St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL

Professional

Both

$267.96

Service Code	HCPCS 31649
Min. Negotiated Rate	$200.97
Max. Negotiated Rate	$200.97
Rate for Payer: Cash Price	$72.82
Rate for Payer: SOMOS CHP/HARP/Medicaid	$200.97
Rate for Payer: SOMOS Essential	$200.97

PR BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL

Professional

Both

$798.67

Service Code	HCPCS 31648
Min. Negotiated Rate	$599.00
Max. Negotiated Rate	$599.00
Rate for Payer: Cash Price	$219.29
Rate for Payer: SOMOS CHP/HARP/Medicaid	$599.00
Rate for Payer: SOMOS Essential	$599.00

PR BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS

Professional

Both

$1,012.38

Service Code	HCPCS 31638
Min. Negotiated Rate	$759.28
Max. Negotiated Rate	$759.28
Rate for Payer: Cash Price	$272.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$759.28
Rate for Payer: SOMOS Essential	$759.28

PR BRNCHSC W/BRNCL ALVEOLAR LAVAGE

Professional

Both

$545.86

Service Code	HCPCS 31624
Min. Negotiated Rate	$409.40
Max. Negotiated Rate	$409.40
Rate for Payer: Cash Price	$147.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$409.40
Rate for Payer: SOMOS Essential	$409.40

PR BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC

Professional

Both

$1,044.02

Service Code	HCPCS 31641
Min. Negotiated Rate	$783.02
Max. Negotiated Rate	$783.02
Rate for Payer: Cash Price	$282.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$783.02
Rate for Payer: SOMOS Essential	$783.02

PR BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS

Professional

Both

$884.66

Service Code	HCPCS 31636
Min. Negotiated Rate	$663.50
Max. Negotiated Rate	$663.50
Rate for Payer: Cash Price	$240.82
Rate for Payer: SOMOS CHP/HARP/Medicaid	$663.50
Rate for Payer: SOMOS Essential	$663.50

PR BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL

Professional

Both

$680.61

Service Code	HCPCS 31643
Min. Negotiated Rate	$510.46
Max. Negotiated Rate	$510.46
Rate for Payer: Cash Price	$185.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$510.46
Rate for Payer: SOMOS Essential	$510.46

PR BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX

Professional

Both

$822.99

Service Code	HCPCS 31630
Min. Negotiated Rate	$617.24
Max. Negotiated Rate	$617.24
Rate for Payer: Cash Price	$222.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$617.24
Rate for Payer: SOMOS Essential	$617.24

PR BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT

Professional

Both

$254.42

Service Code	HCPCS 94070
Min. Negotiated Rate	$190.82
Max. Negotiated Rate	$190.82
Rate for Payer: Cash Price	$72.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$190.82
Rate for Payer: SOMOS Essential	$190.82

PR BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT

Professional

Both

$146.48

Service Code	HCPCS 94070 TC
Min. Negotiated Rate	$109.86
Max. Negotiated Rate	$109.86
Rate for Payer: Cash Price	$42.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$109.86
Rate for Payer: SOMOS Essential	$109.86

PR BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT

Professional

Both

$107.94

Service Code	HCPCS 94070 26
Min. Negotiated Rate	$80.96
Max. Negotiated Rate	$80.96
Rate for Payer: Cash Price	$29.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$80.96
Rate for Payer: SOMOS Essential	$80.96

PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES

Professional

Both

$268.56

Service Code	HCPCS 31654
Min. Negotiated Rate	$201.42
Max. Negotiated Rate	$201.42
Rate for Payer: Cash Price	$73.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$201.42
Rate for Payer: SOMOS Essential	$201.42

PR BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS

Professional

Both

$6,230.60

Service Code	HCPCS 31775
Min. Negotiated Rate	$4,672.95
Max. Negotiated Rate	$4,672.95
Rate for Payer: Cash Price	$1,657.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,672.95
Rate for Payer: SOMOS Essential	$4,672.95

PR BRONCHOPLASTY GRAFT REPAIR

Professional

Both

$5,918.57

Service Code	HCPCS 31770
Min. Negotiated Rate	$4,438.93
Max. Negotiated Rate	$4,438.93
Rate for Payer: Cash Price	$1,573.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,438.93
Rate for Payer: SOMOS Essential	$4,438.93

PR BRONCHOSCOPIC THERMOPLASTY 2/> LOBES

Professional

Both

$805.04

Service Code	HCPCS 31661
Min. Negotiated Rate	$603.78
Max. Negotiated Rate	$603.78
Rate for Payer: Cash Price	$219.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$603.78
Rate for Payer: SOMOS Essential	$603.78

PR BRONCHOSCOPIC THERMOPLASTY ONE LOBE

Professional

Both

$802.17

Service Code	HCPCS 31660
Min. Negotiated Rate	$601.63
Max. Negotiated Rate	$601.63
Rate for Payer: Cash Price	$207.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$601.63
Rate for Payer: SOMOS Essential	$601.63

PR BRONCHOSCOPY BALLOON OCCLUSION

Professional

Both

$770.74

Service Code	HCPCS 31634
Min. Negotiated Rate	$578.06
Max. Negotiated Rate	$578.06
Rate for Payer: Cash Price	$208.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$578.06
Rate for Payer: SOMOS Essential	$578.06

PR BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES

Professional

Both

$632.73

Service Code	HCPCS 31625
Min. Negotiated Rate	$474.55
Max. Negotiated Rate	$474.55
Rate for Payer: Cash Price	$173.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$474.55
Rate for Payer: SOMOS Essential	$474.55

PR BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED

Professional

Both

$316.30

Service Code	HCPCS 31637
Min. Negotiated Rate	$237.22
Max. Negotiated Rate	$237.22
Rate for Payer: Cash Price	$83.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$237.22
Rate for Payer: SOMOS Essential	$237.22

PR BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON

Professional

Both

$756.63

Service Code	HCPCS 31629
Min. Negotiated Rate	$567.47
Max. Negotiated Rate	$567.47
Rate for Payer: Cash Price	$206.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$567.47
Rate for Payer: SOMOS Essential	$567.47

PR BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION

Professional

Both

$391.48

Service Code	HCPCS 31627
Min. Negotiated Rate	$293.61
Max. Negotiated Rate	$293.61
Rate for Payer: Cash Price	$106.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$293.61
Rate for Payer: SOMOS Essential	$293.61

PR BRONCHOSCOPY W/EXCISION TUMOR

Professional

Both

$1,017.21

Service Code	HCPCS 31640
Min. Negotiated Rate	$762.91
Max. Negotiated Rate	$762.91
Rate for Payer: Cash Price	$274.33
Rate for Payer: SOMOS CHP/HARP/Medicaid	$762.91
Rate for Payer: SOMOS Essential	$762.91

PR BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT

Professional

Both

$941.08

Service Code	HCPCS 31631
Min. Negotiated Rate	$705.81
Max. Negotiated Rate	$705.81
Rate for Payer: Cash Price	$253.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$705.81
Rate for Payer: SOMOS Essential	$705.81

PR BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT

Professional

Both

$808.50

Service Code	HCPCS 31626
Min. Negotiated Rate	$606.38
Max. Negotiated Rate	$606.38
Rate for Payer: Cash Price	$220.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$606.38
Rate for Payer: SOMOS Essential	$606.38

PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY

Professional

Both

$716.59

Service Code	HCPCS 31635
Min. Negotiated Rate	$537.44
Max. Negotiated Rate	$537.44
Rate for Payer: Cash Price	$196.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$537.44
Rate for Payer: SOMOS Essential	$537.44

Know your out-of-pocket cost for care.

All Charges