St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZIMMER FEMORAL COMP/POROUS SZ G R

Facility

$8,374.70

Service Code	HCPCS C1776
Hospital Charge Code	40205821
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$8,793.44
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,606.08
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$5,024.82
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,187.35
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,815.45
Rate for Payer: EmblemHealth Commercial	$4,187.35
Rate for Payer: Fidelis Medicare Advantage	$8,793.44
Rate for Payer: Group Health Inc Commercial	$4,187.35
Rate for Payer: Group Health Inc Medicare	$2,931.14
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,187.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,187.35
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,443.56

ZIMMER FEMORAL COMP/POROUS SZ G R

Facility

$8,374.70

Service Code	HCPCS C1776
Hospital Charge Code	40205821
Hospital Revenue Code	278
Min. Negotiated Rate	$4,187.35
Max. Negotiated Rate	$4,187.35
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,187.35
Rate for Payer: Hamaspik Choice Inc Medicare	$4,187.35

ZIMMER KNEE FEMUR SZ 9

Facility

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40008295
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

ZIMMER KNEE FEMUR SZ 9

Facility

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40008295
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

ZIMMER KNEE NEX PAT 10X32MM

Facility

$3,171.20

Service Code	HCPCS C1776
Hospital Charge Code	40205400
Hospital Revenue Code	278
Min. Negotiated Rate	$1,585.60
Max. Negotiated Rate	$1,585.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,585.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,585.60

ZIMMER KNEE NEX PAT 10X32MM

Facility

$3,171.20

Service Code	HCPCS C1776
Hospital Charge Code	40205400
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,329.76
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,744.16
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,902.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,585.60
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,823.44
Rate for Payer: EmblemHealth Commercial	$1,585.60
Rate for Payer: Fidelis Medicare Advantage	$3,329.76
Rate for Payer: Group Health Inc Commercial	$1,585.60
Rate for Payer: Group Health Inc Medicare	$1,109.92
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,585.60
Rate for Payer: Hamaspik Choice Inc Medicare	$1,585.60
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,061.28

ZIMMER KNEE TIBIA 5 CEM LT SZ F

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40008296
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

ZIMMER KNEE TIBIA 5 CEM LT SZ F

Facility

$4,000.00

Service Code	HCPCS C1776
Hospital Charge Code	40008296
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

ZIMMER MOTIONLOC SCREW CADDY

Facility

$1,587.04

Hospital Charge Code	40006863
Hospital Revenue Code	272
Min. Negotiated Rate	$555.46
Max. Negotiated Rate	$1,269.63
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$872.87
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$793.52
Rate for Payer: Aetna Government	$793.52
Rate for Payer: Brighton Health Commercial	$1,190.28
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,269.63
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,079.19
Rate for Payer: Group Health Inc Commercial	$793.52
Rate for Payer: Group Health Inc Medicare	$555.46
Rate for Payer: Hamaspik Choice Inc Medicaid	$793.52
Rate for Payer: Hamaspik Choice Inc Medicare	$793.52

ZIMMER NEXGEN 32MM PRIMARY PATELL

Facility

$3,170.00

Service Code	HCPCS C1776
Hospital Charge Code	40004692
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,328.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,743.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,902.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,585.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,822.75
Rate for Payer: EmblemHealth Commercial	$1,585.00
Rate for Payer: Fidelis Medicare Advantage	$3,328.50
Rate for Payer: Group Health Inc Commercial	$1,585.00
Rate for Payer: Group Health Inc Medicare	$1,109.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,585.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,585.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,060.50

ZIMMER NEXGEN 32MM PRIMARY PATELL

Facility

$3,170.00

Service Code	HCPCS C1776
Hospital Charge Code	40004692
Hospital Revenue Code	278
Min. Negotiated Rate	$1,585.00
Max. Negotiated Rate	$1,585.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,585.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,585.00

ZIMMER NEXGEN COMP. KNEE SZ 32MM

Facility

$3,170.00

Service Code	HCPCS C1776
Hospital Charge Code	40206281
Hospital Revenue Code	278
Min. Negotiated Rate	$1,585.00
Max. Negotiated Rate	$1,585.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,585.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,585.00

ZIMMER NEXGEN COMP. KNEE SZ 32MM

Facility

$3,170.00

Service Code	HCPCS C1776
Hospital Charge Code	40206281
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$3,328.50
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,743.50
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,902.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,585.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,822.75
Rate for Payer: EmblemHealth Commercial	$1,585.00
Rate for Payer: Fidelis Medicare Advantage	$3,328.50
Rate for Payer: Group Health Inc Commercial	$1,585.00
Rate for Payer: Group Health Inc Medicare	$1,109.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,585.00
Rate for Payer: Hamaspik Choice Inc Medicare	$1,585.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$2,060.50

ZIMMER PATELLA COMPONENT

Facility

$1,933.47

Service Code	HCPCS C1776
Hospital Charge Code	40024011
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,030.14
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,063.41
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,160.08
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$966.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,111.75
Rate for Payer: EmblemHealth Commercial	$966.74
Rate for Payer: Fidelis Medicare Advantage	$2,030.14
Rate for Payer: Group Health Inc Commercial	$966.74
Rate for Payer: Group Health Inc Medicare	$676.71
Rate for Payer: Hamaspik Choice Inc Medicaid	$966.74
Rate for Payer: Hamaspik Choice Inc Medicare	$966.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,256.76

ZIMMER PATELLA COMPONENT

Facility

$1,933.47

Service Code	HCPCS C1776
Hospital Charge Code	40024011
Hospital Revenue Code	278
Min. Negotiated Rate	$966.74
Max. Negotiated Rate	$966.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$966.74
Rate for Payer: Hamaspik Choice Inc Medicare	$966.74

ZIMMER PATELLA REAMER

Facility

$374.22

Service Code	HCPCS C1776
Hospital Charge Code	40024016
Hospital Revenue Code	278
Min. Negotiated Rate	$130.98
Max. Negotiated Rate	$392.93
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$205.82
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$224.53
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$187.11
Rate for Payer: Cigna LocalPlus Benefit Plan	$215.18
Rate for Payer: EmblemHealth Commercial	$187.11
Rate for Payer: Fidelis Medicare Advantage	$392.93
Rate for Payer: Group Health Inc Commercial	$187.11
Rate for Payer: Group Health Inc Medicare	$130.98
Rate for Payer: Hamaspik Choice Inc Medicaid	$187.11
Rate for Payer: Hamaspik Choice Inc Medicare	$187.11
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$243.24

ZIMMER PATELLA REAMER

Facility

$374.22

Service Code	HCPCS C1776
Hospital Charge Code	40024016
Hospital Revenue Code	278
Min. Negotiated Rate	$187.11
Max. Negotiated Rate	$187.11
Rate for Payer: Hamaspik Choice Inc Medicaid	$187.11
Rate for Payer: Hamaspik Choice Inc Medicare	$187.11

ZIMMER PATELLA REAMER BLD

Facility

$326.40

Service Code	HCPCS C1776
Hospital Charge Code	40004693
Hospital Revenue Code	278
Min. Negotiated Rate	$163.20
Max. Negotiated Rate	$163.20
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.20
Rate for Payer: Hamaspik Choice Inc Medicare	$163.20

ZIMMER PATELLA REAMER BLD

Facility

$326.40

Service Code	HCPCS C1776
Hospital Charge Code	40004693
Hospital Revenue Code	278
Min. Negotiated Rate	$114.24
Max. Negotiated Rate	$342.72
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$179.52
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$195.84
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$163.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$187.68
Rate for Payer: EmblemHealth Commercial	$163.20
Rate for Payer: Fidelis Medicare Advantage	$342.72
Rate for Payer: Group Health Inc Commercial	$163.20
Rate for Payer: Group Health Inc Medicare	$114.24
Rate for Payer: Hamaspik Choice Inc Medicaid	$163.20
Rate for Payer: Hamaspik Choice Inc Medicare	$163.20
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$212.16

ZIMMER SELF TAP BNE SCRW 6.5X25MM

Facility

$138.00

Service Code	HCPCS C1713
Hospital Charge Code	40005239
Hospital Revenue Code	278
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$69.00
Rate for Payer: Hamaspik Choice Inc Medicare	$69.00

ZIMMER SELF TAP BNE SCRW 6.5X25MM

Facility

$138.00

Service Code	HCPCS C1713
Hospital Charge Code	40005239
Hospital Revenue Code	278
Min. Negotiated Rate	$48.30
Max. Negotiated Rate	$144.90
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$75.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$82.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$69.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$79.35
Rate for Payer: EmblemHealth Commercial	$69.00
Rate for Payer: Fidelis Medicare Advantage	$144.90
Rate for Payer: Group Health Inc Commercial	$69.00
Rate for Payer: Group Health Inc Medicare	$48.30
Rate for Payer: Hamaspik Choice Inc Medicaid	$69.00
Rate for Payer: Hamaspik Choice Inc Medicare	$69.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$89.70

ZIMMER SHORT OSTEO BLADE 12MM

Facility

$320.00

Hospital Charge Code	40004697
Hospital Revenue Code	272
Min. Negotiated Rate	$112.00
Max. Negotiated Rate	$256.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$176.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$160.00
Rate for Payer: Aetna Government	$160.00
Rate for Payer: Brighton Health Commercial	$240.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$256.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$217.60
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

ZIMMER STAPLE BARBED 2229-01

Facility

$68.64

Hospital Charge Code	40205160
Hospital Revenue Code	279
Min. Negotiated Rate	$24.02
Max. Negotiated Rate	$54.91
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$37.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$34.32
Rate for Payer: Aetna Government	$34.32
Rate for Payer: Brighton Health Commercial	$51.48
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$54.91
Rate for Payer: Cigna LocalPlus Benefit Plan	$46.68
Rate for Payer: Group Health Inc Commercial	$34.32
Rate for Payer: Group Health Inc Medicare	$24.02
Rate for Payer: Hamaspik Choice Inc Medicaid	$34.32
Rate for Payer: Hamaspik Choice Inc Medicare	$34.32

ZIMMER STEM STAND 3 TAPER 12/14

Facility

$9,336.00

Service Code	HCPCS C1776
Hospital Charge Code	40009273
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$9,802.80
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$5,134.80
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$5,601.60
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$4,668.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$5,368.20
Rate for Payer: EmblemHealth Commercial	$4,668.00
Rate for Payer: Fidelis Medicare Advantage	$9,802.80
Rate for Payer: Group Health Inc Commercial	$4,668.00
Rate for Payer: Group Health Inc Medicare	$3,267.60
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,668.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,668.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$6,068.40

ZIMMER STEM STAND 3 TAPER 12/14

Facility

$9,336.00

Service Code	HCPCS C1776
Hospital Charge Code	40009273
Hospital Revenue Code	278
Min. Negotiated Rate	$4,668.00
Max. Negotiated Rate	$4,668.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$4,668.00
Rate for Payer: Hamaspik Choice Inc Medicare	$4,668.00

Know your out-of-pocket cost for care.

All Charges