St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR ARTHROPLASTY KNEE TIBIAL PLATEAU

Professional

Both

$3,540.04

Service Code	HCPCS 27440
Min. Negotiated Rate	$2,655.03
Max. Negotiated Rate	$2,655.03
Rate for Payer: Cash Price	$956.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,655.03
Rate for Payer: SOMOS Essential	$2,655.03

PR ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH

Professional

Both

$2,388.09

Service Code	HCPCS 26530
Min. Negotiated Rate	$1,791.07
Max. Negotiated Rate	$1,791.07
Rate for Payer: Cash Price	$652.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,791.07
Rate for Payer: SOMOS Essential	$1,791.07

PR ARTHROPLASTY PATELLA W/O PROSTHESIS

Professional

Both

$2,933.88

Service Code	HCPCS 27437
Min. Negotiated Rate	$2,200.41
Max. Negotiated Rate	$2,200.41
Rate for Payer: Cash Price	$795.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,200.41
Rate for Payer: SOMOS Essential	$2,200.41

PR ARTHROPLASTY PATELLA W/PROSTHESIS

Professional

Both

$3,719.21

Service Code	HCPCS 27438
Min. Negotiated Rate	$2,789.41
Max. Negotiated Rate	$2,789.41
Rate for Payer: Cash Price	$1,005.52
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,789.41
Rate for Payer: SOMOS Essential	$2,789.41

PR ARTHROPLASTY RADIAL HEAD

Professional

Both

$2,849.63

Service Code	HCPCS 24365
Min. Negotiated Rate	$2,137.22
Max. Negotiated Rate	$2,137.22
Rate for Payer: Cash Price	$771.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,137.22
Rate for Payer: SOMOS Essential	$2,137.22

PR ARTHROPLASTY RADIAL HEAD W/IMPLANT

Professional

Both

$3,007.87

Service Code	HCPCS 24366
Min. Negotiated Rate	$2,255.90
Max. Negotiated Rate	$2,255.90
Rate for Payer: Cash Price	$814.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,255.90
Rate for Payer: SOMOS Essential	$2,255.90

PR ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT

Professional

Both

$4,266.36

Service Code	HCPCS 21242
Min. Negotiated Rate	$3,199.77
Max. Negotiated Rate	$3,199.77
Rate for Payer: Cash Price	$1,159.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,199.77
Rate for Payer: SOMOS Essential	$3,199.77

PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE

Professional

Both

$3,651.62

Service Code	HCPCS 25444
Min. Negotiated Rate	$2,738.72
Max. Negotiated Rate	$2,738.72
Rate for Payer: Cash Price	$981.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,738.72
Rate for Payer: SOMOS Essential	$2,738.72

PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM

Professional

Both

$3,188.19

Service Code	HCPCS 25445
Min. Negotiated Rate	$2,391.14
Max. Negotiated Rate	$2,391.14
Rate for Payer: Cash Price	$862.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,391.14
Rate for Payer: SOMOS Essential	$2,391.14

PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS

Professional

Both

$4,160.21

Service Code	HCPCS 25441
Min. Negotiated Rate	$3,120.16
Max. Negotiated Rate	$3,120.16
Rate for Payer: Cash Price	$1,122.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,120.16
Rate for Payer: SOMOS Essential	$3,120.16

PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA

Professional

Both

$3,571.89

Service Code	HCPCS 25442
Min. Negotiated Rate	$2,678.92
Max. Negotiated Rate	$2,678.92
Rate for Payer: Cash Price	$965.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,678.92
Rate for Payer: SOMOS Essential	$2,678.92

PR ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL

Professional

Both

$3,486.11

Service Code	HCPCS 25443
Min. Negotiated Rate	$2,614.58
Max. Negotiated Rate	$2,614.58
Rate for Payer: Cash Price	$943.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,614.58
Rate for Payer: SOMOS Essential	$2,614.58

PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ

Professional

Both

$4,113.48

Service Code	HCPCS 29851
Min. Negotiated Rate	$3,085.11
Max. Negotiated Rate	$3,085.11
Rate for Payer: Cash Price	$1,110.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,085.11
Rate for Payer: SOMOS Essential	$3,085.11

PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ

Professional

Both

$2,770.67

Service Code	HCPCS 29850
Min. Negotiated Rate	$2,078.00
Max. Negotiated Rate	$2,078.00
Rate for Payer: Cash Price	$751.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,078.00
Rate for Payer: SOMOS Essential	$2,078.00

PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE

Professional

Both

$2,423.26

Service Code	HCPCS 29898
Min. Negotiated Rate	$1,817.44
Max. Negotiated Rate	$1,817.44
Rate for Payer: Cash Price	$657.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,817.44
Rate for Payer: SOMOS Essential	$1,817.44

PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED

Professional

Both

$2,161.81

Service Code	HCPCS 29897
Min. Negotiated Rate	$1,621.36
Max. Negotiated Rate	$1,621.36
Rate for Payer: Cash Price	$585.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,621.36
Rate for Payer: SOMOS Essential	$1,621.36

PR ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL

Professional

Both

$1,994.90

Service Code	HCPCS 29895
Min. Negotiated Rate	$1,496.18
Max. Negotiated Rate	$1,496.18
Rate for Payer: Cash Price	$543.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,496.18
Rate for Payer: SOMOS Essential	$1,496.18

PR ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS

Professional

Both

$4,392.68

Service Code	HCPCS 29899
Min. Negotiated Rate	$3,294.51
Max. Negotiated Rate	$3,294.51
Rate for Payer: Cash Price	$1,187.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,294.51
Rate for Payer: SOMOS Essential	$3,294.51

PR ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY

Professional

Both

$2,152.64

Service Code	HCPCS 29894
Min. Negotiated Rate	$1,614.48
Max. Negotiated Rate	$1,614.48
Rate for Payer: Cash Price	$596.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,614.48
Rate for Payer: SOMOS Essential	$1,614.48

PR ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX

Professional

Both

$1,995.91

Service Code	HCPCS 29830
Min. Negotiated Rate	$1,496.93
Max. Negotiated Rate	$1,496.93
Rate for Payer: Cash Price	$546.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,496.93
Rate for Payer: SOMOS Essential	$1,496.93

PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE

Professional

Both

$2,630.46

Service Code	HCPCS 29838
Min. Negotiated Rate	$1,972.84
Max. Negotiated Rate	$1,972.84
Rate for Payer: Cash Price	$713.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,972.84
Rate for Payer: SOMOS Essential	$1,972.84

PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED

Professional

Both

$2,331.67

Service Code	HCPCS 29837
Min. Negotiated Rate	$1,748.75
Max. Negotiated Rate	$1,748.75
Rate for Payer: Cash Price	$629.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,748.75
Rate for Payer: SOMOS Essential	$1,748.75

PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE

Professional

Both

$2,589.44

Service Code	HCPCS 29836
Min. Negotiated Rate	$1,942.08
Max. Negotiated Rate	$1,942.08
Rate for Payer: Cash Price	$701.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,942.08
Rate for Payer: SOMOS Essential	$1,942.08

PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL

Professional

Both

$2,261.25

Service Code	HCPCS 29835
Min. Negotiated Rate	$1,695.94
Max. Negotiated Rate	$1,695.94
Rate for Payer: Cash Price	$613.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,695.94
Rate for Payer: SOMOS Essential	$1,695.94

PR ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB

Professional

Both

$2,177.35

Service Code	HCPCS 29834
Min. Negotiated Rate	$1,633.01
Max. Negotiated Rate	$1,633.01
Rate for Payer: Cash Price	$589.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,633.01
Rate for Payer: SOMOS Essential	$1,633.01

Know your out-of-pocket cost for care.

All Charges