St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ

Professional

Both

$3,463.04

Service Code	HCPCS 22315
Min. Negotiated Rate	$2,597.28
Max. Negotiated Rate	$2,597.28
Rate for Payer: Cash Price	$943.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,597.28
Rate for Payer: SOMOS Essential	$2,597.28

PR CMBND ANTERPOST COLPORRAPHY W/CYSTO

Professional

Both

$3,384.26

Service Code	HCPCS 57260
Min. Negotiated Rate	$2,538.20
Max. Negotiated Rate	$2,538.20
Rate for Payer: Cash Price	$913.69
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,538.20
Rate for Payer: SOMOS Essential	$2,538.20

PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR

Professional

Both

$3,795.82

Service Code	HCPCS 57265
Min. Negotiated Rate	$2,846.86
Max. Negotiated Rate	$2,846.86
Rate for Payer: Cash Price	$1,021.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,846.86
Rate for Payer: SOMOS Essential	$2,846.86

PR CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI

Professional

Both

$67.41

Service Code	HCPCS 92132 TC
Min. Negotiated Rate	$50.56
Max. Negotiated Rate	$50.56
Rate for Payer: Cash Price	$18.31
Rate for Payer: SOMOS CHP/HARP/Medicaid	$50.56
Rate for Payer: SOMOS Essential	$50.56

PR CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI

Professional

Both

$132.16

Service Code	HCPCS 92132
Min. Negotiated Rate	$99.12
Max. Negotiated Rate	$99.12
Rate for Payer: Cash Price	$36.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$99.12
Rate for Payer: SOMOS Essential	$99.12

PR CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI

Professional

Both

$64.75

Service Code	HCPCS 92132 26
Min. Negotiated Rate	$48.56
Max. Negotiated Rate	$48.56
Rate for Payer: Cash Price	$17.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$48.56
Rate for Payer: SOMOS Essential	$48.56

PR CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX

Professional

Both

$154.46

Service Code	HCPCS 49424
Min. Negotiated Rate	$115.84
Max. Negotiated Rate	$115.84
Rate for Payer: Cash Price	$41.33
Rate for Payer: SOMOS CHP/HARP/Medicaid	$115.84
Rate for Payer: SOMOS Essential	$115.84

PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT

Professional

Both

$146.34

Service Code	HCPCS 36598
Min. Negotiated Rate	$109.76
Max. Negotiated Rate	$109.76
Rate for Payer: Cash Price	$39.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$109.76
Rate for Payer: SOMOS Essential	$109.76

PR COCCYGECTOMY PRIMARY

Professional

Both

$2,302.27

Service Code	HCPCS 27080
Min. Negotiated Rate	$1,726.70
Max. Negotiated Rate	$1,726.70
Rate for Payer: Cash Price	$616.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,726.70
Rate for Payer: SOMOS Essential	$1,726.70

PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY

Professional

Both

$5,260.47

Service Code	HCPCS 69930
Min. Negotiated Rate	$3,945.35
Max. Negotiated Rate	$3,945.35
Rate for Payer: Cash Price	$1,418.71
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,945.35
Rate for Payer: SOMOS Essential	$3,945.35

PR CO DIFFUSING CAPACITY

Professional

Both

$35.18

Service Code	HCPCS 94729 26
Min. Negotiated Rate	$26.38
Max. Negotiated Rate	$26.38
Rate for Payer: Cash Price	$9.61
Rate for Payer: SOMOS CHP/HARP/Medicaid	$26.38
Rate for Payer: SOMOS Essential	$26.38

PR CO DIFFUSING CAPACITY

Professional

Both

$206.85

Service Code	HCPCS 94729 TC
Min. Negotiated Rate	$155.14
Max. Negotiated Rate	$155.14
Rate for Payer: Cash Price	$56.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$155.14
Rate for Payer: SOMOS Essential	$155.14

PR CO DIFFUSING CAPACITY

Professional

Both

$242.03

Service Code	HCPCS 94729
Min. Negotiated Rate	$181.52
Max. Negotiated Rate	$181.52
Rate for Payer: Cash Price	$66.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$181.52
Rate for Payer: SOMOS Essential	$181.52

PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST

Professional

Both

$9,701.76

Service Code	HCPCS 44151
Min. Negotiated Rate	$7,276.32
Max. Negotiated Rate	$7,276.32
Rate for Payer: Cash Price	$2,581.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,276.32
Rate for Payer: SOMOS Essential	$7,276.32

PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS

Professional

Both

$8,218.21

Service Code	HCPCS 44150
Min. Negotiated Rate	$6,163.66
Max. Negotiated Rate	$6,163.66
Rate for Payer: Cash Price	$2,195.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,163.66
Rate for Payer: SOMOS Essential	$6,163.66

PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR

Professional

Both

$10,110.94

Service Code	HCPCS 44158
Min. Negotiated Rate	$7,583.20
Max. Negotiated Rate	$7,583.20
Rate for Payer: Cash Price	$2,690.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,583.20
Rate for Payer: SOMOS Essential	$7,583.20

PR COLECTOMY PARTIAL W/ANASTOMOSIS

Professional

Both

$6,004.18

Service Code	HCPCS 44140
Min. Negotiated Rate	$4,503.14
Max. Negotiated Rate	$4,503.14
Rate for Payer: Cash Price	$1,603.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,503.14
Rate for Payer: SOMOS Essential	$4,503.14

PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH

Professional

Both

$8,586.52

Service Code	HCPCS 44147
Min. Negotiated Rate	$6,439.89
Max. Negotiated Rate	$6,439.89
Rate for Payer: Cash Price	$2,296.82
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,439.89
Rate for Payer: SOMOS Essential	$6,439.89

PR COLECTOMY PRTL W/COLOPROCTOSTOMY

Professional

Both

$7,294.18

Service Code	HCPCS 44145
Min. Negotiated Rate	$5,470.64
Max. Negotiated Rate	$5,470.64
Rate for Payer: Cash Price	$1,950.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,470.64
Rate for Payer: SOMOS Essential	$5,470.64

PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY

Professional

Both

$9,264.54

Service Code	HCPCS 44146
Min. Negotiated Rate	$6,948.40
Max. Negotiated Rate	$6,948.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,948.40
Rate for Payer: SOMOS Essential	$6,948.40

PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA

Professional

Both

$7,880.46

Service Code	HCPCS 44144
Min. Negotiated Rate	$5,910.34
Max. Negotiated Rate	$5,910.34
Rate for Payer: Cash Price	$2,098.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,910.34
Rate for Payer: SOMOS Essential	$5,910.34

PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT

Professional

Both

$7,390.92

Service Code	HCPCS 44143
Min. Negotiated Rate	$5,543.19
Max. Negotiated Rate	$5,543.19
Rate for Payer: Cash Price	$1,968.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,543.19
Rate for Payer: SOMOS Essential	$5,543.19

PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS

Professional

Both

$5,543.65

Service Code	HCPCS 44160
Min. Negotiated Rate	$4,157.74
Max. Negotiated Rate	$4,157.74
Rate for Payer: Cash Price	$1,481.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,157.74
Rate for Payer: SOMOS Essential	$4,157.74

PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY

Professional

Both

$8,096.69

Service Code	HCPCS 44141
Min. Negotiated Rate	$6,072.52
Max. Negotiated Rate	$6,072.52
Rate for Payer: Cash Price	$2,161.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,072.52
Rate for Payer: SOMOS Essential	$6,072.52

PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST

Professional

Both

$10,377.01

Service Code	HCPCS 44156
Min. Negotiated Rate	$7,782.76
Max. Negotiated Rate	$7,782.76
Rate for Payer: Cash Price	$2,759.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,782.76
Rate for Payer: SOMOS Essential	$7,782.76

Know your out-of-pocket cost for care.

All Charges