St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT

Professional

Both

$5,667.59

Service Code	HCPCS 27130
Min. Negotiated Rate	$4,250.69
Max. Negotiated Rate	$4,250.69
Rate for Payer: Cash Price	$1,525.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,250.69
Rate for Payer: SOMOS Essential	$4,250.69

PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM

Professional

Both

$6,370.70

Service Code	HCPCS 24363
Min. Negotiated Rate	$4,778.02
Max. Negotiated Rate	$4,778.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,778.02
Rate for Payer: SOMOS Essential	$4,778.02

PR ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ

Professional

Both

$4,697.56

Service Code	HCPCS 24362
Min. Negotiated Rate	$3,523.17
Max. Negotiated Rate	$3,523.17
Rate for Payer: Cash Price	$1,266.21
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,523.17
Rate for Payer: SOMOS Essential	$3,523.17

PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL

Professional

Both

$3,618.23

Service Code	HCPCS 27443
Min. Negotiated Rate	$2,713.67
Max. Negotiated Rate	$2,713.67
Rate for Payer: Cash Price	$978.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,713.67
Rate for Payer: SOMOS Essential	$2,713.67

PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS

Professional

Both

$3,669.40

Service Code	HCPCS 25447
Min. Negotiated Rate	$2,752.05
Max. Negotiated Rate	$2,752.05
Rate for Payer: Cash Price	$994.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,752.05
Rate for Payer: SOMOS Essential	$2,752.05

PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS

Professional

Both

$5,660.55

Service Code	HCPCS 27447
Min. Negotiated Rate	$4,245.41
Max. Negotiated Rate	$4,245.41
Rate for Payer: Cash Price	$1,522.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,245.41
Rate for Payer: SOMOS Essential	$4,245.41

PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT

Professional

Both

$5,060.83

Service Code	HCPCS 27446
Min. Negotiated Rate	$3,795.62
Max. Negotiated Rate	$3,795.62
Rate for Payer: Cash Price	$1,365.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,795.62
Rate for Payer: SOMOS Essential	$3,795.62

PR ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT

Professional

Both

$3,655.51

Service Code	HCPCS 27441
Min. Negotiated Rate	$2,741.63
Max. Negotiated Rate	$2,741.63
Rate for Payer: Cash Price	$986.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,741.63
Rate for Payer: SOMOS Essential	$2,741.63

PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT

Professional

Both

$2,792.86

Service Code	HCPCS 26531
Min. Negotiated Rate	$2,094.64
Max. Negotiated Rate	$2,094.64
Rate for Payer: Cash Price	$758.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,094.64
Rate for Payer: SOMOS Essential	$2,094.64

PR ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT

Professional

Both

$4,433.42

Service Code	HCPCS 21240
Min. Negotiated Rate	$3,325.06
Max. Negotiated Rate	$3,325.06
Rate for Payer: Cash Price	$1,196.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,325.06
Rate for Payer: SOMOS Essential	$3,325.06

PR ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT

Professional

Both

$7,054.53

Service Code	HCPCS 21243
Min. Negotiated Rate	$5,290.90
Max. Negotiated Rate	$5,290.90
Rate for Payer: Cash Price	$1,916.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,290.90
Rate for Payer: SOMOS Essential	$5,290.90

PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS

Professional

Both

$5,145.56

Service Code	HCPCS 25446
Min. Negotiated Rate	$3,859.17
Max. Negotiated Rate	$3,859.17
Rate for Payer: Cash Price	$1,390.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,859.17
Rate for Payer: SOMOS Essential	$3,859.17

PR ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ

Professional

Both

$3,727.08

Service Code	HCPCS 25332
Min. Negotiated Rate	$2,795.31
Max. Negotiated Rate	$2,795.31
Rate for Payer: Cash Price	$1,008.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,795.31
Rate for Payer: SOMOS Essential	$2,795.31

PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ

Professional

Both

$4,290.62

Service Code	HCPCS 29888
Min. Negotiated Rate	$3,217.96
Max. Negotiated Rate	$3,217.96
Rate for Payer: Cash Price	$1,157.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,217.96
Rate for Payer: SOMOS Essential	$3,217.96

PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ

Professional

Both

$5,408.17

Service Code	HCPCS 29889
Min. Negotiated Rate	$4,056.13
Max. Negotiated Rate	$4,056.13
Rate for Payer: Cash Price	$1,462.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,056.13
Rate for Payer: SOMOS Essential	$4,056.13

PR ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX

Professional

Both

$2,735.18

Service Code	HCPCS 29892
Min. Negotiated Rate	$2,051.38
Max. Negotiated Rate	$2,051.38
Rate for Payer: Cash Price	$746.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,051.38
Rate for Payer: SOMOS Essential	$2,051.38

PR ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR

Professional

Both

$3,449.04

Service Code	HCPCS 29855
Min. Negotiated Rate	$2,586.78
Max. Negotiated Rate	$2,586.78
Rate for Payer: Cash Price	$932.16
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,586.78
Rate for Payer: SOMOS Essential	$2,586.78

PR ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR

Professional

Both

$4,389.39

Service Code	HCPCS 29856
Min. Negotiated Rate	$3,292.04
Max. Negotiated Rate	$3,292.04
Rate for Payer: Cash Price	$1,184.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,292.04
Rate for Payer: SOMOS Essential	$3,292.04

PR ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT

Professional

Both

$2,909.31

Service Code	HCPCS 29891
Min. Negotiated Rate	$2,181.98
Max. Negotiated Rate	$2,181.98
Rate for Payer: Cash Price	$797.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,181.98
Rate for Payer: SOMOS Essential	$2,181.98

PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG

Professional

Both

$3,581.62

Service Code	HCPCS 29862
Min. Negotiated Rate	$2,686.22
Max. Negotiated Rate	$2,686.22
Rate for Payer: Cash Price	$974.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,686.22
Rate for Payer: SOMOS Essential	$2,686.22

PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX

Professional

Both

$2,927.02

Service Code	HCPCS 29879
Min. Negotiated Rate	$2,195.26
Max. Negotiated Rate	$2,195.26
Rate for Payer: Cash Price	$792.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,195.26
Rate for Payer: SOMOS Essential	$2,195.26

PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG

Professional

Both

$2,749.11

Service Code	HCPCS 29877
Min. Negotiated Rate	$2,061.83
Max. Negotiated Rate	$2,061.83
Rate for Payer: Cash Price	$744.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,061.83
Rate for Payer: SOMOS Essential	$2,061.83

PR ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION

Professional

Both

$2,824.99

Service Code	HCPCS 29886
Min. Negotiated Rate	$2,118.74
Max. Negotiated Rate	$2,118.74
Rate for Payer: Cash Price	$765.26
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,118.74
Rate for Payer: SOMOS Essential	$2,118.74

PR ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG

Professional

Both

$3,350.52

Service Code	HCPCS 29885
Min. Negotiated Rate	$2,512.89
Max. Negotiated Rate	$2,512.89
Rate for Payer: Cash Price	$907.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,512.89
Rate for Payer: SOMOS Essential	$2,512.89

PR ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ

Professional

Both

$3,337.18

Service Code	HCPCS 29887
Min. Negotiated Rate	$2,502.88
Max. Negotiated Rate	$2,502.88
Rate for Payer: Cash Price	$904.57
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,502.88
Rate for Payer: SOMOS Essential	$2,502.88

Know your out-of-pocket cost for care.

All Charges