St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

ZIMMER SYSTEM BLADE PATELLA 35MM

Facility

$354.00

Hospital Charge Code	40203334
Hospital Revenue Code	272
Min. Negotiated Rate	$123.90
Max. Negotiated Rate	$283.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$177.00
Rate for Payer: Aetna Government	$177.00
Rate for Payer: Brighton Health Commercial	$265.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$283.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$240.72
Rate for Payer: Group Health Inc Commercial	$177.00
Rate for Payer: Group Health Inc Medicare	$123.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.00
Rate for Payer: Hamaspik Choice Inc Medicare	$177.00

ZIMMER SYSTEM BLADE PATELLLA 35MM

Facility

$354.00

Hospital Charge Code	40009316
Hospital Revenue Code	272
Min. Negotiated Rate	$123.90
Max. Negotiated Rate	$283.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$194.70
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$177.00
Rate for Payer: Aetna Government	$177.00
Rate for Payer: Brighton Health Commercial	$265.50
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$283.20
Rate for Payer: Cigna LocalPlus Benefit Plan	$240.72
Rate for Payer: Group Health Inc Commercial	$177.00
Rate for Payer: Group Health Inc Medicare	$123.90
Rate for Payer: Hamaspik Choice Inc Medicaid	$177.00
Rate for Payer: Hamaspik Choice Inc Medicare	$177.00

ZIMMER TAPER STEM PLUG

Facility

$1,604.80

Service Code	HCPCS C1776
Hospital Charge Code	40209955
Hospital Revenue Code	278
Min. Negotiated Rate	$802.40
Max. Negotiated Rate	$802.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$802.40
Rate for Payer: Hamaspik Choice Inc Medicare	$802.40

ZIMMER TAPER STEM PLUG

Facility

$1,604.80

Service Code	HCPCS C1776
Hospital Charge Code	40209955
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$1,685.04
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$882.64
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$962.88
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$802.40
Rate for Payer: Cigna LocalPlus Benefit Plan	$922.76
Rate for Payer: EmblemHealth Commercial	$802.40
Rate for Payer: Fidelis Medicare Advantage	$1,685.04
Rate for Payer: Group Health Inc Commercial	$802.40
Rate for Payer: Group Health Inc Medicare	$561.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$802.40
Rate for Payer: Hamaspik Choice Inc Medicare	$802.40
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,043.12

ZIMMER TIBIAL COMP 8

Facility

$7,768.00

Service Code	HCPCS C1713
Hospital Charge Code	40205813
Hospital Revenue Code	278
Min. Negotiated Rate	$134.20
Max. Negotiated Rate	$8,156.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$4,272.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Brighton Health Commercial	$4,660.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,884.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$4,466.60
Rate for Payer: EmblemHealth Commercial	$3,884.00
Rate for Payer: Fidelis Medicare Advantage	$8,156.40
Rate for Payer: Group Health Inc Commercial	$3,884.00
Rate for Payer: Group Health Inc Medicare	$2,718.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,884.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,884.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$5,049.20

ZIMMER TIBIAL COMP 8

Facility

$7,768.00

Service Code	HCPCS C1713
Hospital Charge Code	40205813
Hospital Revenue Code	278
Min. Negotiated Rate	$3,884.00
Max. Negotiated Rate	$3,884.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,884.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,884.00

ZIMMER TIBIAL COMPONENT

Facility

$4,876.20

Service Code	HCPCS C1776
Hospital Charge Code	40024014
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,120.01
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,681.91
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$2,925.72
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,438.10
Rate for Payer: Cigna LocalPlus Benefit Plan	$2,803.82
Rate for Payer: EmblemHealth Commercial	$2,438.10
Rate for Payer: Fidelis Medicare Advantage	$5,120.01
Rate for Payer: Group Health Inc Commercial	$2,438.10
Rate for Payer: Group Health Inc Medicare	$1,706.67
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,438.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,438.10
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,169.53

ZIMMER TIBIAL COMPONENT

Facility

$4,876.20

Service Code	HCPCS C1776
Hospital Charge Code	40024014
Hospital Revenue Code	278
Min. Negotiated Rate	$2,438.10
Max. Negotiated Rate	$2,438.10
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,438.10
Rate for Payer: Hamaspik Choice Inc Medicare	$2,438.10

ZIMMER TIBIAL POLY

Facility

$2,679.08

Service Code	HCPCS C1776
Hospital Charge Code	40024015
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,813.03
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,473.49
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,607.45
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$1,339.54
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,540.47
Rate for Payer: EmblemHealth Commercial	$1,339.54
Rate for Payer: Fidelis Medicare Advantage	$2,813.03
Rate for Payer: Group Health Inc Commercial	$1,339.54
Rate for Payer: Group Health Inc Medicare	$937.68
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,339.54
Rate for Payer: Hamaspik Choice Inc Medicare	$1,339.54
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,741.40

ZIMMER TIBIAL POLY

Facility

$2,679.08

Service Code	HCPCS C1776
Hospital Charge Code	40024015
Hospital Revenue Code	278
Min. Negotiated Rate	$1,339.54
Max. Negotiated Rate	$1,339.54
Rate for Payer: Hamaspik Choice Inc Medicaid	$1,339.54
Rate for Payer: Hamaspik Choice Inc Medicare	$1,339.54

ZIMMER TRAB MTL ST P PAT35MMX10MM

Facility

$3,171.20

Service Code	HCPCS C1776
Hospital Charge Code	40206095
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 TRAB MTL ST P PAT35MMX10MM

Facility

$3,171.20

Service Code	HCPCS C1776
Hospital Charge Code	40206095
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

ZIMM FEMORAL BLONENT SIZ ZE

Facility

$6,600.00

Service Code	HCPCS C1776
Hospital Charge Code	40009744
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$6,930.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$3,630.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,960.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$3,300.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,795.00
Rate for Payer: EmblemHealth Commercial	$3,300.00
Rate for Payer: Fidelis Medicare Advantage	$6,930.00
Rate for Payer: Group Health Inc Commercial	$3,300.00
Rate for Payer: Group Health Inc Medicare	$2,310.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,300.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,300.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$4,290.00

ZIMM FEMORAL BLONENT SIZ ZE

Facility

$6,600.00

Service Code	HCPCS C1776
Hospital Charge Code	40009744
Hospital Revenue Code	278
Min. Negotiated Rate	$3,300.00
Max. Negotiated Rate	$3,300.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$3,300.00
Rate for Payer: Hamaspik Choice Inc Medicare	$3,300.00

ZIMM NEXGEN BLETE KNEE

Facility

$1,920.00

Service Code	HCPCS C1776
Hospital Charge Code	40009745
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$2,016.00
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$1,056.00
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$1,152.00
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$960.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$1,104.00
Rate for Payer: EmblemHealth Commercial	$960.00
Rate for Payer: Fidelis Medicare Advantage	$2,016.00
Rate for Payer: Group Health Inc Commercial	$960.00
Rate for Payer: Group Health Inc Medicare	$672.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$960.00
Rate for Payer: Hamaspik Choice Inc Medicare	$960.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$1,248.00

ZIMM NEXGEN BLETE KNEE

Facility

$1,920.00

Service Code	HCPCS C1776
Hospital Charge Code	40009745
Hospital Revenue Code	278
Min. Negotiated Rate	$960.00
Max. Negotiated Rate	$960.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$960.00
Rate for Payer: Hamaspik Choice Inc Medicare	$960.00

ZIMM PERSONA BL SYSTEM F TRABE

Facility

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40009735
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

ZIMM PERSONA BL SYSTEM F TRABE

Facility

$8,200.00

Service Code	HCPCS C1776
Hospital Charge Code	40009735
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

ZIMM ROTAT BLGE KNEE A E23MM

Facility

$5,408.00

Service Code	HCPCS C1776
Hospital Charge Code	40009730
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$5,678.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$2,974.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$3,244.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$2,704.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$3,109.60
Rate for Payer: EmblemHealth Commercial	$2,704.00
Rate for Payer: Fidelis Medicare Advantage	$5,678.40
Rate for Payer: Group Health Inc Commercial	$2,704.00
Rate for Payer: Group Health Inc Medicare	$1,892.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,704.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,704.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$3,515.20

ZIMM ROTAT BLGE KNEE A E23MM

Facility

$5,408.00

Service Code	HCPCS C1776
Hospital Charge Code	40009730
Hospital Revenue Code	278
Min. Negotiated Rate	$2,704.00
Max. Negotiated Rate	$2,704.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$2,704.00
Rate for Payer: Hamaspik Choice Inc Medicare	$2,704.00

ZIMM ROTAT BLGE KNEE F COM E

Facility

$24,624.00

Service Code	HCPCS C1776
Hospital Charge Code	40009731
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$25,855.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$13,543.20
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$14,774.40
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$12,312.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$14,158.80
Rate for Payer: EmblemHealth Commercial	$12,312.00
Rate for Payer: Fidelis Medicare Advantage	$25,855.20
Rate for Payer: Group Health Inc Commercial	$12,312.00
Rate for Payer: Group Health Inc Medicare	$8,618.40
Rate for Payer: Hamaspik Choice Inc Medicaid	$12,312.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12,312.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$16,005.60

ZIMM ROTAT BLGE KNEE F COM E

Facility

$24,624.00

Service Code	HCPCS C1776
Hospital Charge Code	40009731
Hospital Revenue Code	278
Min. Negotiated Rate	$12,312.00
Max. Negotiated Rate	$12,312.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$12,312.00
Rate for Payer: Hamaspik Choice Inc Medicare	$12,312.00

ZIMM ROTAT BLGE KNEE T COMP 4

Facility

$12,208.00

Service Code	HCPCS C1776
Hospital Charge Code	40009299
Hospital Revenue Code	278
Min. Negotiated Rate	$339.17
Max. Negotiated Rate	$12,818.40
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$6,714.40
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$339.17
Rate for Payer: Aetna Government	$339.17
Rate for Payer: Brighton Health Commercial	$7,324.80
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$6,104.00
Rate for Payer: Cigna LocalPlus Benefit Plan	$7,019.60
Rate for Payer: EmblemHealth Commercial	$6,104.00
Rate for Payer: Fidelis Medicare Advantage	$12,818.40
Rate for Payer: Group Health Inc Commercial	$6,104.00
Rate for Payer: Group Health Inc Medicare	$4,272.80
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,104.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,104.00
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$7,935.20

ZIMM ROTAT BLGE KNEE T COMP 4

Facility

$12,208.00

Service Code	HCPCS C1776
Hospital Charge Code	40009299
Hospital Revenue Code	278
Min. Negotiated Rate	$6,104.00
Max. Negotiated Rate	$6,104.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$6,104.00
Rate for Payer: Hamaspik Choice Inc Medicare	$6,104.00

ZIMM SCREW 5.0 34MM

Facility

$348.00

Service Code	HCPCS C1713
Hospital Charge Code	40008326
Hospital Revenue Code	278
Min. Negotiated Rate	$174.00
Max. Negotiated Rate	$174.00
Rate for Payer: Hamaspik Choice Inc Medicaid	$174.00
Rate for Payer: Hamaspik Choice Inc Medicare	$174.00

Know your out-of-pocket cost for care.

All Charges