St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

STRY R108 PLT 6HOLE PELVIC

Facility

$742.30

Service Code	HCPCS C1713
Hospital Charge Code	40004611
Hospital Revenue Code	278
Min. Negotiated Rate	$371.15
Max. Negotiated Rate	$371.15
Rate for Payer: Hamaspik Choice Inc Medicaid	$371.15
Rate for Payer: Hamaspik Choice Inc Medicare	$371.15

STRY R108 PLT 6HOLE PELVIC

Facility

$742.30

Service Code	HCPCS C1713
Hospital Charge Code	40004611
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$779.42
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$408.26
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$445.38
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$371.15
Rate for Payer: Cigna LocalPlus Benefit Plan	$426.82
Rate for Payer: EmblemHealth Commercial	$371.15
Rate for Payer: Fidelis Medicare Advantage	$779.42
Rate for Payer: Group Health Inc Commercial	$371.15
Rate for Payer: Group Health Inc Medicare	$259.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$371.15
Rate for Payer: Hamaspik Choice Inc Medicare	$371.15
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$482.50

STRY ROD 11X200MM

Facility

$708.00

Service Code	HCPCS C1713
Hospital Charge Code	40008256
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$743.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$389.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$424.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$354.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$407.10
Rate for Payer: EmblemHealth Commercial	$354.00
Rate for Payer: Fidelis Medicare Advantage	$743.40
Rate for Payer: Group Health Inc Commercial	$354.00
Rate for Payer: Group Health Inc Medicare	$247.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$354.00
Rate for Payer: Hamaspik Choice Inc Medicare	$354.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$460.20

STRY ROD 11X200MM

Facility

$708.00

Service Code	HCPCS C1713
Hospital Charge Code	40008256
Hospital Revenue Code	278
Min. Negotiated Rate	$354.00
Max. Negotiated Rate	$354.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$354.00
Rate for Payer: Hamaspik Choice Inc Medicare	$354.00

STRYR R1.5 L11 360MMX125D NAIL KT

Facility

$3,164.00

Service Code	HCPCS C1713
Hospital Charge Code	40005246
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$3,322.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,740.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$1,898.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,582.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,819.30
Rate for Payer: EmblemHealth Commercial	$1,582.00
Rate for Payer: Fidelis Medicare Advantage	$3,322.20
Rate for Payer: Group Health Inc Commercial	$1,582.00
Rate for Payer: Group Health Inc Medicare	$1,107.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,056.60

STRYR R1.5 L11 360MMX125D NAIL KT

Facility

$3,164.00

Service Code	HCPCS C1713
Hospital Charge Code	40005246
Hospital Revenue Code	278
Min. Negotiated Rate	$1,582.00
Max. Negotiated Rate	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,582.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,582.00

STRY SC 1.7 X 5MM EMER SLF DRL

Facility

$98.42

Service Code	HCPCS C1713
Hospital Charge Code	40204211
Hospital Revenue Code	278
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$54.13
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$59.05
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$49.21
Rate for Payer: Cigna LocalPlus Benefit Plan	$56.59
Rate for Payer: EmblemHealth Commercial	$49.21
Rate for Payer: Fidelis Medicare Advantage	$103.34
Rate for Payer: Group Health Inc Commercial	$49.21
Rate for Payer: Group Health Inc Medicare	$34.45
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.21
Rate for Payer: Hamaspik Choice Inc Medicare	$49.21
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$63.97

STRY SC 1.7 X 5MM EMER SLF DRL

Facility

$98.42

Service Code	HCPCS C1713
Hospital Charge Code	40204211
Hospital Revenue Code	278
Min. Negotiated Rate	$49.21
Max. Negotiated Rate	$49.21
Rate for Payer: Hamaspik Choice Inc Medicaid	$49.21
Rate for Payer: Hamaspik Choice Inc Medicare	$49.21

STRY SCR 1.7X3MM CRS PIN SLF DRL

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	40204251
Hospital Revenue Code	278
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$50.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$50.00
Rate for Payer: Hamaspik Choice Inc Medicare	$50.00

STRY SCR 1.7X3MM CRS PIN SLF DRL

Facility

$100.00

Service Code	HCPCS C1713
Hospital Charge Code	40204251
Hospital Revenue Code	278
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$55.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$60.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$50.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$57.50
Rate for Payer: EmblemHealth Commercial	$50.00
Rate for Payer: Fidelis Medicare Advantage	$105.00
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
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$65.00

STRYSCR/2.0X14MM LCKNG CR PIN

Facility

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40204448
Hospital Revenue Code	278
Min. Negotiated Rate	$78.22
Max. Negotiated Rate	$78.22
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22

STRYSCR/2.0X14MM LCKNG CR PIN

Facility

$156.44

Service Code	HCPCS C1713
Hospital Charge Code	40204448
Hospital Revenue Code	278
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$164.26
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$86.04
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$93.86
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$78.22
Rate for Payer: Cigna LocalPlus Benefit Plan	$89.95
Rate for Payer: EmblemHealth Commercial	$78.22
Rate for Payer: Fidelis Medicare Advantage	$164.26
Rate for Payer: Group Health Inc Commercial	$78.22
Rate for Payer: Group Health Inc Medicare	$54.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$78.22
Rate for Payer: Hamaspik Choice Inc Medicare	$78.22
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$101.69

STRY SCR 2.7 X 18MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	40204245
Hospital Revenue Code	278
Min. Negotiated Rate	$250.00
Max. Negotiated Rate	$250.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00

STRY SCR 2.7 X 18MM

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	40204245
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$525.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$275.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$300.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$250.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$287.50
Rate for Payer: EmblemHealth Commercial	$250.00
Rate for Payer: Fidelis Medicare Advantage	$525.00
Rate for Payer: Group Health Inc Commercial	$250.00
Rate for Payer: Group Health Inc Medicare	$175.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$250.00
Rate for Payer: Hamaspik Choice Inc Medicare	$250.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$325.00

STRY SCR 2.7 X 50MM

Facility

$510.00

Service Code	HCPCS C1713
Hospital Charge Code	40204243
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$255.00
Rate for Payer: Hamaspik Choice Inc Medicare	$255.00

STRY SCR 2.7 X 50MM

Facility

$510.00

Service Code	HCPCS C1713
Hospital Charge Code	40204243
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$535.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$280.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$306.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$255.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$293.25
Rate for Payer: EmblemHealth Commercial	$255.00
Rate for Payer: Fidelis Medicare Advantage	$535.50
Rate for Payer: Group Health Inc Commercial	$255.00
Rate for Payer: Group Health Inc Medicare	$178.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$255.00
Rate for Payer: Hamaspik Choice Inc Medicare	$255.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$331.50

STRY SCR 2.7 X 55 MM

Facility

$510.00

Service Code	HCPCS C1713
Hospital Charge Code	40204242
Hospital Revenue Code	278
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$255.00
Rate for Payer: Hamaspik Choice Inc Medicare	$255.00

STRY SCR 2.7 X 55 MM

Facility

$510.00

Service Code	HCPCS C1713
Hospital Charge Code	40204242
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$535.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$280.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$306.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$255.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$293.25
Rate for Payer: EmblemHealth Commercial	$255.00
Rate for Payer: Fidelis Medicare Advantage	$535.50
Rate for Payer: Group Health Inc Commercial	$255.00
Rate for Payer: Group Health Inc Medicare	$178.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$255.00
Rate for Payer: Hamaspik Choice Inc Medicare	$255.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$331.50

STRY SCREW CORT ST 3.5 X 12MM

Facility

$44.00

Service Code	HCPCS C1713
Hospital Charge Code	40004612
Hospital Revenue Code	278
Min. Negotiated Rate	$15.40
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$24.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$26.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$22.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$25.30
Rate for Payer: EmblemHealth Commercial	$22.00
Rate for Payer: Fidelis Medicare Advantage	$46.20
Rate for Payer: Group Health Inc Commercial	$22.00
Rate for Payer: Group Health Inc Medicare	$15.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.00
Rate for Payer: Hamaspik Choice Inc Medicare	$22.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$28.60

STRY SCREW CORT ST 3.5 X 12MM

Facility

$44.00

Service Code	HCPCS C1713
Hospital Charge Code	40004612
Hospital Revenue Code	278
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$22.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$22.00
Rate for Payer: Hamaspik Choice Inc Medicare	$22.00

STRY SCREW LCK 2.7X14MM

Facility

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	40008286
Hospital Revenue Code	278
Min. Negotiated Rate	$160.00
Max. Negotiated Rate	$160.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00

STRY SCREW LCK 2.7X14MM

Facility

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	40008286
Hospital Revenue Code	278
Min. Negotiated Rate	$112.00
Max. Negotiated Rate	$336.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$176.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$192.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$160.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.00
Rate for Payer: EmblemHealth Commercial	$160.00
Rate for Payer: Fidelis Medicare Advantage	$336.00
Rate for Payer: Group Health Inc Commercial	$160.00
Rate for Payer: Group Health Inc Medicare	$112.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$208.00

STRY SCREW LOCK 2.7X14MM

Facility

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	40008275
Hospital Revenue Code	278
Min. Negotiated Rate	$112.00
Max. Negotiated Rate	$336.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$176.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$192.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$160.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.00
Rate for Payer: EmblemHealth Commercial	$160.00
Rate for Payer: Fidelis Medicare Advantage	$336.00
Rate for Payer: Group Health Inc Commercial	$160.00
Rate for Payer: Group Health Inc Medicare	$112.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$208.00

STRY SCREW LOCK 2.7X14MM

Facility

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	40008275
Hospital Revenue Code	278
Min. Negotiated Rate	$160.00
Max. Negotiated Rate	$160.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00

STRY SCREW NON-LCK 2.7X34MM

Facility

$320.00

Service Code	HCPCS C1713
Hospital Charge Code	40008285
Hospital Revenue Code	278
Min. Negotiated Rate	$112.00
Max. Negotiated Rate	$336.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$176.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$192.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$160.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$184.00
Rate for Payer: EmblemHealth Commercial	$160.00
Rate for Payer: Fidelis Medicare Advantage	$336.00
Rate for Payer: Group Health Inc Commercial	$160.00
Rate for Payer: Group Health Inc Medicare	$112.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$160.00
Rate for Payer: Hamaspik Choice Inc Medicare	$160.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$208.00

Know your out-of-pocket cost for care.

All Charges