St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRY LOCK SCREW 22 X 2.3MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40204727
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$205.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: EmblemHealth Commercial	$98.00
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

STRY LOCK SCREW 24 X 2.3 MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40203447
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00

STRY LOCK SCREW 24 X 2.3 MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40203447
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$205.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: EmblemHealth Commercial	$98.00
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

STRY LOCK SCREW 24 X 2.3MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40204729
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$205.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: EmblemHealth Commercial	$98.00
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

STRY LOCK SCREW 24 X 2.3MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40204729
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00

STRY LOCK SCREW 26 X 2.3 MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40203446
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$205.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: EmblemHealth Commercial	$98.00
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

STRY LOCK SCREW 26 X 2.3 MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40203446
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00

STRY LOCK SCREW 26 X 2.3MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40204728
Hospital Revenue Code	278
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00

STRY LOCK SCREW 26 X 2.3MM

Facility

$196.00

Service Code	HCPCS C1713
Hospital Charge Code	40204728
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$205.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$117.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$98.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.70
Rate for Payer: EmblemHealth Commercial	$98.00
Rate for Payer: Fidelis Medicare Advantage	$205.80
Rate for Payer: Group Health Inc Commercial	$98.00
Rate for Payer: Group Health Inc Medicare	$68.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$98.00
Rate for Payer: Hamaspik Choice Inc Medicare	$98.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.40

STRY LOCK SCREW THREAD 5X32.5MM

Facility

$3,803.80

Service Code	HCPCS C1713
Hospital Charge Code	40005202
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,993.99
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,092.09
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,282.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,901.90
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,187.18
Rate for Payer: EmblemHealth Commercial	$1,901.90
Rate for Payer: Fidelis Medicare Advantage	$3,993.99
Rate for Payer: Group Health Inc Commercial	$1,901.90
Rate for Payer: Group Health Inc Medicare	$1,331.33
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,901.90
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,472.47

STRY LOCK SCREW THREAD 5X32.5MM

Facility

$3,803.80

Service Code	HCPCS C1713
Hospital Charge Code	40005202
Hospital Revenue Code	278
Min. Negotiated Rate	$1,901.90
Max. Negotiated Rate	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,901.90
Rate for Payer: Hamaspik Choice Inc Medicare	$1,901.90

STRY LOCK SC, THREAD 5X52.5 MM

Facility

$343.20

Service Code	HCPCS C1713
Hospital Charge Code	40204220
Hospital Revenue Code	278
Min. Negotiated Rate	$171.60
Max. Negotiated Rate	$171.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.60
Rate for Payer: Hamaspik Choice Inc Medicare	$171.60

STRY LOCK SC, THREAD 5X52.5 MM

Facility

$343.20

Service Code	HCPCS C1713
Hospital Charge Code	40204220
Hospital Revenue Code	278
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$360.36
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$188.76
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$205.92
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$171.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$197.34
Rate for Payer: EmblemHealth Commercial	$171.60
Rate for Payer: Fidelis Medicare Advantage	$360.36
Rate for Payer: Group Health Inc Commercial	$171.60
Rate for Payer: Group Health Inc Medicare	$120.12
Rate for Payer: Hamaspik Choice Inc Medicaid	$171.60
Rate for Payer: Hamaspik Choice Inc Medicare	$171.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$223.08

STRY LONG BLIT R1.5 T TI LEFT 11

Facility

$6,698.00

Service Code	HCPCS C1713
Hospital Charge Code	40009285
Hospital Revenue Code	278
Min. Negotiated Rate	$3,349.00
Max. Negotiated Rate	$3,349.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,349.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,349.00

STRY LONG BLIT R1.5 T TI LEFT 11

Facility

$6,698.00

Service Code	HCPCS C1713
Hospital Charge Code	40009285
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$7,032.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,683.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,018.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,349.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,851.35
Rate for Payer: EmblemHealth Commercial	$3,349.00
Rate for Payer: Fidelis Medicare Advantage	$7,032.90
Rate for Payer: Group Health Inc Commercial	$3,349.00
Rate for Payer: Group Health Inc Medicare	$2,344.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,349.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,349.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,353.70

STRY LONG BLSTRYKER L L 1

Facility

$6,262.40

Service Code	HCPCS C1713
Hospital Charge Code	40009748
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$6,575.52
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,444.32
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$3,757.44
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,131.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,600.88
Rate for Payer: EmblemHealth Commercial	$3,131.20
Rate for Payer: Fidelis Medicare Advantage	$6,575.52
Rate for Payer: Group Health Inc Commercial	$3,131.20
Rate for Payer: Group Health Inc Medicare	$2,191.84
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,131.20
Rate for Payer: Hamaspik Choice Inc Medicare	$3,131.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,070.56

STRY LONG BLSTRYKER L L 1

Facility

$6,262.40

Service Code	HCPCS C1713
Hospital Charge Code	40009748
Hospital Revenue Code	278
Min. Negotiated Rate	$3,131.20
Max. Negotiated Rate	$3,131.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,131.20
Rate for Payer: Hamaspik Choice Inc Medicare	$3,131.20

STRY LW PROF 3D BX PLT 2X2 H LEG

Facility

$553.00

Service Code	HCPCS C1776
Hospital Charge Code	40208013
Hospital Revenue Code	278
Min. Negotiated Rate	$193.55
Max. Negotiated Rate	$580.65
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$304.15
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$331.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$276.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$317.98
Rate for Payer: EmblemHealth Commercial	$276.50
Rate for Payer: Fidelis Medicare Advantage	$580.65
Rate for Payer: Group Health Inc Commercial	$276.50
Rate for Payer: Group Health Inc Medicare	$193.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$276.50
Rate for Payer: Hamaspik Choice Inc Medicare	$276.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$359.45

STRY LW PROF 3D BX PLT 2X2 H LEG

Facility

$553.00

Service Code	HCPCS C1776
Hospital Charge Code	40208013
Hospital Revenue Code	278
Min. Negotiated Rate	$276.50
Max. Negotiated Rate	$276.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$276.50
Rate for Payer: Hamaspik Choice Inc Medicare	$276.50

STRY NAIL 13 X 400MM

Facility

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	40009291
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,933.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,060.63
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$2,247.96
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,873.30
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,154.30
Rate for Payer: EmblemHealth Commercial	$1,873.30
Rate for Payer: Fidelis Medicare Advantage	$3,933.93
Rate for Payer: Group Health Inc Commercial	$1,873.30
Rate for Payer: Group Health Inc Medicare	$1,311.31
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,435.29

STRY NAIL 13 X 400MM

Facility

$3,746.60

Service Code	HCPCS C1713
Hospital Charge Code	40009291
Hospital Revenue Code	278
Min. Negotiated Rate	$1,873.30
Max. Negotiated Rate	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,873.30
Rate for Payer: Hamaspik Choice Inc Medicare	$1,873.30

STRY NON LCK SCREW 3.5X26MM

Facility

$448.80

Service Code	HCPCS C1713
Hospital Charge Code	40008289
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$471.24
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$246.84
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$269.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$224.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$258.06
Rate for Payer: EmblemHealth Commercial	$224.40
Rate for Payer: Fidelis Medicare Advantage	$471.24
Rate for Payer: Group Health Inc Commercial	$224.40
Rate for Payer: Group Health Inc Medicare	$157.08
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.40
Rate for Payer: Hamaspik Choice Inc Medicare	$224.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$291.72

STRY NON LCK SCREW 3.5X26MM

Facility

$448.80

Service Code	HCPCS C1713
Hospital Charge Code	40008289
Hospital Revenue Code	278
Min. Negotiated Rate	$224.40
Max. Negotiated Rate	$224.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$224.40
Rate for Payer: Hamaspik Choice Inc Medicare	$224.40

STRY PRE-BENT CHAMPY PLATE 4-HOLE

Facility

$586.92

Service Code	HCPCS C1713
Hospital Charge Code	40203419
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$616.27
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$322.81
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$352.15
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$293.46
Rate for Payer: Cigna LocalPlus Benefit Plan	$337.48
Rate for Payer: EmblemHealth Commercial	$293.46
Rate for Payer: Fidelis Medicare Advantage	$616.27
Rate for Payer: Group Health Inc Commercial	$293.46
Rate for Payer: Group Health Inc Medicare	$205.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$293.46
Rate for Payer: Hamaspik Choice Inc Medicare	$293.46
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$381.50

STRY PRE-BENT CHAMPY PLATE 4-HOLE

Facility

$586.92

Service Code	HCPCS C1713
Hospital Charge Code	40203419
Hospital Revenue Code	278
Min. Negotiated Rate	$293.46
Max. Negotiated Rate	$293.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$293.46
Rate for Payer: Hamaspik Choice Inc Medicare	$293.46

Know your out-of-pocket cost for care.

All Charges