St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRYKER WASHER FOR 8MM SCRW STEEL

Facility

$64.40

Service Code	HCPCS C1713
Hospital Charge Code	40208174
Hospital Revenue Code	278
Min. Negotiated Rate	$22.54
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$35.42
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$38.64
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$32.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$37.03
Rate for Payer: EmblemHealth Commercial	$32.20
Rate for Payer: Fidelis Medicare Advantage	$67.62
Rate for Payer: Group Health Inc Commercial	$32.20
Rate for Payer: Group Health Inc Medicare	$22.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$32.20
Rate for Payer: Hamaspik Choice Inc Medicare	$32.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$41.86

STRYKER WIRE GUIDE 100MM (1806-00

Facility

$310.00

Service Code	HCPCS C1769
Hospital Charge Code	40029614
Hospital Revenue Code	272
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$248.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$170.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$232.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$248.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$210.80
Rate for Payer: Group Health Inc Commercial	$155.00
Rate for Payer: Group Health Inc Medicare	$108.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$155.00
Rate for Payer: Hamaspik Choice Inc Medicare	$155.00

STRYKER WIRE KIRSCHNER (1806-0050

Facility

$190.00

Hospital Charge Code	40029615
Hospital Revenue Code	272
Min. Negotiated Rate	$66.50
Max. Negotiated Rate	$152.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$104.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$95.00
Rate for Payer: Aetna Government	$95.00
Rate for Payer: Brighton Health Commercial	$142.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$152.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$129.20
Rate for Payer: Group Health Inc Commercial	$95.00
Rate for Payer: Group Health Inc Medicare	$66.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$95.00
Rate for Payer: Hamaspik Choice Inc Medicare	$95.00

STRYKER WIRE TROC PT 2 E 9X.035

Facility

$43.40

Service Code	HCPCS C1769
Hospital Charge Code	40205161
Hospital Revenue Code	278
Min. Negotiated Rate	$21.70
Max. Negotiated Rate	$21.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.70
Rate for Payer: Hamaspik Choice Inc Medicare	$21.70

STRYKER WIRE TROC PT 2 E 9X.035

Facility

$43.40

Service Code	HCPCS C1769
Hospital Charge Code	40205161
Hospital Revenue Code	278
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$45.57
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$23.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$4.08
Rate for Payer: Aetna Government	$4.08
Rate for Payer: Brighton Health Commercial	$26.04
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$21.70
Rate for Payer: Cigna LocalPlus Benefit Plan	$24.96
Rate for Payer: EmblemHealth Commercial	$21.70
Rate for Payer: Fidelis Medicare Advantage	$45.57
Rate for Payer: Group Health Inc Commercial	$21.70
Rate for Payer: Group Health Inc Medicare	$15.19
Rate for Payer: Hamaspik Choice Inc Medicaid	$21.70
Rate for Payer: Hamaspik Choice Inc Medicare	$21.70
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28.21

STRYKER XIA3 PA SCREW 5.5X45MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205235
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 XIA3 PA SCREW 5.5X45MM

Facility

$3,379.94

Service Code	HCPCS C1776
Hospital Charge Code	40205235
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 XIA3PA SCRW 5.5X40MM

Facility

$3,307.50

Service Code	HCPCS C1776
Hospital Charge Code	40208156
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,472.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,819.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,984.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,653.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,901.81
Rate for Payer: EmblemHealth Commercial	$1,653.75
Rate for Payer: Fidelis Medicare Advantage	$3,472.88
Rate for Payer: Group Health Inc Commercial	$1,653.75
Rate for Payer: Group Health Inc Medicare	$1,157.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,653.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,149.88

STRYKER XIA3PA SCRW 5.5X40MM

Facility

$3,307.50

Service Code	HCPCS C1776
Hospital Charge Code	40208156
Hospital Revenue Code	278
Min. Negotiated Rate	$1,653.75
Max. Negotiated Rate	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,653.75

STRYKER XIA3 PA SCRW C6.5X45MM

Facility

$3,307.50

Service Code	HCPCS C1713
Hospital Charge Code	40205291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,653.75
Max. Negotiated Rate	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,653.75

STRYKER XIA3 PA SCRW C6.5X45MM

Facility

$3,307.50

Service Code	HCPCS C1713
Hospital Charge Code	40205291
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,472.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,819.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,984.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,653.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,901.81
Rate for Payer: EmblemHealth Commercial	$1,653.75
Rate for Payer: Fidelis Medicare Advantage	$3,472.88
Rate for Payer: Group Health Inc Commercial	$1,653.75
Rate for Payer: Group Health Inc Medicare	$1,157.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,653.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,149.88

STRYKER XIA3PA SCRW C 7.5X

Facility

$3,379.94

Service Code	HCPCS C1713
Hospital Charge Code	40205307
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,548.94
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,858.97
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
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 XIA3PA SCRW C 7.5X

Facility

$3,379.94

Service Code	HCPCS C1713
Hospital Charge Code	40205307
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 XIA# PA SCREW C 6.5X45MM

Facility

$3,307.50

Service Code	HCPCS C1776
Hospital Charge Code	40205240
Hospital Revenue Code	278
Min. Negotiated Rate	$1,653.75
Max. Negotiated Rate	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,653.75

STRYKER XIA# PA SCREW C 6.5X45MM

Facility

$3,307.50

Service Code	HCPCS C1776
Hospital Charge Code	40205240
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,472.88
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,819.12
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,984.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,653.75
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,901.81
Rate for Payer: EmblemHealth Commercial	$1,653.75
Rate for Payer: Fidelis Medicare Advantage	$3,472.88
Rate for Payer: Group Health Inc Commercial	$1,653.75
Rate for Payer: Group Health Inc Medicare	$1,157.62
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,653.75
Rate for Payer: Hamaspik Choice Inc Medicare	$1,653.75
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,149.88

STRYK HYDRST INJ HA BONE CMT 10CC

Facility

$9,922.00

Service Code	HCPCS C1713
Hospital Charge Code	40204478
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$10,418.10
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,457.10
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$5,953.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,961.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,705.15
Rate for Payer: EmblemHealth Commercial	$4,961.00
Rate for Payer: Fidelis Medicare Advantage	$10,418.10
Rate for Payer: Group Health Inc Commercial	$4,961.00
Rate for Payer: Group Health Inc Medicare	$3,472.70
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,961.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,961.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,449.30

STRYK HYDRST INJ HA BONE CMT 10CC

Facility

$9,922.00

Service Code	HCPCS C1713
Hospital Charge Code	40204478
Hospital Revenue Code	278
Min. Negotiated Rate	$4,961.00
Max. Negotiated Rate	$4,961.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,961.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,961.00

STRYK HYDRST INJ HA BONE CMT 15CC

Facility

$14,236.00

Service Code	HCPCS C1713
Hospital Charge Code	40204479
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$14,947.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$7,829.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$8,541.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$7,118.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$8,185.70
Rate for Payer: EmblemHealth Commercial	$7,118.00
Rate for Payer: Fidelis Medicare Advantage	$14,947.80
Rate for Payer: Group Health Inc Commercial	$7,118.00
Rate for Payer: Group Health Inc Medicare	$4,982.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,118.00
Rate for Payer: Hamaspik Choice Inc Medicare	$7,118.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$9,253.40

STRYK HYDRST INJ HA BONE CMT 15CC

Facility

$14,236.00

Service Code	HCPCS C1713
Hospital Charge Code	40204479
Hospital Revenue Code	278
Min. Negotiated Rate	$7,118.00
Max. Negotiated Rate	$7,118.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$7,118.00
Rate for Payer: Hamaspik Choice Inc Medicare	$7,118.00

STRY KIRSH K-WIRE 0.9 MM

Facility

$100.00

Hospital Charge Code	40004603
Hospital Revenue Code	272
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$80.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$50.00
Rate for Payer: Aetna Government	$50.00
Rate for Payer: Brighton Health Commercial	$75.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$80.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$68.00
Rate for Payer: Group Health Inc Commercial	$50.00
Rate for Payer: Group Health Inc Medicare	$35.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

STRYK MPS CURV R88 PLT 12HL PELV

Facility

$895.70

Service Code	HCPCS C1713
Hospital Charge Code	40204477
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$940.48
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$492.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$537.42
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$447.85
Rate for Payer: Cigna LocalPlus Benefit Plan	$515.03
Rate for Payer: EmblemHealth Commercial	$447.85
Rate for Payer: Fidelis Medicare Advantage	$940.48
Rate for Payer: Group Health Inc Commercial	$447.85
Rate for Payer: Group Health Inc Medicare	$313.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$447.85
Rate for Payer: Hamaspik Choice Inc Medicare	$447.85
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$582.20

STRYK MPS CURV R88 PLT 12HL PELV

Facility

$895.70

Service Code	HCPCS C1713
Hospital Charge Code	40204477
Hospital Revenue Code	278
Min. Negotiated Rate	$447.85
Max. Negotiated Rate	$447.85
Rate for Payer: Hamaspik Choice Inc Medicaid	$447.85
Rate for Payer: Hamaspik Choice Inc Medicare	$447.85

STRYKR III CANN. SCREW 4.0 X48MM

Facility

$156.00

Service Code	HCPCS C1713
Hospital Charge Code	40201540
Hospital Revenue Code	278
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$78.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.00
Rate for Payer: Hamaspik Choice Inc Medicare	$78.00

STRYKR III CANN. SCREW 4.0 X48MM

Facility

$156.00

Service Code	HCPCS C1713
Hospital Charge Code	40201540
Hospital Revenue Code	278
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$163.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$85.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$93.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.70
Rate for Payer: EmblemHealth Commercial	$78.00
Rate for Payer: Fidelis Medicare Advantage	$163.80
Rate for Payer: Group Health Inc Commercial	$78.00
Rate for Payer: Group Health Inc Medicare	$54.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.00
Rate for Payer: Hamaspik Choice Inc Medicare	$78.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.40

STRYK TOTAL KNEE TIBIAL BEARING

Facility

$3,721.20

Service Code	HCPCS C1776
Hospital Charge Code	40029625
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,907.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,046.66
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,232.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,860.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,139.69
Rate for Payer: EmblemHealth Commercial	$1,860.60
Rate for Payer: Fidelis Medicare Advantage	$3,907.26
Rate for Payer: Group Health Inc Commercial	$1,860.60
Rate for Payer: Group Health Inc Medicare	$1,302.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,860.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,860.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,418.78

Know your out-of-pocket cost for care.

All Charges