St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER VARIX FIBULAR PLATE 3 H

Facility

$1,024.80

Service Code	HCPCS C1713
Hospital Charge Code	40205395
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 VARIX FIBULAR PLATE 3 H

Facility

$1,024.80

Service Code	HCPCS C1713
Hospital Charge Code	40205395
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 VASD SCREW 14MM

Facility

$1,120.60

Service Code	HCPCS C1713
Hospital Charge Code	40009296
Hospital Revenue Code	278
Min. Negotiated Rate	$560.30
Max. Negotiated Rate	$560.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$560.30
Rate for Payer: Hamaspik Choice Inc Medicare	$560.30

STRYKER VASD SCREW 14MM

Facility

$1,120.60

Service Code	HCPCS C1713
Hospital Charge Code	40009296
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,176.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$616.33
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$672.36
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$560.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$644.34
Rate for Payer: EmblemHealth Commercial	$560.30
Rate for Payer: Fidelis Medicare Advantage	$1,176.63
Rate for Payer: Group Health Inc Commercial	$560.30
Rate for Payer: Group Health Inc Medicare	$392.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$560.30
Rate for Payer: Hamaspik Choice Inc Medicare	$560.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$728.39

STRYKER V CANN SCRW 3.0MM 22

Facility

$355.60

Service Code	HCPCS C1776
Hospital Charge Code	40208118
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	$339.17
Rate for Payer: Aetna Government	$339.17
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 V CANN SCRW 3.0MM 22

Facility

$355.60

Service Code	HCPCS C1776
Hospital Charge Code	40208118
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 VERTAPLEX HV R/PAQUE B/C

Facility

$257.25

Service Code	HCPCS C1713
Hospital Charge Code	40209455
Hospital Revenue Code	278
Min. Negotiated Rate	$128.62
Max. Negotiated Rate	$128.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.62
Rate for Payer: Hamaspik Choice Inc Medicare	$128.62

STRYKER VERTAPLEX HV R/PAQUE B/C

Facility

$257.25

Service Code	HCPCS C1713
Hospital Charge Code	40209455
Hospital Revenue Code	278
Min. Negotiated Rate	$90.04
Max. Negotiated Rate	$270.11
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$141.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$154.35
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$128.62
Rate for Payer: Cigna LocalPlus Benefit Plan	$147.92
Rate for Payer: EmblemHealth Commercial	$128.62
Rate for Payer: Fidelis Medicare Advantage	$270.11
Rate for Payer: Group Health Inc Commercial	$128.62
Rate for Payer: Group Health Inc Medicare	$90.04
Rate for Payer: Hamaspik Choice Inc Medicaid	$128.62
Rate for Payer: Hamaspik Choice Inc Medicare	$128.62
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$167.21

STRYKER VLIFT CAGE 18X20MM

Facility

$14,350.04

Service Code	HCPCS C1713
Hospital Charge Code	40205237
Hospital Revenue Code	278
Min. Negotiated Rate	$7,175.02
Max. Negotiated Rate	$7,175.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,175.02
Rate for Payer: Hamaspik Choice Inc Medicare	$7,175.02

STRYKER VLIFT CAGE 18X20MM

Facility

$14,350.04

Service Code	HCPCS C1713
Hospital Charge Code	40205237
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$15,067.54
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,892.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$8,610.02
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7,175.02
Rate for Payer: Cigna LocalPlus Benefit Plan	$8,251.27
Rate for Payer: EmblemHealth Commercial	$7,175.02
Rate for Payer: Fidelis Medicare Advantage	$15,067.54
Rate for Payer: Group Health Inc Commercial	$7,175.02
Rate for Payer: Group Health Inc Medicare	$5,022.51
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,175.02
Rate for Payer: Hamaspik Choice Inc Medicare	$7,175.02
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9,327.53

STRYKER VOLAR DR PLATE LONG

Facility

$1,309.00

Service Code	HCPCS C1713
Hospital Charge Code	40205951
Hospital Revenue Code	278
Min. Negotiated Rate	$654.50
Max. Negotiated Rate	$654.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$654.50
Rate for Payer: Hamaspik Choice Inc Medicare	$654.50

STRYKER VOLAR DR PLATE LONG

Facility

$1,309.00

Service Code	HCPCS C1713
Hospital Charge Code	40205951
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,374.45
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$719.95
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$785.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$654.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$752.68
Rate for Payer: EmblemHealth Commercial	$654.50
Rate for Payer: Fidelis Medicare Advantage	$1,374.45
Rate for Payer: Group Health Inc Commercial	$654.50
Rate for Payer: Group Health Inc Medicare	$458.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$654.50
Rate for Payer: Hamaspik Choice Inc Medicare	$654.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$850.85

STRYKER VOLAR DR PLATE RIGHT LONG

Facility

$1,587.60

Service Code	HCPCS C1713
Hospital Charge Code	40205751
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,666.98
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$873.18
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$952.56
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$793.80
Rate for Payer: Cigna LocalPlus Benefit Plan	$912.87
Rate for Payer: EmblemHealth Commercial	$793.80
Rate for Payer: Fidelis Medicare Advantage	$1,666.98
Rate for Payer: Group Health Inc Commercial	$793.80
Rate for Payer: Group Health Inc Medicare	$555.66
Rate for Payer: Hamaspik Choice Inc Medicaid	$793.80
Rate for Payer: Hamaspik Choice Inc Medicare	$793.80
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,031.94

STRYKER VOLAR DR PLATE RIGHT LONG

Facility

$1,587.60

Service Code	HCPCS C1713
Hospital Charge Code	40205751
Hospital Revenue Code	278
Min. Negotiated Rate	$793.80
Max. Negotiated Rate	$793.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$793.80
Rate for Payer: Hamaspik Choice Inc Medicare	$793.80

STRYKER VOLAR DR PLATE SHORT

Facility

$1,039.00

Service Code	HCPCS C1713
Hospital Charge Code	40205950
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,090.95
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$571.45
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$623.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$519.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$597.42
Rate for Payer: EmblemHealth Commercial	$519.50
Rate for Payer: Fidelis Medicare Advantage	$1,090.95
Rate for Payer: Group Health Inc Commercial	$519.50
Rate for Payer: Group Health Inc Medicare	$363.65
Rate for Payer: Hamaspik Choice Inc Medicaid	$519.50
Rate for Payer: Hamaspik Choice Inc Medicare	$519.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$675.35

STRYKER VOLAR DR PLATE SHORT

Facility

$1,039.00

Service Code	HCPCS C1713
Hospital Charge Code	40205950
Hospital Revenue Code	278
Min. Negotiated Rate	$519.50
Max. Negotiated Rate	$519.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$519.50
Rate for Payer: Hamaspik Choice Inc Medicare	$519.50

STRYKER VOLAR NARROW LEFT

Facility

$1,512.00

Service Code	HCPCS C1713
Hospital Charge Code	40205506
Hospital Revenue Code	278
Min. Negotiated Rate	$756.00
Max. Negotiated Rate	$756.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$756.00
Rate for Payer: Hamaspik Choice Inc Medicare	$756.00

STRYKER VOLAR NARROW LEFT

Facility

$1,512.00

Service Code	HCPCS C1713
Hospital Charge Code	40205506
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,587.60
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$831.60
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$907.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$756.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$869.40
Rate for Payer: EmblemHealth Commercial	$756.00
Rate for Payer: Fidelis Medicare Advantage	$1,587.60
Rate for Payer: Group Health Inc Commercial	$756.00
Rate for Payer: Group Health Inc Medicare	$529.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$756.00
Rate for Payer: Hamaspik Choice Inc Medicare	$756.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$982.80

STRYKER VOLAR PLATE

Facility

$1,184.40

Service Code	HCPCS C1713
Hospital Charge Code	40209970
Hospital Revenue Code	278
Min. Negotiated Rate	$592.20
Max. Negotiated Rate	$592.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$592.20
Rate for Payer: Hamaspik Choice Inc Medicare	$592.20

STRYKER VOLAR PLATE

Facility

$1,184.40

Service Code	HCPCS C1713
Hospital Charge Code	40209970
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$1,243.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$651.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$710.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$592.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$681.03
Rate for Payer: EmblemHealth Commercial	$592.20
Rate for Payer: Fidelis Medicare Advantage	$1,243.62
Rate for Payer: Group Health Inc Commercial	$592.20
Rate for Payer: Group Health Inc Medicare	$414.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$592.20
Rate for Payer: Hamaspik Choice Inc Medicare	$592.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$769.86

STRYKER WASHER

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008254
Hospital Revenue Code	278
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00

STRYKER WASHER

Facility

$300.00

Service Code	HCPCS C1713
Hospital Charge Code	40008254
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$315.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$165.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$180.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$150.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$172.50
Rate for Payer: EmblemHealth Commercial	$150.00
Rate for Payer: Fidelis Medicare Advantage	$315.00
Rate for Payer: Group Health Inc Commercial	$150.00
Rate for Payer: Group Health Inc Medicare	$105.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$150.00
Rate for Payer: Hamaspik Choice Inc Medicare	$150.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$195.00

STRYKER WASHER 2.0-9.0MM

Facility

$148.48

Service Code	HCPCS C1713
Hospital Charge Code	40208171
Hospital Revenue Code	278
Min. Negotiated Rate	$74.24
Max. Negotiated Rate	$74.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.24
Rate for Payer: Hamaspik Choice Inc Medicare	$74.24

STRYKER WASHER 2.0-9.0MM

Facility

$148.48

Service Code	HCPCS C1713
Hospital Charge Code	40208171
Hospital Revenue Code	278
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$155.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$81.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$89.09
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$74.24
Rate for Payer: Cigna LocalPlus Benefit Plan	$85.38
Rate for Payer: EmblemHealth Commercial	$74.24
Rate for Payer: Fidelis Medicare Advantage	$155.90
Rate for Payer: Group Health Inc Commercial	$74.24
Rate for Payer: Group Health Inc Medicare	$51.97
Rate for Payer: Hamaspik Choice Inc Medicaid	$74.24
Rate for Payer: Hamaspik Choice Inc Medicare	$74.24
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$96.51

STRYKER WASHER FOR 8MM SCRW STEEL

Facility

$64.40

Service Code	HCPCS C1713
Hospital Charge Code	40208174
Hospital Revenue Code	278
Min. Negotiated Rate	$32.20
Max. Negotiated Rate	$32.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.20
Rate for Payer: Hamaspik Choice Inc Medicare	$32.20

Know your out-of-pocket cost for care.

All Charges