St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA

Professional

Both

$2,473.14

Service Code	HCPCS 23140
Min. Negotiated Rate	$1,854.86
Max. Negotiated Rate	$1,854.86
Rate for Payer: Cash Price	$670.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,854.86
Rate for Payer: SOMOS Essential	$1,854.86

PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN

Professional

Both

$2,362.78

Service Code	HCPCS 24120
Min. Negotiated Rate	$1,772.08
Max. Negotiated Rate	$1,772.08
Rate for Payer: Cash Price	$642.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,772.08
Rate for Payer: SOMOS Essential	$1,772.08

PR EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT

Professional

Both

$3,274.81

Service Code	HCPCS 24115
Min. Negotiated Rate	$2,456.11
Max. Negotiated Rate	$2,456.11
Rate for Payer: Cash Price	$886.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,456.11
Rate for Payer: SOMOS Essential	$2,456.11

PR EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS

Professional

Both

$2,964.29

Service Code	HCPCS 23150
Min. Negotiated Rate	$2,223.22
Max. Negotiated Rate	$2,223.22
Rate for Payer: Cash Price	$802.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,223.22
Rate for Payer: SOMOS Essential	$2,223.22

PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT

Professional

Both

$3,542.11

Service Code	HCPCS 23155
Min. Negotiated Rate	$2,656.58
Max. Negotiated Rate	$2,656.58
Rate for Payer: Cash Price	$956.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,656.58
Rate for Payer: SOMOS Essential	$2,656.58

PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT

Professional

Both

$3,020.15

Service Code	HCPCS 23156
Min. Negotiated Rate	$2,265.11
Max. Negotiated Rate	$2,265.11
Rate for Payer: Cash Price	$816.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,265.11
Rate for Payer: SOMOS Essential	$2,265.11

PR EXC/CURTG CST/B9 TUM PHALANGES FOOT

Professional

Both

$1,203.16

Service Code	HCPCS 28108
Min. Negotiated Rate	$902.37
Max. Negotiated Rate	$902.37
Rate for Payer: Cash Price	$334.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$902.37
Rate for Payer: SOMOS Essential	$902.37

PR EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT

Professional

Both

$2,714.88

Service Code	HCPCS 28102
Min. Negotiated Rate	$2,036.16
Max. Negotiated Rate	$2,036.16
Rate for Payer: Cash Price	$735.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,036.16
Rate for Payer: SOMOS Essential	$2,036.16

PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT

Professional

Both

$1,430.31

Service Code	HCPCS 28107
Min. Negotiated Rate	$1,072.73
Max. Negotiated Rate	$1,072.73
Rate for Payer: Cash Price	$396.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,072.73
Rate for Payer: SOMOS Essential	$1,072.73

PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT

Professional

Both

$1,752.28

Service Code	HCPCS 28106
Min. Negotiated Rate	$1,314.21
Max. Negotiated Rate	$1,314.21
Rate for Payer: Cash Price	$485.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,314.21
Rate for Payer: SOMOS Essential	$1,314.21

PR EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT

Professional

Both

$2,220.93

Service Code	HCPCS 25136
Min. Negotiated Rate	$1,665.70
Max. Negotiated Rate	$1,665.70
Rate for Payer: Cash Price	$602.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,665.70
Rate for Payer: SOMOS Essential	$1,665.70

PR EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT

Professional

Both

$2,491.69

Service Code	HCPCS 25135
Min. Negotiated Rate	$1,868.77
Max. Negotiated Rate	$1,868.77
Rate for Payer: Cash Price	$679.16
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,868.77
Rate for Payer: SOMOS Essential	$1,868.77

PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT

Professional

Both

$2,669.87

Service Code	HCPCS 25126
Min. Negotiated Rate	$2,002.40
Max. Negotiated Rate	$2,002.40
Rate for Payer: Cash Price	$724.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,002.40
Rate for Payer: SOMOS Essential	$2,002.40

PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT

Professional

Both

$2,652.62

Service Code	HCPCS 25125
Min. Negotiated Rate	$1,989.46
Max. Negotiated Rate	$1,989.46
Rate for Payer: Cash Price	$719.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,989.46
Rate for Payer: SOMOS Essential	$1,989.46

PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION

Professional

Both

$1,880.10

Service Code	HCPCS 19120
Min. Negotiated Rate	$1,410.08
Max. Negotiated Rate	$1,410.08
Rate for Payer: Cash Price	$505.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,410.08
Rate for Payer: SOMOS Essential	$1,410.08

PR EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS

Professional

Both

$2,963.59

Service Code	HCPCS 60200
Min. Negotiated Rate	$2,222.69
Max. Negotiated Rate	$2,222.69
Rate for Payer: Cash Price	$797.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,222.69
Rate for Payer: SOMOS Essential	$2,222.69

PR EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG

Professional

Both

$2,860.34

Service Code	HCPCS 30125
Min. Negotiated Rate	$2,145.26
Max. Negotiated Rate	$2,145.26
Rate for Payer: Cash Price	$771.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,145.26
Rate for Payer: SOMOS Essential	$2,145.26

PR EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM

Professional

Both

$6,759.10

Service Code	HCPCS 49204
Min. Negotiated Rate	$5,069.32
Max. Negotiated Rate	$5,069.32
Rate for Payer: Cash Price	$1,812.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,069.32
Rate for Payer: SOMOS Essential	$5,069.32

PR EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM

Professional

Both

$7,767.83

Service Code	HCPCS 49205
Min. Negotiated Rate	$5,825.87
Max. Negotiated Rate	$5,825.87
Rate for Payer: Cash Price	$2,080.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,825.87
Rate for Payer: SOMOS Essential	$5,825.87

PR EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX

Professional

Both

$2,557.77

Service Code	HCPCS 42870
Min. Negotiated Rate	$1,918.33
Max. Negotiated Rate	$1,918.33
Rate for Payer: Cash Price	$690.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,918.33
Rate for Payer: SOMOS Essential	$1,918.33

PR EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND

Professional

Both

$3,131.56

Service Code	HCPCS 15837
Min. Negotiated Rate	$2,348.67
Max. Negotiated Rate	$2,348.67
Rate for Payer: Cash Price	$846.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,348.67
Rate for Payer: SOMOS Essential	$2,348.67

PR EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD

Professional

Both

$2,840.95

Service Code	HCPCS 15838
Min. Negotiated Rate	$2,130.71
Max. Negotiated Rate	$2,130.71
Rate for Payer: Cash Price	$768.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,130.71
Rate for Payer: SOMOS Essential	$2,130.71

PR EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS

Professional

Both

$879.38

Service Code	HCPCS 41822
Min. Negotiated Rate	$659.54
Max. Negotiated Rate	$659.54
Rate for Payer: Cash Price	$238.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$659.54
Rate for Payer: SOMOS Essential	$659.54

PR EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F

Professional

Both

$3,907.37

Service Code	HCPCS 26390
Min. Negotiated Rate	$2,930.53
Max. Negotiated Rate	$2,930.53
Rate for Payer: Cash Price	$1,050.48
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,930.53
Rate for Payer: SOMOS Essential	$2,930.53

PR EXC FRENUM LABIAL/BUCCAL

Professional

Both

$835.87

Service Code	HCPCS 40819
Min. Negotiated Rate	$626.90
Max. Negotiated Rate	$626.90
Rate for Payer: Cash Price	$230.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$626.90
Rate for Payer: SOMOS Essential	$626.90

Know your out-of-pocket cost for care.

All Charges