St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX

Professional

Both

$2,829.89

Service Code	HCPCS 29860
Min. Negotiated Rate	$2,122.42
Max. Negotiated Rate	$2,122.42
Rate for Payer: Cash Price	$783.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,122.42
Rate for Payer: SOMOS Essential	$2,122.42

PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB

Professional

Both

$3,137.30

Service Code	HCPCS 29861
Min. Negotiated Rate	$2,352.98
Max. Negotiated Rate	$2,352.98
Rate for Payer: Cash Price	$853.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,352.98
Rate for Payer: SOMOS Essential	$2,352.98

PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY

Professional

Both

$3,577.18

Service Code	HCPCS 29863
Min. Negotiated Rate	$2,682.88
Max. Negotiated Rate	$2,682.88
Rate for Payer: Cash Price	$973.01
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,682.88
Rate for Payer: SOMOS Essential	$2,682.88

PR ARTHROSCOPY HIP W/ACETABULOPLASTY

Professional

Both

$4,478.11

Service Code	HCPCS 29915
Min. Negotiated Rate	$3,358.58
Max. Negotiated Rate	$3,358.58
Rate for Payer: Cash Price	$1,209.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,358.58
Rate for Payer: SOMOS Essential	$3,358.58

PR ARTHROSCOPY HIP W/FEMOROPLASTY

Professional

Both

$4,370.77

Service Code	HCPCS 29914
Min. Negotiated Rate	$3,278.08
Max. Negotiated Rate	$3,278.08
Rate for Payer: Cash Price	$1,178.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,278.08
Rate for Payer: SOMOS Essential	$3,278.08

PR ARTHROSCOPY HIP W/LABRAL REPAIR

Professional

Both

$4,482.45

Service Code	HCPCS 29916
Min. Negotiated Rate	$3,361.84
Max. Negotiated Rate	$3,361.84
Rate for Payer: Cash Price	$1,203.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,361.84
Rate for Payer: SOMOS Essential	$3,361.84

PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX

Professional

Both

$1,793.89

Service Code	HCPCS 29870
Min. Negotiated Rate	$1,345.42
Max. Negotiated Rate	$1,345.42
Rate for Payer: Cash Price	$493.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,345.42
Rate for Payer: SOMOS Essential	$1,345.42

PR ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE

Professional

Both

$2,285.82

Service Code	HCPCS 29871
Min. Negotiated Rate	$1,714.36
Max. Negotiated Rate	$1,714.36
Rate for Payer: Cash Price	$619.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,714.36
Rate for Payer: SOMOS Essential	$1,714.36

PR ARTHROSCOPY KNEE LATERAL RELEASE

Professional

Both

$2,371.88

Service Code	HCPCS 29873
Min. Negotiated Rate	$1,778.91
Max. Negotiated Rate	$1,778.91
Rate for Payer: Cash Price	$647.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,778.91
Rate for Payer: SOMOS Essential	$1,778.91

PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT

Professional

Both

$7,364.28

Service Code	HCPCS 29868
Min. Negotiated Rate	$5,523.21
Max. Negotiated Rate	$5,523.21
Rate for Payer: Cash Price	$1,982.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,523.21
Rate for Payer: SOMOS Essential	$5,523.21

PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST

Professional

Both

$4,651.43

Service Code	HCPCS 29866
Min. Negotiated Rate	$3,488.57
Max. Negotiated Rate	$3,488.57
Rate for Payer: Cash Price	$1,257.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,488.57
Rate for Payer: SOMOS Essential	$3,488.57

PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT

Professional

Both

$5,647.32

Service Code	HCPCS 29867
Min. Negotiated Rate	$4,235.49
Max. Negotiated Rate	$4,235.49
Rate for Payer: Cash Price	$1,524.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,235.49
Rate for Payer: SOMOS Essential	$4,235.49

PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY

Professional

Both

$2,367.89

Service Code	HCPCS 29874
Min. Negotiated Rate	$1,775.92
Max. Negotiated Rate	$1,775.92
Rate for Payer: Cash Price	$646.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,775.92
Rate for Payer: SOMOS Essential	$1,775.92

PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS

Professional

Both

$2,885.23

Service Code	HCPCS 29876
Min. Negotiated Rate	$2,163.92
Max. Negotiated Rate	$2,163.92
Rate for Payer: Cash Price	$781.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,163.92
Rate for Payer: SOMOS Essential	$2,163.92

PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX

Professional

Both

$2,199.12

Service Code	HCPCS 29875
Min. Negotiated Rate	$1,649.34
Max. Negotiated Rate	$1,649.34
Rate for Payer: Cash Price	$597.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,649.34
Rate for Payer: SOMOS Essential	$1,649.34

PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX

Professional

Both

$2,740.99

Service Code	HCPCS 29884
Min. Negotiated Rate	$2,055.74
Max. Negotiated Rate	$2,055.74
Rate for Payer: Cash Price	$743.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,055.74
Rate for Payer: SOMOS Essential	$2,055.74

PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL

Professional

Both

$3,732.93

Service Code	HCPCS 29883
Min. Negotiated Rate	$2,799.70
Max. Negotiated Rate	$2,799.70
Rate for Payer: Cash Price	$1,008.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,799.70
Rate for Payer: SOMOS Essential	$2,799.70

PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL

Professional

Both

$3,045.46

Service Code	HCPCS 29882
Min. Negotiated Rate	$2,284.10
Max. Negotiated Rate	$2,284.10
Rate for Payer: Cash Price	$822.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,284.10
Rate for Payer: SOMOS Essential	$2,284.10

PR ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY

Professional

Both

$2,240.81

Service Code	HCPCS 29900
Min. Negotiated Rate	$1,680.61
Max. Negotiated Rate	$1,680.61
Rate for Payer: Cash Price	$610.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,680.61
Rate for Payer: SOMOS Essential	$1,680.61

PR ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS

Professional

Both

$3,883.50

Service Code	HCPCS 29907
Min. Negotiated Rate	$2,912.62
Max. Negotiated Rate	$2,912.62
Rate for Payer: Cash Price	$1,050.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,912.62
Rate for Payer: SOMOS Essential	$2,912.62

PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT

Professional

Both

$2,766.96

Service Code	HCPCS 29906
Min. Negotiated Rate	$2,075.22
Max. Negotiated Rate	$2,075.22
Rate for Payer: Cash Price	$769.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,075.22
Rate for Payer: SOMOS Essential	$2,075.22

PR ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY

Professional

Both

$2,118.73

Service Code	HCPCS 29905
Min. Negotiated Rate	$1,589.05
Max. Negotiated Rate	$1,589.05
Rate for Payer: Cash Price	$586.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,589.05
Rate for Payer: SOMOS Essential	$1,589.05

PR ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL

Professional

Both

$2,506.32

Service Code	HCPCS 29804
Min. Negotiated Rate	$1,879.74
Max. Negotiated Rate	$1,879.74
Rate for Payer: Cash Price	$684.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,879.74
Rate for Payer: SOMOS Essential	$1,879.74

PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX

Professional

Both

$1,992.45

Service Code	HCPCS 29840
Min. Negotiated Rate	$1,494.34
Max. Negotiated Rate	$1,494.34
Rate for Payer: Cash Price	$540.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,494.34
Rate for Payer: SOMOS Essential	$1,494.34

PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE

Professional

Both

$2,163.25

Service Code	HCPCS 29843
Min. Negotiated Rate	$1,622.44
Max. Negotiated Rate	$1,622.44
Rate for Payer: Cash Price	$587.45
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,622.44
Rate for Payer: SOMOS Essential	$1,622.44

Know your out-of-pocket cost for care.

All Charges