenue Code	278
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,505.00

STRYKER UHR BI/ COMP 49MMX26MM

Facility

$3,010.00

Service Code	HCPCS C1776
Hospital Charge Code	40205784
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,160.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,655.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,806.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,505.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,730.75
Rate for Payer: EmblemHealth Commercial	$1,505.00
Rate for Payer: Fidelis Medicare Advantage	$3,160.50
Rate for Payer: Group Health Inc Commercial	$1,505.00
Rate for Payer: Group Health Inc Medicare	$1,053.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,505.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,956.50

STRYKER UHR BI/COMP 58MMX28MM

Facility

$3,010.00

Service Code	HCPCS C1713
Hospital Charge Code	40205913
Hospital Revenue Code	278
Min. Negotiated Rate	$1,505.00
Max. Negotiated Rate	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,505.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,505.00

Know your out-of-pocket cost for care.

All Charges