St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZIM KNEE FEM TRAB POST LT SZ 6

Facility

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40009282
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,610.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,510.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$4,920.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,715.00
Rate for Payer: EmblemHealth Commercial	$4,100.00
Rate for Payer: Fidelis Medicare Advantage	$8,610.00
Rate for Payer: Group Health Inc Commercial	$4,100.00
Rate for Payer: Group Health Inc Medicare	$2,870.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,330.00

ZIM KNEE FEMUR TRAB LT SZ 3

Facility

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40001784
Hospital Revenue Code	278
Min. Negotiated Rate	$4,100.00
Max. Negotiated Rate	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00

ZIM KNEE FEMUR TRAB LT SZ 3

Facility

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40001784
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,610.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,510.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$4,920.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,715.00
Rate for Payer: EmblemHealth Commercial	$4,100.00
Rate for Payer: Fidelis Medicare Advantage	$8,610.00
Rate for Payer: Group Health Inc Commercial	$4,100.00
Rate for Payer: Group Health Inc Medicare	$2,870.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,330.00

ZIM KNEE SYS FEMUR CEM LT SZ 6

Facility

$6,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40204552
Hospital Revenue Code	278
Min. Negotiated Rate	$3,100.00
Max. Negotiated Rate	$3,100.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,100.00

ZIM KNEE SYS FEMUR CEM LT SZ 6

Facility

$6,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40204552
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,510.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,410.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,720.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,100.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,565.00
Rate for Payer: EmblemHealth Commercial	$3,100.00
Rate for Payer: Fidelis Medicare Advantage	$6,510.00
Rate for Payer: Group Health Inc Commercial	$3,100.00
Rate for Payer: Group Health Inc Medicare	$2,170.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,100.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,100.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,030.00

ZIM KNEE SYS STEM RT SZ E

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40203381
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,200.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,200.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,400.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,300.00
Rate for Payer: EmblemHealth Commercial	$2,000.00
Rate for Payer: Fidelis Medicare Advantage	$4,200.00
Rate for Payer: Group Health Inc Commercial	$2,000.00
Rate for Payer: Group Health Inc Medicare	$1,400.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,600.00

ZIM KNEE SYS STEM RT SZ E

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40203381
Hospital Revenue Code	278
Min. Negotiated Rate	$2,000.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00

ZIM KNEE TIBIA CEM 5 STEM LT SZ C

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40001783
Hospital Revenue Code	278
Min. Negotiated Rate	$2,000.00
Max. Negotiated Rate	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00

ZIM KNEE TIBIA CEM 5 STEM LT SZ C

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40001783
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$4,200.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,200.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,400.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,000.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,300.00
Rate for Payer: EmblemHealth Commercial	$2,000.00
Rate for Payer: Fidelis Medicare Advantage	$4,200.00
Rate for Payer: Group Health Inc Commercial	$2,000.00
Rate for Payer: Group Health Inc Medicare	$1,400.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,000.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,000.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,600.00

ZIM KNEE TRO PIN 3.2X75MM

Facility

$678.00

Service Code	HCPCS C1713
Hospital Charge Code	40008341
Hospital Revenue Code	278
Min. Negotiated Rate	$339.00
Max. Negotiated Rate	$339.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$339.00
Rate for Payer: Hamaspik Choice Inc Medicare	$339.00

ZIM KNEE TRO PIN 3.2X75MM

Facility

$678.00

Service Code	HCPCS C1713
Hospital Charge Code	40008341
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$711.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$372.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$406.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$339.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$389.85
Rate for Payer: EmblemHealth Commercial	$339.00
Rate for Payer: Fidelis Medicare Advantage	$711.90
Rate for Payer: Group Health Inc Commercial	$339.00
Rate for Payer: Group Health Inc Medicare	$237.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$339.00
Rate for Payer: Hamaspik Choice Inc Medicare	$339.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$440.70

ZIM KNEE VIVACIT-E ART FX BEAR 11

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009281
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,040.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: EmblemHealth Commercial	$1,700.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM KNEE VIVACIT-E ART FX BEAR 11

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009281
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

ZIM KNEE VIVACIT-E ARTIC FX 12M

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40001794
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,040.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: EmblemHealth Commercial	$1,700.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM KNEE VIVACIT-E ARTIC FX 12M

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40001794
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

ZIM KNEE VIVACIT-E ART SUR 12MM

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40009280
Hospital Revenue Code	278
Min. Negotiated Rate	$2,500.00
Max. Negotiated Rate	$2,500.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,500.00

ZIM KNEE VIVACIT-E ART SUR 12MM

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40009280
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,250.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,750.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,000.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,500.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,875.00
Rate for Payer: EmblemHealth Commercial	$2,500.00
Rate for Payer: Fidelis Medicare Advantage	$5,250.00
Rate for Payer: Group Health Inc Commercial	$2,500.00
Rate for Payer: Group Health Inc Medicare	$1,750.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,500.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,500.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,250.00

ZIM LINER 36MM ID SIZE II

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40003451
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

ZIM LINER 36MM ID SIZE II

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40003451
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,040.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: EmblemHealth Commercial	$1,700.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM L LINER 36 MM SIZE KK

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009263
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,570.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,870.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,040.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,700.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,955.00
Rate for Payer: EmblemHealth Commercial	$1,700.00
Rate for Payer: Fidelis Medicare Advantage	$3,570.00
Rate for Payer: Group Health Inc Commercial	$1,700.00
Rate for Payer: Group Health Inc Medicare	$1,190.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,210.00

ZIM L LINER 36 MM SIZE KK

Facility

$3,400.00

Service Code	HCPCS C1776
Hospital Charge Code	40009263
Hospital Revenue Code	278
Min. Negotiated Rate	$1,700.00
Max. Negotiated Rate	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,700.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,700.00

ZIMMER 3.5X14 MM DRILLING SCREW

Facility

$890.00

Service Code	HCPCS C1776
Hospital Charge Code	40005208
Hospital Revenue Code	278
Min. Negotiated Rate	$311.50
Max. Negotiated Rate	$934.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$489.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$534.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$445.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$511.75
Rate for Payer: EmblemHealth Commercial	$445.00
Rate for Payer: Fidelis Medicare Advantage	$934.50
Rate for Payer: Group Health Inc Commercial	$445.00
Rate for Payer: Group Health Inc Medicare	$311.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.00
Rate for Payer: Hamaspik Choice Inc Medicare	$445.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$578.50

ZIMMER 3.5X14 MM DRILLING SCREW

Facility

$890.00

Service Code	HCPCS C1776
Hospital Charge Code	40005208
Hospital Revenue Code	278
Min. Negotiated Rate	$445.00
Max. Negotiated Rate	$445.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.00
Rate for Payer: Hamaspik Choice Inc Medicare	$445.00

ZIMMER 4.0X12 MM SCREW

Facility

$890.00

Service Code	HCPCS C1776
Hospital Charge Code	40005207
Hospital Revenue Code	278
Min. Negotiated Rate	$311.50
Max. Negotiated Rate	$934.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$489.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$534.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$445.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$511.75
Rate for Payer: EmblemHealth Commercial	$445.00
Rate for Payer: Fidelis Medicare Advantage	$934.50
Rate for Payer: Group Health Inc Commercial	$445.00
Rate for Payer: Group Health Inc Medicare	$311.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.00
Rate for Payer: Hamaspik Choice Inc Medicare	$445.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$578.50

ZIMMER 4.0X12 MM SCREW

Facility

$890.00

Service Code	HCPCS C1776
Hospital Charge Code	40005207
Hospital Revenue Code	278
Min. Negotiated Rate	$445.00
Max. Negotiated Rate	$445.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$445.00
Rate for Payer: Hamaspik Choice Inc Medicare	$445.00

Know your out-of-pocket cost for care.

All Charges