St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE

Professional

Both

$7,617.82

Service Code	HCPCS 35526
Min. Negotiated Rate	$5,713.36
Max. Negotiated Rate	$5,713.36
Rate for Payer: Cash Price	$2,023.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,713.36
Rate for Payer: SOMOS Essential	$5,713.36

PR BYPASS W/VEIN AXILLARY-AXILLARY

Professional

Both

$5,083.51

Service Code	HCPCS 35518
Min. Negotiated Rate	$3,812.63
Max. Negotiated Rate	$3,812.63
Rate for Payer: Cash Price	$1,345.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,812.63
Rate for Payer: SOMOS Essential	$3,812.63

PR BYPASS W/VEIN AXILLARY-BRACHIAL

Professional

Both

$5,202.12

Service Code	HCPCS 35522
Min. Negotiated Rate	$3,901.59
Max. Negotiated Rate	$3,901.59
Rate for Payer: Cash Price	$1,377.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,901.59
Rate for Payer: SOMOS Essential	$3,901.59

PR BYPASS W/VEIN AXILLARY-FEMORAL

Professional

Both

$5,463.85

Service Code	HCPCS 35521
Min. Negotiated Rate	$4,097.89
Max. Negotiated Rate	$4,097.89
Rate for Payer: Cash Price	$1,447.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,097.89
Rate for Payer: SOMOS Essential	$4,097.89

PR BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL

Professional

Both

$6,705.65

Service Code	HCPCS 35533
Min. Negotiated Rate	$5,029.24
Max. Negotiated Rate	$5,029.24
Rate for Payer: Cash Price	$1,776.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,029.24
Rate for Payer: SOMOS Essential	$5,029.24

PR BYPASS W/VEIN BRACHIAL-BRACHIAL

Professional

Both

$5,038.22

Service Code	HCPCS 35525
Min. Negotiated Rate	$3,778.66
Max. Negotiated Rate	$3,778.66
Rate for Payer: Cash Price	$1,332.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,778.66
Rate for Payer: SOMOS Essential	$3,778.66

PR BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL

Professional

Both

$5,618.76

Service Code	HCPCS 35523
Min. Negotiated Rate	$4,214.07
Max. Negotiated Rate	$4,214.07
Rate for Payer: Cash Price	$1,449.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,214.07
Rate for Payer: SOMOS Essential	$4,214.07

PR BYPASS W/VEIN CAROTID-BRACHIAL

Professional

Both

$5,470.99

Service Code	HCPCS 35510
Min. Negotiated Rate	$4,103.24
Max. Negotiated Rate	$4,103.24
Rate for Payer: Cash Price	$1,449.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,103.24
Rate for Payer: SOMOS Essential	$4,103.24

PR BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID

Professional

Both

$6,277.25

Service Code	HCPCS 35509
Min. Negotiated Rate	$4,707.94
Max. Negotiated Rate	$4,707.94
Rate for Payer: Cash Price	$1,661.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,707.94
Rate for Payer: SOMOS Essential	$4,707.94

PR BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID

Professional

Both

$5,667.62

Service Code	HCPCS 35506
Min. Negotiated Rate	$4,250.72
Max. Negotiated Rate	$4,250.72
Rate for Payer: Cash Price	$1,500.33
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,250.72
Rate for Payer: SOMOS Essential	$4,250.72

PR BYPASS W/VEIN CAROTID-VERTEBRAL

Professional

Both

$5,909.65

Service Code	HCPCS 35508
Min. Negotiated Rate	$4,432.24
Max. Negotiated Rate	$4,432.24
Rate for Payer: Cash Price	$1,566.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,432.24
Rate for Payer: SOMOS Essential	$4,432.24

PR BYPASS W/VEIN COMMON-IPSILATERAL CAROTID

Professional

Both

$6,492.33

Service Code	HCPCS 35501
Min. Negotiated Rate	$4,869.25
Max. Negotiated Rate	$4,869.25
Rate for Payer: Cash Price	$1,719.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,869.25
Rate for Payer: SOMOS Essential	$4,869.25

PR BYPASS W/VEIN FEMORAL-FEMORAL

Professional

Both

$5,478.20

Service Code	HCPCS 35558
Min. Negotiated Rate	$4,108.65
Max. Negotiated Rate	$4,108.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,108.65
Rate for Payer: SOMOS Essential	$4,108.65

PR BYPASS W/VEIN FEMORAL-POPLITEAL

Professional

Both

$6,187.58

Service Code	HCPCS 35556
Min. Negotiated Rate	$4,640.68
Max. Negotiated Rate	$4,640.68
Rate for Payer: Cash Price	$1,637.69
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,640.68
Rate for Payer: SOMOS Essential	$4,640.68

PR BYPASS W/VEIN HEPATORENAL

Professional

Both

$8,466.75

Service Code	HCPCS 35535
Min. Negotiated Rate	$6,350.06
Max. Negotiated Rate	$6,350.06
Rate for Payer: Cash Price	$2,241.71
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,350.06
Rate for Payer: SOMOS Essential	$6,350.06

PR BYPASS W/VEIN ILIOFEMORAL

Professional

Both

$5,812.14

Service Code	HCPCS 35565
Min. Negotiated Rate	$4,359.10
Max. Negotiated Rate	$4,359.10
Rate for Payer: Cash Price	$1,542.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,359.10
Rate for Payer: SOMOS Essential	$4,359.10

PR BYPASS W/VEIN ILIOILIAC

Professional

Both

$5,889.00

Service Code	HCPCS 35563
Min. Negotiated Rate	$4,416.75
Max. Negotiated Rate	$4,416.75
Rate for Payer: Cash Price	$1,560.67
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,416.75
Rate for Payer: SOMOS Essential	$4,416.75

PR BYPASS W/VEIN SPLENORENAL

Professional

Both

$7,523.53

Service Code	HCPCS 35536
Min. Negotiated Rate	$5,642.65
Max. Negotiated Rate	$5,642.65
Rate for Payer: Cash Price	$1,990.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,642.65
Rate for Payer: SOMOS Essential	$5,642.65

PR BYPASS W/VEIN SUBCLAVIAN-AXILLARY

Professional

Both

$5,427.59

Service Code	HCPCS 35516
Min. Negotiated Rate	$4,070.69
Max. Negotiated Rate	$4,070.69
Rate for Payer: Cash Price	$1,437.70
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,070.69
Rate for Payer: SOMOS Essential	$4,070.69

PR BYPASS W/VEIN SUBCLAVIAN-BRACHIAL

Professional

Both

$5,358.57

Service Code	HCPCS 35512
Min. Negotiated Rate	$4,018.93
Max. Negotiated Rate	$4,018.93
Rate for Payer: Cash Price	$1,420.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,018.93
Rate for Payer: SOMOS Essential	$4,018.93

PR BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN

Professional

Both

$4,982.81

Service Code	HCPCS 35511
Min. Negotiated Rate	$3,737.11
Max. Negotiated Rate	$3,737.11
Rate for Payer: Cash Price	$1,320.21
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,737.11
Rate for Payer: SOMOS Essential	$3,737.11

PR BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL

Professional

Both

$5,909.65

Service Code	HCPCS 35515
Min. Negotiated Rate	$4,432.24
Max. Negotiated Rate	$4,432.24
Rate for Payer: Cash Price	$1,566.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,432.24
Rate for Payer: SOMOS Essential	$4,432.24

PR BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS

Professional

Both

$1,563.63

Service Code	HCPCS 35682
Min. Negotiated Rate	$1,172.72
Max. Negotiated Rate	$1,172.72
Rate for Payer: Cash Price	$413.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,172.72
Rate for Payer: SOMOS Essential	$1,172.72

PR BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION

Professional

Both

$1,822.38

Service Code	HCPCS 35683
Min. Negotiated Rate	$1,366.78
Max. Negotiated Rate	$1,366.78
Rate for Payer: Cash Price	$479.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,366.78
Rate for Payer: SOMOS Essential	$1,366.78

PR BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL

Professional

Both

$7,383.29

Service Code	HCPCS 35566
Min. Negotiated Rate	$5,537.47
Max. Negotiated Rate	$5,537.47
Rate for Payer: Cash Price	$1,953.82
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,537.47
Rate for Payer: SOMOS Essential	$5,537.47

Know your out-of-pocket cost for care.

All Charges