St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN

Professional

Both

$326.52

Service Code	HCPCS 43757
Min. Negotiated Rate	$244.89
Max. Negotiated Rate	$244.89
Rate for Payer: Cash Price	$87.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$244.89
Rate for Payer: SOMOS Essential	$244.89

PR DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN

Professional

Both

$215.81

Service Code	HCPCS 43756
Min. Negotiated Rate	$161.86
Max. Negotiated Rate	$161.86
Rate for Payer: Cash Price	$58.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$161.86
Rate for Payer: SOMOS Essential	$161.86

PR DUODENAL MOTILITY MANOMETRIC STUDY

Professional

Both

$283.29

Service Code	HCPCS 91022 26
Min. Negotiated Rate	$212.47
Max. Negotiated Rate	$212.47
Rate for Payer: Cash Price	$78.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$212.47
Rate for Payer: SOMOS Essential	$212.47

PR DUODENAL MOTILITY MANOMETRIC STUDY

Professional

Both

$435.30

Service Code	HCPCS 91022 TC
Min. Negotiated Rate	$326.48
Max. Negotiated Rate	$326.48
Rate for Payer: Cash Price	$121.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$326.48
Rate for Payer: SOMOS Essential	$326.48

PR DUODENAL MOTILITY MANOMETRIC STUDY

Professional

Both

$718.59

Service Code	HCPCS 91022
Min. Negotiated Rate	$538.94
Max. Negotiated Rate	$538.94
Rate for Payer: Cash Price	$199.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$538.94
Rate for Payer: SOMOS Essential	$538.94

PR DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL

Professional

Both

$3,716.16

Service Code	HCPCS 44010
Min. Negotiated Rate	$2,787.12
Max. Negotiated Rate	$2,787.12
Rate for Payer: Cash Price	$996.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,787.12
Rate for Payer: SOMOS Essential	$2,787.12

PR DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ

Professional

Both

$8,112.37

Service Code	HCPCS 48547
Min. Negotiated Rate	$6,084.28
Max. Negotiated Rate	$6,084.28
Rate for Payer: Cash Price	$2,156.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,084.28
Rate for Payer: SOMOS Essential	$6,084.28

PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD

Professional

Both

$913.68

Service Code	HCPCS 93985 TC
Min. Negotiated Rate	$685.26
Max. Negotiated Rate	$685.26
Rate for Payer: Cash Price	$249.26
Rate for Payer: SOMOS CHP/HARP/Medicaid	$685.26
Rate for Payer: SOMOS Essential	$685.26

PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD

Professional

Both

$1,075.48

Service Code	HCPCS 93985
Min. Negotiated Rate	$806.61
Max. Negotiated Rate	$806.61
Rate for Payer: Cash Price	$292.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$806.61
Rate for Payer: SOMOS Essential	$806.61

PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD

Professional

Both

$161.77

Service Code	HCPCS 93985 26
Min. Negotiated Rate	$121.33
Max. Negotiated Rate	$121.33
Rate for Payer: Cash Price	$42.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$121.33
Rate for Payer: SOMOS Essential	$121.33

PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD

Professional

Both

$100.45

Service Code	HCPCS 93986 26
Min. Negotiated Rate	$75.34
Max. Negotiated Rate	$75.34
Rate for Payer: Cash Price	$26.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$75.34
Rate for Payer: SOMOS Essential	$75.34

PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD

Professional

Both

$456.86

Service Code	HCPCS 93986 TC
Min. Negotiated Rate	$342.64
Max. Negotiated Rate	$342.64
Rate for Payer: Cash Price	$145.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$342.64
Rate for Payer: SOMOS Essential	$342.64

PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD

Professional

Both

$557.31

Service Code	HCPCS 93986
Min. Negotiated Rate	$417.98
Max. Negotiated Rate	$417.98
Rate for Payer: Cash Price	$171.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$417.98
Rate for Payer: SOMOS Essential	$417.98

PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY

Professional

Both

$823.17

Service Code	HCPCS 93880
Min. Negotiated Rate	$617.38
Max. Negotiated Rate	$617.38
Rate for Payer: Cash Price	$222.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$617.38
Rate for Payer: SOMOS Essential	$617.38

PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY

Professional

Both

$666.44

Service Code	HCPCS 93880 TC
Min. Negotiated Rate	$499.83
Max. Negotiated Rate	$499.83
Rate for Payer: Cash Price	$180.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$499.83
Rate for Payer: SOMOS Essential	$499.83

PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY

Professional

Both

$156.73

Service Code	HCPCS 93880 26
Min. Negotiated Rate	$117.55
Max. Negotiated Rate	$117.55
Rate for Payer: Cash Price	$42.10
Rate for Payer: SOMOS CHP/HARP/Medicaid	$117.55
Rate for Payer: SOMOS Essential	$117.55

PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY

Professional

Both

$101.89

Service Code	HCPCS 93882 26
Min. Negotiated Rate	$76.42
Max. Negotiated Rate	$76.42
Rate for Payer: Cash Price	$26.69
Rate for Payer: SOMOS CHP/HARP/Medicaid	$76.42
Rate for Payer: SOMOS Essential	$76.42

PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY

Professional

Both

$435.30

Service Code	HCPCS 93882 TC
Min. Negotiated Rate	$326.48
Max. Negotiated Rate	$326.48
Rate for Payer: Cash Price	$119.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$326.48
Rate for Payer: SOMOS Essential	$326.48

PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY

Professional

Both

$537.18

Service Code	HCPCS 93882
Min. Negotiated Rate	$402.88
Max. Negotiated Rate	$402.88
Rate for Payer: Cash Price	$146.61
Rate for Payer: SOMOS CHP/HARP/Medicaid	$402.88
Rate for Payer: SOMOS Essential	$402.88

PR DUPLEX SCAN HEMODIALYSIS ACCESS

Professional

Both

$557.17

Service Code	HCPCS 93990
Min. Negotiated Rate	$417.88
Max. Negotiated Rate	$417.88
Rate for Payer: Cash Price	$173.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$417.88
Rate for Payer: SOMOS Essential	$417.88

PR DUPLEX SCAN HEMODIALYSIS ACCESS

Professional

Both

$456.86

Service Code	HCPCS 93990 TC
Min. Negotiated Rate	$342.64
Max. Negotiated Rate	$342.64
Rate for Payer: Cash Price	$146.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$342.64
Rate for Payer: SOMOS Essential	$342.64

PR DUPLEX SCAN HEMODIALYSIS ACCESS

Professional

Both

$100.31

Service Code	HCPCS 93990 26
Min. Negotiated Rate	$75.23
Max. Negotiated Rate	$75.23
Rate for Payer: Cash Price	$26.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$75.23
Rate for Payer: SOMOS Essential	$75.23

PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE

Professional

Both

$781.06

Service Code	HCPCS 93978
Min. Negotiated Rate	$585.80
Max. Negotiated Rate	$585.80
Rate for Payer: Cash Price	$212.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$585.80
Rate for Payer: SOMOS Essential	$585.80

PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE

Professional

Both

$621.88

Service Code	HCPCS 93978 TC
Min. Negotiated Rate	$466.41
Max. Negotiated Rate	$466.41
Rate for Payer: Cash Price	$169.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$466.41
Rate for Payer: SOMOS Essential	$466.41

PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE

Professional

Both

$159.18

Service Code	HCPCS 93978 26
Min. Negotiated Rate	$119.38
Max. Negotiated Rate	$119.38
Rate for Payer: Cash Price	$42.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$119.38
Rate for Payer: SOMOS Essential	$119.38

Know your out-of-pocket cost for care.

All Charges