St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER UHR BI/COMP 58MMX28MM

Facility

$3,010.00

Service Code	HCPCS C1713
Hospital Charge Code	40205913
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,160.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,655.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 UNIV B/P COMP 51MMX28

Facility

$3,070.00

Service Code	HCPCS C1713
Hospital Charge Code	40205791
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,223.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,688.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,842.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,535.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,765.25
Rate for Payer: EmblemHealth Commercial	$1,535.00
Rate for Payer: Fidelis Medicare Advantage	$3,223.50
Rate for Payer: Group Health Inc Commercial	$1,535.00
Rate for Payer: Group Health Inc Medicare	$1,074.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,535.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,535.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,995.50

STRYKER UHR UNIV B/P COMP 51MMX28

Facility

$3,070.00

Service Code	HCPCS C1713
Hospital Charge Code	40205791
Hospital Revenue Code	278
Min. Negotiated Rate	$1,535.00
Max. Negotiated Rate	$1,535.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,535.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,535.00

STRYKER UN3 COVER,10MM W/TAB

Facility

$407.30

Service Code	HCPCS C1713
Hospital Charge Code	40203407
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$427.66
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$224.02
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$244.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$203.65
Rate for Payer: Cigna LocalPlus Benefit Plan	$234.20
Rate for Payer: EmblemHealth Commercial	$203.65
Rate for Payer: Fidelis Medicare Advantage	$427.66
Rate for Payer: Group Health Inc Commercial	$203.65
Rate for Payer: Group Health Inc Medicare	$142.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.65
Rate for Payer: Hamaspik Choice Inc Medicare	$203.65
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$264.74

STRYKER UN3 COVER,10MM W/TAB

Facility

$407.30

Service Code	HCPCS C1713
Hospital Charge Code	40203407
Hospital Revenue Code	278
Min. Negotiated Rate	$203.65
Max. Negotiated Rate	$203.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$203.65
Rate for Payer: Hamaspik Choice Inc Medicare	$203.65

STRYKER UN3 STRAIGHT PLATE 16HOLE

Facility

$515.42

Service Code	HCPCS C1713
Hospital Charge Code	40203426
Hospital Revenue Code	278
Min. Negotiated Rate	$257.71
Max. Negotiated Rate	$257.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$257.71
Rate for Payer: Hamaspik Choice Inc Medicare	$257.71

STRYKER UN3 STRAIGHT PLATE 16HOLE

Facility

$515.42

Service Code	HCPCS C1713
Hospital Charge Code	40203426
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$541.19
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$283.48
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$309.25
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$257.71
Rate for Payer: Cigna LocalPlus Benefit Plan	$296.37
Rate for Payer: EmblemHealth Commercial	$257.71
Rate for Payer: Fidelis Medicare Advantage	$541.19
Rate for Payer: Group Health Inc Commercial	$257.71
Rate for Payer: Group Health Inc Medicare	$180.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$257.71
Rate for Payer: Hamaspik Choice Inc Medicare	$257.71
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$335.02

STRYKER UNIVERSAL FEM HEAD

Facility

$2,338.20

Service Code	HCPCS C1776
Hospital Charge Code	40029619
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,455.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,286.01
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,402.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,169.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,344.46
Rate for Payer: EmblemHealth Commercial	$1,169.10
Rate for Payer: Fidelis Medicare Advantage	$2,455.11
Rate for Payer: Group Health Inc Commercial	$1,169.10
Rate for Payer: Group Health Inc Medicare	$818.37
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,169.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,169.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,519.83

STRYKER UNIVERSAL FEM HEAD

Facility

$2,338.20

Service Code	HCPCS C1776
Hospital Charge Code	40029619
Hospital Revenue Code	278
Min. Negotiated Rate	$1,169.10
Max. Negotiated Rate	$1,169.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,169.10
Rate for Payer: Hamaspik Choice Inc Medicare	$1,169.10

STRYKER UNIV HEAD COMP 49X28MM

Facility

$3,010.00

Service Code	HCPCS C1776
Hospital Charge Code	40205533
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 UNIV HEAD COMP 49X28MM

Facility

$3,010.00

Service Code	HCPCS C1776
Hospital Charge Code	40205533
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 VARIAX CANN SCREW 3.0MM

Facility

$534.00

Service Code	HCPCS C1713
Hospital Charge Code	40205561
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$560.70
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$293.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$320.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$267.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$307.05
Rate for Payer: EmblemHealth Commercial	$267.00
Rate for Payer: Fidelis Medicare Advantage	$560.70
Rate for Payer: Group Health Inc Commercial	$267.00
Rate for Payer: Group Health Inc Medicare	$186.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$267.00
Rate for Payer: Hamaspik Choice Inc Medicare	$267.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$347.10

STRYKER VARIAX CANN SCREW 3.0MM

Facility

$534.00

Service Code	HCPCS C1713
Hospital Charge Code	40205561
Hospital Revenue Code	278
Min. Negotiated Rate	$267.00
Max. Negotiated Rate	$267.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$267.00
Rate for Payer: Hamaspik Choice Inc Medicare	$267.00

STRYKER VARIAX CANN SCRW 3.0

Facility

$355.60

Service Code	HCPCS C1713
Hospital Charge Code	40205220
Hospital Revenue Code	278
Min. Negotiated Rate	$124.46
Max. Negotiated Rate	$373.38
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$195.58
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$213.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$177.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$204.47
Rate for Payer: EmblemHealth Commercial	$177.80
Rate for Payer: Fidelis Medicare Advantage	$373.38
Rate for Payer: Group Health Inc Commercial	$177.80
Rate for Payer: Group Health Inc Medicare	$124.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.80
Rate for Payer: Hamaspik Choice Inc Medicare	$177.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$231.14

STRYKER VARIAX CANN SCRW 3.0

Facility

$355.60

Service Code	HCPCS C1713
Hospital Charge Code	40205220
Hospital Revenue Code	278
Min. Negotiated Rate	$177.80
Max. Negotiated Rate	$177.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.80
Rate for Payer: Hamaspik Choice Inc Medicare	$177.80

STRYKER VARIAX FIB PLT 6-HOLE

Facility

$1,024.80

Service Code	HCPCS C1713
Hospital Charge Code	40206099
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,076.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$563.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$614.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$512.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$589.26
Rate for Payer: EmblemHealth Commercial	$512.40
Rate for Payer: Fidelis Medicare Advantage	$1,076.04
Rate for Payer: Group Health Inc Commercial	$512.40
Rate for Payer: Group Health Inc Medicare	$358.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$512.40
Rate for Payer: Hamaspik Choice Inc Medicare	$512.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$666.12

STRYKER VARIAX FIB PLT 6-HOLE

Facility

$1,024.80

Service Code	HCPCS C1713
Hospital Charge Code	40206099
Hospital Revenue Code	278
Min. Negotiated Rate	$512.40
Max. Negotiated Rate	$512.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$512.40
Rate for Payer: Hamaspik Choice Inc Medicare	$512.40

STRYKER VARIAX FIB PLT 9H

Facility

$1,226.00

Service Code	HCPCS C1713
Hospital Charge Code	40205931
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,287.30
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$674.30
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$735.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$613.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$704.95
Rate for Payer: EmblemHealth Commercial	$613.00
Rate for Payer: Fidelis Medicare Advantage	$1,287.30
Rate for Payer: Group Health Inc Commercial	$613.00
Rate for Payer: Group Health Inc Medicare	$429.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$613.00
Rate for Payer: Hamaspik Choice Inc Medicare	$613.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$796.90

STRYKER VARIAX FIB PLT 9H

Facility

$1,226.00

Service Code	HCPCS C1713
Hospital Charge Code	40205931
Hospital Revenue Code	278
Min. Negotiated Rate	$613.00
Max. Negotiated Rate	$613.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$613.00
Rate for Payer: Hamaspik Choice Inc Medicare	$613.00

STRYKER VARIAX FIBULAR PLATE 4H

Facility

$891.00

Service Code	HCPCS C1776
Hospital Charge Code	40208082
Hospital Revenue Code	278
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$935.55
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$490.05
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$534.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$445.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$512.32
Rate for Payer: EmblemHealth Commercial	$445.50
Rate for Payer: Fidelis Medicare Advantage	$935.55
Rate for Payer: Group Health Inc Commercial	$445.50
Rate for Payer: Group Health Inc Medicare	$311.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.50
Rate for Payer: Hamaspik Choice Inc Medicare	$445.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$579.15

STRYKER VARIAX FIBULAR PLATE 4H

Facility

$891.00

Service Code	HCPCS C1776
Hospital Charge Code	40208082
Hospital Revenue Code	278
Min. Negotiated Rate	$445.50
Max. Negotiated Rate	$445.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.50
Rate for Payer: Hamaspik Choice Inc Medicare	$445.50

STRYKER VARIAX FIBULAR PLATE 5H

Facility

$1,024.80

Service Code	HCPCS C1776
Hospital Charge Code	40205142
Hospital Revenue Code	278
Min. Negotiated Rate	$512.40
Max. Negotiated Rate	$512.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$512.40
Rate for Payer: Hamaspik Choice Inc Medicare	$512.40

STRYKER VARIAX FIBULAR PLATE 5H

Facility

$1,024.80

Service Code	HCPCS C1776
Hospital Charge Code	40205142
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,076.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$563.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$614.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$512.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$589.26
Rate for Payer: EmblemHealth Commercial	$512.40
Rate for Payer: Fidelis Medicare Advantage	$1,076.04
Rate for Payer: Group Health Inc Commercial	$512.40
Rate for Payer: Group Health Inc Medicare	$358.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$512.40
Rate for Payer: Hamaspik Choice Inc Medicare	$512.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$666.12

STRYKER VARIAX FIBULAR PLATE 8H

Facility

$1,226.40

Service Code	HCPCS C1713
Hospital Charge Code	40205752
Hospital Revenue Code	278
Min. Negotiated Rate	$613.20
Max. Negotiated Rate	$613.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$613.20
Rate for Payer: Hamaspik Choice Inc Medicare	$613.20

STRYKER VARIAX FIBULAR PLATE 8H

Facility

$1,226.40

Service Code	HCPCS C1713
Hospital Charge Code	40205752
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,287.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$674.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$735.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$613.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$705.18
Rate for Payer: EmblemHealth Commercial	$613.20
Rate for Payer: Fidelis Medicare Advantage	$1,287.72
Rate for Payer: Group Health Inc Commercial	$613.20
Rate for Payer: Group Health Inc Medicare	$429.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$613.20
Rate for Payer: Hamaspik Choice Inc Medicare	$613.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$797.16

Know your out-of-pocket cost for care.

All Charges