St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS

Professional

Both

$2,631.44

Service Code	HCPCS 24110
Min. Negotiated Rate	$1,973.58
Max. Negotiated Rate	$1,973.58
Rate for Payer: Cash Price	$712.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,973.58
Rate for Payer: SOMOS Essential	$1,973.58

PR EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS

Professional

Both

$1,321.88

Service Code	HCPCS 30124
Min. Negotiated Rate	$991.41
Max. Negotiated Rate	$991.41
Rate for Payer: Cash Price	$360.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$991.41
Rate for Payer: SOMOS Essential	$991.41

PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR

Professional

Both

$1,444.10

Service Code	HCPCS 30117
Min. Negotiated Rate	$1,083.08
Max. Negotiated Rate	$1,083.08
Rate for Payer: Cash Price	$486.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,083.08
Rate for Payer: SOMOS Essential	$1,083.08

PR EXCISION/DESTRUCTION INTRANASAL LESION XTRNL

Professional

Both

$3,451.28

Service Code	HCPCS 30118
Min. Negotiated Rate	$2,588.46
Max. Negotiated Rate	$2,588.46
Rate for Payer: Cash Price	$834.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,588.46
Rate for Payer: SOMOS Essential	$2,588.46

PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD

Professional

Both

$719.43

Service Code	HCPCS 42808
Min. Negotiated Rate	$539.57
Max. Negotiated Rate	$539.57
Rate for Payer: Cash Price	$195.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$539.57
Rate for Payer: SOMOS Essential	$539.57

PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<

Professional

Both

$5,319.76

Service Code	HCPCS 49203
Min. Negotiated Rate	$3,989.82
Max. Negotiated Rate	$3,989.82
Rate for Payer: Cash Price	$1,423.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,989.82
Rate for Payer: SOMOS Essential	$3,989.82

PR EXCISION DISTAL ULNA PARTIAL/COMPLETE

Professional

Both

$1,906.38

Service Code	HCPCS 25240
Min. Negotiated Rate	$1,429.78
Max. Negotiated Rate	$1,429.78
Rate for Payer: Cash Price	$520.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,429.78
Rate for Payer: SOMOS Essential	$1,429.78

PR EXCISION EPIPHYSEAL BAR

Professional

Both

$4,431.18

Service Code	HCPCS 20150
Min. Negotiated Rate	$3,323.38
Max. Negotiated Rate	$3,323.38
Rate for Payer: Cash Price	$1,195.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,323.38
Rate for Payer: SOMOS Essential	$3,323.38

PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN

Professional

Both

$1,231.06

Service Code	HCPCS 15847
Min. Negotiated Rate	$923.30
Max. Negotiated Rate	$923.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$923.30
Rate for Payer: SOMOS Essential	$923.30

PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM

Professional

Both

$3,484.36

Service Code	HCPCS 15836
Min. Negotiated Rate	$2,613.27
Max. Negotiated Rate	$2,613.27
Rate for Payer: Cash Price	$941.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,613.27
Rate for Payer: SOMOS Essential	$2,613.27

PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK

Professional

Both

$4,069.73

Service Code	HCPCS 15835
Min. Negotiated Rate	$3,052.30
Max. Negotiated Rate	$3,052.30
Rate for Payer: Cash Price	$1,098.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,052.30
Rate for Payer: SOMOS Essential	$3,052.30

PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP

Professional

Both

$3,901.66

Service Code	HCPCS 15834
Min. Negotiated Rate	$2,926.24
Max. Negotiated Rate	$2,926.24
Rate for Payer: Cash Price	$1,053.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,926.24
Rate for Payer: SOMOS Essential	$2,926.24

PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG

Professional

Both

$3,832.61

Service Code	HCPCS 15833
Min. Negotiated Rate	$2,874.46
Max. Negotiated Rate	$2,874.46
Rate for Payer: Cash Price	$1,035.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,874.46
Rate for Payer: SOMOS Essential	$2,874.46

PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA

Professional

Both

$3,239.15

Service Code	HCPCS 15839
Min. Negotiated Rate	$2,429.36
Max. Negotiated Rate	$2,429.36
Rate for Payer: Cash Price	$873.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,429.36
Rate for Payer: SOMOS Essential	$2,429.36

PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH

Professional

Both

$4,044.01

Service Code	HCPCS 15832
Min. Negotiated Rate	$3,033.01
Max. Negotiated Rate	$3,033.01
Rate for Payer: Cash Price	$1,089.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,033.01
Rate for Payer: SOMOS Essential	$3,033.01

PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL

Professional

Both

$3,921.82

Service Code	HCPCS 69140
Min. Negotiated Rate	$2,941.36
Max. Negotiated Rate	$2,941.36
Rate for Payer: Cash Price	$1,061.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,941.36
Rate for Payer: SOMOS Essential	$2,941.36

PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION

Professional

Both

$1,687.63

Service Code	HCPCS 69120
Min. Negotiated Rate	$1,265.72
Max. Negotiated Rate	$1,265.72
Rate for Payer: Cash Price	$455.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,265.72
Rate for Payer: SOMOS Essential	$1,265.72

PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR

Professional

Both

$1,421.18

Service Code	HCPCS 69110
Min. Negotiated Rate	$1,065.88
Max. Negotiated Rate	$1,065.88
Rate for Payer: Cash Price	$385.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,065.88
Rate for Payer: SOMOS Essential	$1,065.88

PR EXCISION FACIAL BONE

Professional

Both

$1,804.11

Service Code	HCPCS 21026
Min. Negotiated Rate	$1,353.08
Max. Negotiated Rate	$1,353.08
Rate for Payer: Cash Price	$495.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,353.08
Rate for Payer: SOMOS Essential	$1,353.08

PR EXCISION/FULGURATION URETHRAL PROLAPSE

Professional

Both

$1,111.88

Service Code	HCPCS 53275
Min. Negotiated Rate	$833.91
Max. Negotiated Rate	$833.91
Rate for Payer: Cash Price	$303.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$833.91
Rate for Payer: SOMOS Essential	$833.91

PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY

Professional

Both

$1,442.07

Service Code	HCPCS 25111
Min. Negotiated Rate	$1,081.55
Max. Negotiated Rate	$1,081.55
Rate for Payer: Cash Price	$394.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,081.55
Rate for Payer: SOMOS Essential	$1,081.55

PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT

Professional

Both

$1,734.18

Service Code	HCPCS 25112
Min. Negotiated Rate	$1,300.64
Max. Negotiated Rate	$1,300.64
Rate for Payer: Cash Price	$473.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,300.64
Rate for Payer: SOMOS Essential	$1,300.64

PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR

Professional

Both

$1,470.42

Service Code	HCPCS 11451
Min. Negotiated Rate	$1,102.82
Max. Negotiated Rate	$1,102.82
Rate for Payer: Cash Price	$396.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,102.82
Rate for Payer: SOMOS Essential	$1,102.82

PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR

Professional

Both

$1,164.98

Service Code	HCPCS 11450
Min. Negotiated Rate	$873.74
Max. Negotiated Rate	$873.74
Rate for Payer: Cash Price	$314.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$873.74
Rate for Payer: SOMOS Essential	$873.74

PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR

Professional

Both

$1,476.44

Service Code	HCPCS 11463
Min. Negotiated Rate	$1,107.33
Max. Negotiated Rate	$1,107.33
Rate for Payer: Cash Price	$397.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,107.33
Rate for Payer: SOMOS Essential	$1,107.33

Know your out-of-pocket cost for care.

All Charges