St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS

Professional

Both

$10,562.65

Service Code	HCPCS 61522
Min. Negotiated Rate	$7,921.99
Max. Negotiated Rate	$7,921.99
Rate for Payer: Cash Price	$2,783.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,921.99
Rate for Payer: SOMOS Essential	$7,921.99

PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST

Professional

Both

$10,067.33

Service Code	HCPCS 61524
Min. Negotiated Rate	$7,550.50
Max. Negotiated Rate	$7,550.50
Rate for Payer: Cash Price	$2,652.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,550.50
Rate for Payer: SOMOS Essential	$7,550.50

PR CRNEC SOPL EXPL/DCMPRN CRNL NRV

Professional

Both

$9,732.31

Service Code	HCPCS 61458
Min. Negotiated Rate	$7,299.23
Max. Negotiated Rate	$7,299.23
Rate for Payer: Cash Price	$2,556.33
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,299.23
Rate for Payer: SOMOS Essential	$7,299.23

PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION

Professional

Both

$9,272.38

Service Code	HCPCS 61450
Min. Negotiated Rate	$6,954.28
Max. Negotiated Rate	$6,954.28
Rate for Payer: Cash Price	$2,444.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,954.28
Rate for Payer: SOMOS Essential	$6,954.28

PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD

Professional

Both

$10,580.85

Service Code	HCPCS 61343
Min. Negotiated Rate	$7,935.64
Max. Negotiated Rate	$7,935.64
Rate for Payer: Cash Price	$2,780.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,935.64
Rate for Payer: SOMOS Essential	$7,935.64

PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM

Professional

Both

$15,414.39

Service Code	HCPCS 61526
Min. Negotiated Rate	$11,560.79
Max. Negotiated Rate	$11,560.79
Rate for Payer: Cash Price	$4,074.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$11,560.79
Rate for Payer: SOMOS Essential	$11,560.79

PR CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR

Professional

Both

$9,253.34

Service Code	HCPCS 61514
Min. Negotiated Rate	$6,940.00
Max. Negotiated Rate	$6,940.00
Rate for Payer: Cash Price	$2,432.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,940.00
Rate for Payer: SOMOS Essential	$6,940.00

PR CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR

Professional

Both

$9,020.10

Service Code	HCPCS 61516
Min. Negotiated Rate	$6,765.08
Max. Negotiated Rate	$6,765.08
Rate for Payer: Cash Price	$2,384.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,765.08
Rate for Payer: SOMOS Essential	$6,765.08

PR CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR

Professional

Both

$12,325.88

Service Code	HCPCS 61512
Min. Negotiated Rate	$9,244.41
Max. Negotiated Rate	$9,244.41
Rate for Payer: Cash Price	$3,242.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9,244.41
Rate for Payer: SOMOS Essential	$9,244.41

PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL

Professional

Both

$15,294.23

Service Code	HCPCS 61521
Min. Negotiated Rate	$11,470.67
Max. Negotiated Rate	$11,470.67
Rate for Payer: Cash Price	$4,038.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$11,470.67
Rate for Payer: SOMOS Essential	$11,470.67

PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM

Professional

Both

$17,762.57

Service Code	HCPCS 61520
Min. Negotiated Rate	$13,321.93
Max. Negotiated Rate	$13,321.93
Rate for Payer: Cash Price	$4,650.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$13,321.93
Rate for Payer: SOMOS Essential	$13,321.93

PR CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM

Professional

Both

$1,667.23

Service Code	HCPCS 65772
Min. Negotiated Rate	$1,250.42
Max. Negotiated Rate	$1,250.42
Rate for Payer: Cash Price	$461.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,250.42
Rate for Payer: SOMOS Essential	$1,250.42

PR CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM

Professional

Both

$2,376.08

Service Code	HCPCS 65775
Min. Negotiated Rate	$1,782.06
Max. Negotiated Rate	$1,782.06
Rate for Payer: Cash Price	$653.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,782.06
Rate for Payer: SOMOS Essential	$1,782.06

PR CROSS INTRINSIC TRANSFER EACH TENDON

Professional

Both

$2,852.99

Service Code	HCPCS 26510
Min. Negotiated Rate	$2,139.74
Max. Negotiated Rate	$2,139.74
Rate for Payer: Cash Price	$767.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,139.74
Rate for Payer: SOMOS Essential	$2,139.74

PR CROSS-OVER VEIN GRAFT VENOUS SYSTEM

Professional

Both

$4,408.88

Service Code	HCPCS 34520
Min. Negotiated Rate	$3,306.66
Max. Negotiated Rate	$3,306.66
Rate for Payer: Cash Price	$1,166.48
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,306.66
Rate for Payer: SOMOS Essential	$3,306.66

PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF

Professional

Both

$3,525.31

Service Code	HCPCS 36825
Min. Negotiated Rate	$2,643.98
Max. Negotiated Rate	$2,643.98
Rate for Payer: Cash Price	$935.86
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,643.98
Rate for Payer: SOMOS Essential	$2,643.98

PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF

Professional

Both

$2,957.29

Service Code	HCPCS 36830
Min. Negotiated Rate	$2,217.97
Max. Negotiated Rate	$2,217.97
Rate for Payer: Cash Price	$785.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,217.97
Rate for Payer: SOMOS Essential	$2,217.97

PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO

Professional

Both

$713.41

Service Code	HCPCS 35686
Min. Negotiated Rate	$535.06
Max. Negotiated Rate	$535.06
Rate for Payer: Cash Price	$188.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$535.06
Rate for Payer: SOMOS Essential	$535.06

PR CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS

Professional

Both

$6,135.78

Service Code	HCPCS 61720
Min. Negotiated Rate	$4,601.84
Max. Negotiated Rate	$4,601.84
Rate for Payer: Cash Price	$1,621.10
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,601.84
Rate for Payer: SOMOS Essential	$4,601.84

PR CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN

Professional

Both

$7,702.03

Service Code	HCPCS 61735
Min. Negotiated Rate	$5,776.52
Max. Negotiated Rate	$5,776.52
Rate for Payer: Cash Price	$2,032.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,776.52
Rate for Payer: SOMOS Essential	$5,776.52

PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX

Professional

Both

$3,417.33

Service Code	HCPCS 33025
Min. Negotiated Rate	$2,563.00
Max. Negotiated Rate	$2,563.00
Rate for Payer: Cash Price	$911.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,563.00
Rate for Payer: SOMOS Essential	$2,563.00

PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM

Professional

Both

$4,736.55

Service Code	HCPCS 63740
Min. Negotiated Rate	$3,552.41
Max. Negotiated Rate	$3,552.41
Rate for Payer: Cash Price	$1,255.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,552.41
Rate for Payer: SOMOS Essential	$3,552.41

PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM

Professional

Both

$3,250.24

Service Code	HCPCS 63741
Min. Negotiated Rate	$2,437.68
Max. Negotiated Rate	$2,437.68
Rate for Payer: Cash Price	$857.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,437.68
Rate for Payer: SOMOS Essential	$2,437.68

PR CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR

Professional

Both

$4,470.41

Service Code	HCPCS 62190
Min. Negotiated Rate	$3,352.81
Max. Negotiated Rate	$3,352.81
Rate for Payer: Cash Price	$1,185.43
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,352.81
Rate for Payer: SOMOS Essential	$3,352.81

PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH

Professional

Both

$4,657.80

Service Code	HCPCS 62192
Min. Negotiated Rate	$3,493.35
Max. Negotiated Rate	$3,493.35
Rate for Payer: Cash Price	$1,263.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,493.35
Rate for Payer: SOMOS Essential	$3,493.35

Know your out-of-pocket cost for care.

All Charges