St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT

Professional

Both

$1,155.91

Service Code	HCPCS 28050
Min. Negotiated Rate	$866.93
Max. Negotiated Rate	$866.93
Rate for Payer: Cash Price	$320.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$866.93
Rate for Payer: SOMOS Essential	$866.93

PR ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT

Professional

Both

$2,623.50

Service Code	HCPCS 27333
Min. Negotiated Rate	$1,967.62
Max. Negotiated Rate	$1,967.62
Rate for Payer: Cash Price	$711.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,967.62
Rate for Payer: SOMOS Essential	$1,967.62

PR ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT

Professional

Both

$2,867.52

Service Code	HCPCS 27332
Min. Negotiated Rate	$2,150.64
Max. Negotiated Rate	$2,150.64
Rate for Payer: Cash Price	$777.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,150.64
Rate for Payer: SOMOS Essential	$2,150.64

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

Professional

Both

$1,287.37

Service Code	HCPCS 28024
Min. Negotiated Rate	$965.53
Max. Negotiated Rate	$965.53
Rate for Payer: Cash Price	$358.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$965.53
Rate for Payer: SOMOS Essential	$965.53

PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT

Professional

Both

$1,382.82

Service Code	HCPCS 28022
Min. Negotiated Rate	$1,037.12
Max. Negotiated Rate	$1,037.12
Rate for Payer: Cash Price	$381.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,037.12
Rate for Payer: SOMOS Essential	$1,037.12

PR ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT

Professional

Both

$1,581.34

Service Code	HCPCS 28020
Min. Negotiated Rate	$1,186.00
Max. Negotiated Rate	$1,186.00
Rate for Payer: Cash Price	$428.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,186.00
Rate for Payer: SOMOS Essential	$1,186.00

PR ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB

Professional

Both

$1,796.94

Service Code	HCPCS 25101
Min. Negotiated Rate	$1,347.70
Max. Negotiated Rate	$1,347.70
Rate for Payer: Cash Price	$491.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,347.70
Rate for Payer: SOMOS Essential	$1,347.70

PR ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA

Professional

Both

$3,393.85

Service Code	HCPCS 27335
Min. Negotiated Rate	$2,545.39
Max. Negotiated Rate	$2,545.39
Rate for Payer: Cash Price	$919.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,545.39
Rate for Payer: SOMOS Essential	$2,545.39

PR ARTIFICIAL INSEMINATION INTRA-CERVICAL

Professional

Both

$213.50

Service Code	HCPCS 58321
Min. Negotiated Rate	$160.12
Max. Negotiated Rate	$160.12
Rate for Payer: Cash Price	$56.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$160.12
Rate for Payer: SOMOS Essential	$160.12

PR ARTIFICIAL INSEMINATION INTRA-UTERINE

Professional

Both

$251.58

Service Code	HCPCS 58322
Min. Negotiated Rate	$188.68
Max. Negotiated Rate	$188.68
Rate for Payer: Cash Price	$67.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$188.68
Rate for Payer: SOMOS Essential	$188.68

PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN

Professional

Both

$453.46

Service Code	HCPCS 36625
Min. Negotiated Rate	$340.10
Max. Negotiated Rate	$340.10
Rate for Payer: Cash Price	$120.16
Rate for Payer: SOMOS CHP/HARP/Medicaid	$340.10
Rate for Payer: SOMOS Essential	$340.10

PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ

Professional

Both

$182.81

Service Code	HCPCS 36620
Min. Negotiated Rate	$137.11
Max. Negotiated Rate	$137.11
Rate for Payer: Cash Price	$48.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$137.11
Rate for Payer: SOMOS Essential	$137.11

PR ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN

Professional

Both

$477.72

Service Code	HCPCS 36640
Min. Negotiated Rate	$358.29
Max. Negotiated Rate	$358.29
Rate for Payer: Cash Price	$131.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$358.29
Rate for Payer: SOMOS Essential	$358.29

PR ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE

Professional

Both

$32.66

Service Code	HCPCS 93050 26
Min. Negotiated Rate	$24.50
Max. Negotiated Rate	$24.50
Rate for Payer: Cash Price	$8.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$24.50
Rate for Payer: SOMOS Essential	$24.50

PR ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE

Professional

Both

$67.03

Service Code	HCPCS 93050
Min. Negotiated Rate	$50.27
Max. Negotiated Rate	$50.27
Rate for Payer: Cash Price	$18.57
Rate for Payer: SOMOS CHP/HARP/Medicaid	$50.27
Rate for Payer: SOMOS Essential	$50.27

PR ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE

Professional

Both

$34.37

Service Code	HCPCS 93050 TC
Min. Negotiated Rate	$25.78
Max. Negotiated Rate	$25.78
Rate for Payer: Cash Price	$9.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$25.78
Rate for Payer: SOMOS Essential	$25.78

PR ARVEN ANAST OPN F/ARM VEIN TRPOS

Professional

Both

$3,206.70

Service Code	HCPCS 36820
Min. Negotiated Rate	$2,405.02
Max. Negotiated Rate	$2,405.02
Rate for Payer: Cash Price	$855.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,405.02
Rate for Payer: SOMOS Essential	$2,405.02

PR ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS

Professional

Both

$3,244.22

Service Code	HCPCS 36819
Min. Negotiated Rate	$2,433.16
Max. Negotiated Rate	$2,433.16
Rate for Payer: Cash Price	$861.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,433.16
Rate for Payer: SOMOS Essential	$2,433.16

PR ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS

Professional

Both

$3,061.38

Service Code	HCPCS 36818
Min. Negotiated Rate	$2,296.04
Max. Negotiated Rate	$2,296.04
Rate for Payer: Cash Price	$812.31
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,296.04
Rate for Payer: SOMOS Essential	$2,296.04

PR ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART

Professional

Both

$12,570.53

Service Code	HCPCS 61705
Min. Negotiated Rate	$9,427.90
Max. Negotiated Rate	$9,427.90
Rate for Payer: Cash Price	$3,306.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9,427.90
Rate for Payer: SOMOS Essential	$9,427.90

PR ARYSM VASC MALFRMJ IA EMBOLIZATION

Professional

Both

$10,371.45

Service Code	HCPCS 61710
Min. Negotiated Rate	$7,778.59
Max. Negotiated Rate	$7,778.59
Rate for Payer: Cash Price	$2,729.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,778.59
Rate for Payer: SOMOS Essential	$7,778.59

PR ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS

Professional

Both

$12,293.33

Service Code	HCPCS 61708
Min. Negotiated Rate	$9,220.00
Max. Negotiated Rate	$9,220.00
Rate for Payer: Cash Price	$3,236.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9,220.00
Rate for Payer: SOMOS Essential	$9,220.00

PR ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH

Professional

Both

$4,389.63

Service Code	HCPCS 31400
Min. Negotiated Rate	$3,292.22
Max. Negotiated Rate	$3,292.22
Rate for Payer: Cash Price	$1,186.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,292.22
Rate for Payer: SOMOS Essential	$3,292.22

PR AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT

Professional

Both

$13,909.56

Service Code	HCPCS 33863
Min. Negotiated Rate	$10,432.17
Max. Negotiated Rate	$10,432.17
Rate for Payer: Cash Price	$3,689.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$10,432.17
Rate for Payer: SOMOS Essential	$10,432.17

PR AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION

Professional

Both

$15,016.61

Service Code	HCPCS 33858
Min. Negotiated Rate	$11,262.46
Max. Negotiated Rate	$11,262.46
Rate for Payer: Cash Price	$3,981.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$11,262.46
Rate for Payer: SOMOS Essential	$11,262.46

Know your out-of-pocket cost for care.

All Charges