St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT

Professional

Both

$3,704.75

Service Code	HCPCS 26842
Min. Negotiated Rate	$2,778.56
Max. Negotiated Rate	$2,778.56
Rate for Payer: Cash Price	$997.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,778.56
Rate for Payer: SOMOS Essential	$2,778.56

PR ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE

Professional

Both

$4,464.50

Service Code	HCPCS 25830
Min. Negotiated Rate	$3,348.38
Max. Negotiated Rate	$3,348.38
Rate for Payer: Cash Price	$1,230.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,348.38
Rate for Payer: SOMOS Essential	$3,348.38

PR ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT

Professional

Both

$7,244.97

Service Code	HCPCS 27286
Min. Negotiated Rate	$5,433.73
Max. Negotiated Rate	$5,433.73
Rate for Payer: Cash Price	$1,948.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,433.73
Rate for Payer: SOMOS Essential	$5,433.73

PR ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT

Professional

Both

$3,354.68

Service Code	HCPCS 28735
Min. Negotiated Rate	$2,516.01
Max. Negotiated Rate	$2,516.01
Rate for Payer: Cash Price	$907.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,516.01
Rate for Payer: SOMOS Essential	$2,516.01

PR ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS

Professional

Both

$3,143.70

Service Code	HCPCS 28730
Min. Negotiated Rate	$2,357.78
Max. Negotiated Rate	$2,357.78
Rate for Payer: Cash Price	$851.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,357.78
Rate for Payer: SOMOS Essential	$2,357.78

PR ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT

Professional

Both

$6,097.14

Service Code	HCPCS 22600
Min. Negotiated Rate	$4,572.86
Max. Negotiated Rate	$4,572.86
Rate for Payer: Cash Price	$1,625.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,572.86
Rate for Payer: SOMOS Essential	$4,572.86

PR ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR

Professional

Both

$2,917.99

Service Code	HCPCS 28737
Min. Negotiated Rate	$2,188.49
Max. Negotiated Rate	$2,188.49
Rate for Payer: Cash Price	$807.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,188.49
Rate for Payer: SOMOS Essential	$2,188.49

PR ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK

Professional

Both

$2,376.43

Service Code	HCPCS 28760
Min. Negotiated Rate	$1,782.32
Max. Negotiated Rate	$1,782.32
Rate for Payer: Cash Price	$664.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,782.32
Rate for Payer: SOMOS Essential	$1,782.32

PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US

Professional

Both

$158.52

Service Code	HCPCS 20605
Min. Negotiated Rate	$118.89
Max. Negotiated Rate	$118.89
Rate for Payer: Cash Price	$42.31
Rate for Payer: SOMOS CHP/HARP/Medicaid	$118.89
Rate for Payer: SOMOS Essential	$118.89

PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US

Professional

Both

$218.47

Service Code	HCPCS 20606
Min. Negotiated Rate	$163.85
Max. Negotiated Rate	$163.85
Rate for Payer: Cash Price	$59.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$163.85
Rate for Payer: SOMOS Essential	$163.85

PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US

Professional

Both

$193.59

Service Code	HCPCS 20610
Min. Negotiated Rate	$145.19
Max. Negotiated Rate	$145.19
Rate for Payer: Cash Price	$52.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$145.19
Rate for Payer: SOMOS Essential	$145.19

PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US

Professional

Both

$257.60

Service Code	HCPCS 20611
Min. Negotiated Rate	$193.20
Max. Negotiated Rate	$193.20
Rate for Payer: Cash Price	$67.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$193.20
Rate for Payer: SOMOS Essential	$193.20

PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US

Professional

Both

$149.10

Service Code	HCPCS 20600
Min. Negotiated Rate	$111.82
Max. Negotiated Rate	$111.82
Rate for Payer: Cash Price	$41.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$111.82
Rate for Payer: SOMOS Essential	$111.82

PR ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT

Professional

Both

$192.01

Service Code	HCPCS 20604
Min. Negotiated Rate	$144.01
Max. Negotiated Rate	$144.01
Rate for Payer: Cash Price	$51.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$144.01
Rate for Payer: SOMOS Essential	$144.01

PR ARTHRODESIS ANKLE OPEN

Professional

Both

$4,404.72

Service Code	HCPCS 27870
Min. Negotiated Rate	$3,303.54
Max. Negotiated Rate	$3,303.54
Rate for Payer: Cash Price	$1,189.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,303.54
Rate for Payer: SOMOS Essential	$3,303.54

PR ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC

Professional

Both

$1,495.87

Service Code	HCPCS 22585
Min. Negotiated Rate	$1,121.90
Max. Negotiated Rate	$1,121.90
Rate for Payer: Cash Price	$394.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,121.90
Rate for Payer: SOMOS Essential	$1,121.90

PR ARTHRODESIS ANTERIOR INTERBODY LUMBAR

Professional

Both

$6,966.02

Service Code	HCPCS 22558
Min. Negotiated Rate	$5,224.52
Max. Negotiated Rate	$5,224.52
Rate for Payer: Cash Price	$1,857.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,224.52
Rate for Payer: SOMOS Essential	$5,224.52

PR ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG

Professional

Both

$8,388.03

Service Code	HCPCS 22808
Min. Negotiated Rate	$6,291.02
Max. Negotiated Rate	$6,291.02
Rate for Payer: Cash Price	$2,246.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,291.02
Rate for Payer: SOMOS Essential	$6,291.02

PR ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG

Professional

Both

$8,848.42

Service Code	HCPCS 22810
Min. Negotiated Rate	$6,636.32
Max. Negotiated Rate	$6,636.32
Rate for Payer: Cash Price	$2,378.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,636.32
Rate for Payer: SOMOS Essential	$6,636.32

PR ARTHRODESIS ANTERIOR SPINAL DFRM 8/> VRT SEG

Professional

Both

$9,694.09

Service Code	HCPCS 22812
Min. Negotiated Rate	$7,270.57
Max. Negotiated Rate	$7,270.57
Rate for Payer: Cash Price	$2,607.16
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,270.57
Rate for Payer: SOMOS Essential	$7,270.57

PR ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL

Professional

Both

$2,250.26

Service Code	HCPCS 22634
Min. Negotiated Rate	$1,687.70
Max. Negotiated Rate	$1,687.70
Rate for Payer: Cash Price	$594.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,687.70
Rate for Payer: SOMOS Essential	$1,687.70

PR ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR

Professional

Both

$8,371.69

Service Code	HCPCS 22633
Min. Negotiated Rate	$6,278.77
Max. Negotiated Rate	$6,278.77
Rate for Payer: Cash Price	$2,227.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,278.77
Rate for Payer: SOMOS Essential	$6,278.77

PR ARTHRODESIS ELBOW JOINT LOCAL

Professional

Both

$3,695.86

Service Code	HCPCS 24800
Min. Negotiated Rate	$2,771.90
Max. Negotiated Rate	$2,771.90
Rate for Payer: Cash Price	$999.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,771.90
Rate for Payer: SOMOS Essential	$2,771.90

PR ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT

Professional

Both

$4,436.08

Service Code	HCPCS 24802
Min. Negotiated Rate	$3,327.06
Max. Negotiated Rate	$3,327.06
Rate for Payer: Cash Price	$1,196.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,327.06
Rate for Payer: SOMOS Essential	$3,327.06

PR ARTHRODESIS GLENOHUMERAL JOINT

Professional

Both

$4,543.67

Service Code	HCPCS 23800
Min. Negotiated Rate	$3,407.75
Max. Negotiated Rate	$3,407.75
Rate for Payer: Cash Price	$1,226.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,407.75
Rate for Payer: SOMOS Essential	$3,407.75

Know your out-of-pocket cost for care.

All Charges