St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ

Professional

Both

$1,283.56

Service Code	HCPCS 27786
Min. Negotiated Rate	$962.67
Max. Negotiated Rate	$962.67
Rate for Payer: Cash Price	$351.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$962.67
Rate for Payer: SOMOS Essential	$962.67

PR CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA

Professional

Both

$1,240.93

Service Code	HCPCS 26755
Min. Negotiated Rate	$930.70
Max. Negotiated Rate	$930.70
Rate for Payer: SOMOS CHP/HARP/Medicaid	$930.70
Rate for Payer: SOMOS Essential	$930.70

PR CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA

Professional

Both

$854.53

Service Code	HCPCS 26750
Min. Negotiated Rate	$640.90
Max. Negotiated Rate	$640.90
Rate for Payer: Cash Price	$235.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$640.90
Rate for Payer: SOMOS Essential	$640.90

PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ

Professional

Both

$1,454.74

Service Code	HCPCS 25600
Min. Negotiated Rate	$1,091.06
Max. Negotiated Rate	$1,091.06
Rate for Payer: Cash Price	$400.29
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,091.06
Rate for Payer: SOMOS Essential	$1,091.06

PR CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF

Professional

Both

$2,293.52

Service Code	HCPCS 25605
Min. Negotiated Rate	$1,720.14
Max. Negotiated Rate	$1,720.14
Rate for Payer: Cash Price	$623.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,720.14
Rate for Payer: SOMOS Essential	$1,720.14

PR CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING

Professional

Both

$2,413.60

Service Code	HCPCS 26432
Min. Negotiated Rate	$1,810.20
Max. Negotiated Rate	$1,810.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,810.20
Rate for Payer: SOMOS Essential	$1,810.20

PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ

Professional

Both

$3,032.89

Service Code	HCPCS 27510
Min. Negotiated Rate	$2,274.67
Max. Negotiated Rate	$2,274.67
Rate for Payer: Cash Price	$819.43
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,274.67
Rate for Payer: SOMOS Essential	$2,274.67

PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ

Professional

Both

$2,220.23

Service Code	HCPCS 27508
Min. Negotiated Rate	$1,665.17
Max. Negotiated Rate	$1,665.17
Rate for Payer: Cash Price	$604.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,665.17
Rate for Payer: SOMOS Essential	$1,665.17

PR CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ

Professional

Both

$3,223.54

Service Code	HCPCS 27232
Min. Negotiated Rate	$2,417.66
Max. Negotiated Rate	$2,417.66
Rate for Payer: Cash Price	$866.71
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,417.66
Rate for Payer: SOMOS Essential	$2,417.66

PR CLTX FEM FX PROX END NCK W/O MANJ

Professional

Both

$2,129.09

Service Code	HCPCS 27230
Min. Negotiated Rate	$1,596.82
Max. Negotiated Rate	$1,596.82
Rate for Payer: Cash Price	$581.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,596.82
Rate for Payer: SOMOS Essential	$1,596.82

PR CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ

Professional

Both

$3,357.52

Service Code	HCPCS 27502
Min. Negotiated Rate	$2,518.14
Max. Negotiated Rate	$2,518.14
Rate for Payer: Cash Price	$902.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,518.14
Rate for Payer: SOMOS Essential	$2,518.14

PR CLTX FX GRT TOE PHLX/PHLG W/MANJ

Professional

Both

$640.47

Service Code	HCPCS 28495
Min. Negotiated Rate	$480.35
Max. Negotiated Rate	$480.35
Rate for Payer: Cash Price	$178.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$480.35
Rate for Payer: SOMOS Essential	$480.35

PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ

Professional

Both

$546.67

Service Code	HCPCS 28490
Min. Negotiated Rate	$410.00
Max. Negotiated Rate	$410.00
Rate for Payer: Cash Price	$150.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$410.00
Rate for Payer: SOMOS Essential	$410.00

PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ

Professional

Both

$618.38

Service Code	HCPCS 28515
Min. Negotiated Rate	$463.78
Max. Negotiated Rate	$463.78
Rate for Payer: Cash Price	$171.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$463.78
Rate for Payer: SOMOS Essential	$463.78

PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ

Professional

Both

$521.22

Service Code	HCPCS 28510
Min. Negotiated Rate	$390.92
Max. Negotiated Rate	$390.92
Rate for Payer: Cash Price	$145.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$390.92
Rate for Payer: SOMOS Essential	$390.92

PR CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ

Professional

Both

$1,365.04

Service Code	HCPCS 27824
Min. Negotiated Rate	$1,023.78
Max. Negotiated Rate	$1,023.78
Rate for Payer: Cash Price	$373.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,023.78
Rate for Payer: SOMOS Essential	$1,023.78

PR CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ

Professional

Both

$2,196.99

Service Code	HCPCS 27825
Min. Negotiated Rate	$1,647.74
Max. Negotiated Rate	$1,647.74
Rate for Payer: Cash Price	$595.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,647.74
Rate for Payer: SOMOS Essential	$1,647.74

PR CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ

Professional

Both

$1,170.61

Service Code	HCPCS 23620
Min. Negotiated Rate	$877.96
Max. Negotiated Rate	$877.96
Rate for Payer: Cash Price	$320.61
Rate for Payer: SOMOS CHP/HARP/Medicaid	$877.96
Rate for Payer: SOMOS Essential	$877.96

PR CLTX GREATER TROCHANTERIC FX W/O MANJ

Professional

Both

$1,727.25

Service Code	HCPCS 27246
Min. Negotiated Rate	$1,295.44
Max. Negotiated Rate	$1,295.44
Rate for Payer: Cash Price	$470.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,295.44
Rate for Payer: SOMOS Essential	$1,295.44

PR CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION

Professional

Both

$1,598.94

Service Code	HCPCS 23625
Min. Negotiated Rate	$1,199.20
Max. Negotiated Rate	$1,199.20
Rate for Payer: Cash Price	$434.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,199.20
Rate for Payer: SOMOS Essential	$1,199.20

PR CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA

Professional

Both

$3,344.32

Service Code	HCPCS 27252
Min. Negotiated Rate	$2,508.24
Max. Negotiated Rate	$2,508.24
Rate for Payer: Cash Price	$895.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,508.24
Rate for Payer: SOMOS Essential	$2,508.24

PR CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA

Professional

Both

$802.55

Service Code	HCPCS 27250
Min. Negotiated Rate	$601.91
Max. Negotiated Rate	$601.91
Rate for Payer: Cash Price	$212.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$601.91
Rate for Payer: SOMOS Essential	$601.91

PR CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ

Professional

Both

$2,272.76

Service Code	HCPCS 24577
Min. Negotiated Rate	$1,704.57
Max. Negotiated Rate	$1,704.57
Rate for Payer: Cash Price	$619.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,704.57
Rate for Payer: SOMOS Essential	$1,704.57

PR CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ

Professional

Both

$1,407.18

Service Code	HCPCS 24576
Min. Negotiated Rate	$1,055.38
Max. Negotiated Rate	$1,055.38
Rate for Payer: Cash Price	$387.71
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,055.38
Rate for Payer: SOMOS Essential	$1,055.38

PR CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ

Professional

Both

$2,218.51

Service Code	HCPCS 24565
Min. Negotiated Rate	$1,663.88
Max. Negotiated Rate	$1,663.88
Rate for Payer: Cash Price	$605.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,663.88
Rate for Payer: SOMOS Essential	$1,663.88

Know your out-of-pocket cost for care.

All Charges