St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING

Professional

Both

$2,489.59

Service Code	HCPCS 29880
Min. Negotiated Rate	$1,867.19
Max. Negotiated Rate	$1,867.19
Rate for Payer: Cash Price	$674.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,867.19
Rate for Payer: SOMOS Essential	$1,867.19

PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG

Professional

Both

$2,394.00

Service Code	HCPCS 29881
Min. Negotiated Rate	$1,795.50
Max. Negotiated Rate	$1,795.50
Rate for Payer: Cash Price	$649.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,795.50
Rate for Payer: SOMOS Essential	$1,795.50

PR ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT

Professional

Both

$2,401.25

Service Code	HCPCS 29901
Min. Negotiated Rate	$1,800.94
Max. Negotiated Rate	$1,800.94
Rate for Payer: Cash Price	$653.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,800.94
Rate for Payer: SOMOS Essential	$1,800.94

PR ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM

Professional

Both

$2,548.46

Service Code	HCPCS 29902
Min. Negotiated Rate	$1,911.34
Max. Negotiated Rate	$1,911.34
Rate for Payer: Cash Price	$692.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,911.34
Rate for Payer: SOMOS Essential	$1,911.34

PR ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY

Professional

Both

$2,835.98

Service Code	HCPCS 29904
Min. Negotiated Rate	$2,126.98
Max. Negotiated Rate	$2,126.98
Rate for Payer: Cash Price	$768.01
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,126.98
Rate for Payer: SOMOS Essential	$2,126.98

PR ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX

Professional

Both

$2,351.51

Service Code	HCPCS 29800
Min. Negotiated Rate	$1,763.63
Max. Negotiated Rate	$1,763.63
Rate for Payer: Cash Price	$639.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,763.63
Rate for Payer: SOMOS Essential	$1,763.63

PR ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT

Professional

Both

$2,311.44

Service Code	HCPCS 29846
Min. Negotiated Rate	$1,733.58
Max. Negotiated Rate	$1,733.58
Rate for Payer: Cash Price	$626.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,733.58
Rate for Payer: SOMOS Essential	$1,733.58

PR ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB

Professional

Both

$2,533.09

Service Code	HCPCS 23044
Min. Negotiated Rate	$1,899.82
Max. Negotiated Rate	$1,899.82
Rate for Payer: Cash Price	$680.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,899.82
Rate for Payer: SOMOS Essential	$1,899.82

PR ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG

Professional

Both

$2,034.59

Service Code	HCPCS 23101
Min. Negotiated Rate	$1,525.94
Max. Negotiated Rate	$1,525.94
Rate for Payer: Cash Price	$554.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,525.94
Rate for Payer: SOMOS Essential	$1,525.94

PR ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB

Professional

Both

$1,924.90

Service Code	HCPCS 27620
Min. Negotiated Rate	$1,443.68
Max. Negotiated Rate	$1,443.68
Rate for Payer: Cash Price	$530.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,443.68
Rate for Payer: SOMOS Essential	$1,443.68

PR ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX

Professional

Both

$3,151.82

Service Code	HCPCS 24006
Min. Negotiated Rate	$2,363.86
Max. Negotiated Rate	$2,363.86
Rate for Payer: Cash Price	$855.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,363.86
Rate for Payer: SOMOS Essential	$2,363.86

PR ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB

Professional

Both

$2,126.43

Service Code	HCPCS 24000
Min. Negotiated Rate	$1,594.82
Max. Negotiated Rate	$1,594.82
Rate for Payer: Cash Price	$577.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,594.82
Rate for Payer: SOMOS Essential	$1,594.82

PR ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB

Professional

Both

$2,239.97

Service Code	HCPCS 24101
Min. Negotiated Rate	$1,679.98
Max. Negotiated Rate	$1,679.98
Rate for Payer: Cash Price	$606.69
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,679.98
Rate for Payer: SOMOS Essential	$1,679.98

PR ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT

Professional

Both

$1,426.85

Service Code	HCPCS 26070
Min. Negotiated Rate	$1,070.14
Max. Negotiated Rate	$1,070.14
Rate for Payer: Cash Price	$390.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,070.14
Rate for Payer: SOMOS Essential	$1,070.14

PR ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA

Professional

Both

$1,766.03

Service Code	HCPCS 26080
Min. Negotiated Rate	$1,324.52
Max. Negotiated Rate	$1,324.52
Rate for Payer: Cash Price	$482.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,324.52
Rate for Payer: SOMOS Essential	$1,324.52

PR ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA

Professional

Both

$1,503.22

Service Code	HCPCS 26075
Min. Negotiated Rate	$1,127.42
Max. Negotiated Rate	$1,127.42
Rate for Payer: Cash Price	$409.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,127.42
Rate for Payer: SOMOS Essential	$1,127.42

PR ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB

Professional

Both

$2,933.98

Service Code	HCPCS 23107
Min. Negotiated Rate	$2,200.48
Max. Negotiated Rate	$2,200.48
Rate for Payer: Cash Price	$799.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,200.48
Rate for Payer: SOMOS Essential	$2,200.48

PR ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX

Professional

Both

$2,238.36

Service Code	HCPCS 23106
Min. Negotiated Rate	$1,678.77
Max. Negotiated Rate	$1,678.77
Rate for Payer: Cash Price	$607.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,678.77
Rate for Payer: SOMOS Essential	$1,678.77

PR ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY

Professional

Both

$2,835.81

Service Code	HCPCS 23105
Min. Negotiated Rate	$2,126.86
Max. Negotiated Rate	$2,126.86
Rate for Payer: Cash Price	$771.52
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,126.86
Rate for Payer: SOMOS Essential	$2,126.86

PR ARTHRT KNE W/EXPL DRG/RMVL FB

Professional

Both

$3,248.84

Service Code	HCPCS 27310
Min. Negotiated Rate	$2,436.63
Max. Negotiated Rate	$2,436.63
Rate for Payer: Cash Price	$879.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,436.63
Rate for Payer: SOMOS Essential	$2,436.63

PR ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB

Professional

Both

$2,123.07

Service Code	HCPCS 27331
Min. Negotiated Rate	$1,592.30
Max. Negotiated Rate	$1,592.30
Rate for Payer: Cash Price	$576.10
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,592.30
Rate for Payer: SOMOS Essential	$1,592.30

PR ARTHRTOMY W/BX INTERPHALANGEAL JOINT

Professional

Both

$968.07

Service Code	HCPCS 28054
Min. Negotiated Rate	$726.05
Max. Negotiated Rate	$726.05
Rate for Payer: Cash Price	$269.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$726.05
Rate for Payer: SOMOS Essential	$726.05

PR ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT

Professional

Both

$1,053.47

Service Code	HCPCS 28052
Min. Negotiated Rate	$790.10
Max. Negotiated Rate	$790.10
Rate for Payer: Cash Price	$294.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$790.10
Rate for Payer: SOMOS Essential	$790.10

PR ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH

Professional

Both

$2,450.25

Service Code	HCPCS 27612
Min. Negotiated Rate	$1,837.69
Max. Negotiated Rate	$1,837.69
Rate for Payer: Cash Price	$675.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,837.69
Rate for Payer: SOMOS Essential	$1,837.69

PR ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB

Professional

Both

$2,472.58

Service Code	HCPCS 25040
Min. Negotiated Rate	$1,854.44
Max. Negotiated Rate	$1,854.44
Rate for Payer: Cash Price	$671.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,854.44
Rate for Payer: SOMOS Essential	$1,854.44

Know your out-of-pocket cost for care.

All Charges