St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS

Professional

Both

$531.13

Service Code	HCPCS 46220
Min. Negotiated Rate	$398.35
Max. Negotiated Rate	$398.35
Rate for Payer: Cash Price	$144.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$398.35
Rate for Payer: SOMOS Essential	$398.35

PR EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY

Professional

Both

$5,148.85

Service Code	HCPCS 15830
Min. Negotiated Rate	$3,861.64
Max. Negotiated Rate	$3,861.64
Rate for Payer: Cash Price	$1,385.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,861.64
Rate for Payer: SOMOS Essential	$3,861.64

PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL

Professional

Both

$1,117.76

Service Code	HCPCS 69145
Min. Negotiated Rate	$838.32
Max. Negotiated Rate	$838.32
Rate for Payer: Cash Price	$304.26
Rate for Payer: SOMOS CHP/HARP/Medicaid	$838.32
Rate for Payer: SOMOS Essential	$838.32

PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY

Professional

Both

$1,362.59

Service Code	HCPCS 54840
Min. Negotiated Rate	$1,021.94
Max. Negotiated Rate	$1,021.94
Rate for Payer: Cash Price	$372.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,021.94
Rate for Payer: SOMOS Essential	$1,021.94

PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND

Professional

Both

$1,803.03

Service Code	HCPCS 42440
Min. Negotiated Rate	$1,352.27
Max. Negotiated Rate	$1,352.27
Rate for Payer: Cash Price	$489.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,352.27
Rate for Payer: SOMOS Essential	$1,352.27

PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA

Professional

Both

$1,811.39

Service Code	HCPCS 30120
Min. Negotiated Rate	$1,358.54
Max. Negotiated Rate	$1,358.54
Rate for Payer: Cash Price	$492.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,358.54
Rate for Payer: SOMOS Essential	$1,358.54

PR EXCISION SYNOVIAL CYST POPLITEAL SPACE

Professional

Both

$2,159.15

Service Code	HCPCS 27345
Min. Negotiated Rate	$1,619.36
Max. Negotiated Rate	$1,619.36
Rate for Payer: Cash Price	$586.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,619.36
Rate for Payer: SOMOS Essential	$1,619.36

PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH

Professional

Both

$1,992.06

Service Code	HCPCS 26180
Min. Negotiated Rate	$1,494.04
Max. Negotiated Rate	$1,494.04
Rate for Payer: Cash Price	$543.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,494.04
Rate for Payer: SOMOS Essential	$1,494.04

PR EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH

Professional

Both

$1,811.39

Service Code	HCPCS 26170
Min. Negotiated Rate	$1,358.54
Max. Negotiated Rate	$1,358.54
Rate for Payer: Cash Price	$493.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,358.54
Rate for Payer: SOMOS Essential	$1,358.54

PR EXCISION THYROGLOSSAL DUCT CYST/SINUS

Professional

Both

$1,970.57

Service Code	HCPCS 60280
Min. Negotiated Rate	$1,477.93
Max. Negotiated Rate	$1,477.93
Rate for Payer: Cash Price	$536.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,477.93
Rate for Payer: SOMOS Essential	$1,477.93

PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT

Professional

Both

$2,579.33

Service Code	HCPCS 60281
Min. Negotiated Rate	$1,934.50
Max. Negotiated Rate	$1,934.50
Rate for Payer: Cash Price	$699.26
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,934.50
Rate for Payer: SOMOS Essential	$1,934.50

PR EXCISION TONSIL TAGS

Professional

Both

$843.99

Service Code	HCPCS 42860
Min. Negotiated Rate	$632.99
Max. Negotiated Rate	$632.99
Rate for Payer: Cash Price	$230.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$632.99
Rate for Payer: SOMOS Essential	$632.99

PR EXCISION TORUS MANDIBULARIS

Professional

Both

$1,151.78

Service Code	HCPCS 21031
Min. Negotiated Rate	$863.84
Max. Negotiated Rate	$863.84
Rate for Payer: Cash Price	$315.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$863.84
Rate for Payer: SOMOS Essential	$863.84

PR EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA

Professional

Both

$5,156.76

Service Code	HCPCS 31780
Min. Negotiated Rate	$3,867.57
Max. Negotiated Rate	$3,867.57
Rate for Payer: Cash Price	$1,393.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,867.57
Rate for Payer: SOMOS Essential	$3,867.57

PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL

Professional

Both

$4,619.41

Service Code	HCPCS 31785
Min. Negotiated Rate	$3,464.56
Max. Negotiated Rate	$3,464.56
Rate for Payer: Cash Price	$1,247.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,464.56
Rate for Payer: SOMOS Essential	$3,464.56

PR EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC

Professional

Both

$6,419.60

Service Code	HCPCS 31786
Min. Negotiated Rate	$4,814.70
Max. Negotiated Rate	$4,814.70
Rate for Payer: Cash Price	$1,708.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,814.70
Rate for Payer: SOMOS Essential	$4,814.70

PR EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG

Professional

Both

$1,966.34

Service Code	HCPCS 65426
Min. Negotiated Rate	$1,474.76
Max. Negotiated Rate	$1,474.76
Rate for Payer: Cash Price	$543.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,474.76
Rate for Payer: SOMOS Essential	$1,474.76

PR EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT

Professional

Both

$1,572.06

Service Code	HCPCS 65420
Min. Negotiated Rate	$1,179.04
Max. Negotiated Rate	$1,179.04
Rate for Payer: Cash Price	$434.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,179.04
Rate for Payer: SOMOS Essential	$1,179.04

PR EXCISION TROCHANTERIC BURSA/CALCIFICATION

Professional

Both

$2,019.82

Service Code	HCPCS 27062
Min. Negotiated Rate	$1,514.86
Max. Negotiated Rate	$1,514.86
Rate for Payer: Cash Price	$547.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,514.86
Rate for Payer: SOMOS Essential	$1,514.86

PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>

Professional

Both

$2,108.82

Service Code	HCPCS 21931
Min. Negotiated Rate	$1,581.62
Max. Negotiated Rate	$1,581.62
Rate for Payer: Cash Price	$567.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,581.62
Rate for Payer: SOMOS Essential	$1,581.62

PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>

Professional

Both

$1,448.93

Service Code	HCPCS 28039
Min. Negotiated Rate	$1,086.70
Max. Negotiated Rate	$1,086.70
Rate for Payer: Cash Price	$392.21
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,086.70
Rate for Payer: SOMOS Essential	$1,086.70

PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>

Professional

Both

$1,500.80

Service Code	HCPCS 21012
Min. Negotiated Rate	$1,125.60
Max. Negotiated Rate	$1,125.60
Rate for Payer: Cash Price	$405.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,125.60
Rate for Payer: SOMOS Essential	$1,125.60

PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM

Professional

Both

$1,133.58

Service Code	HCPCS 21011
Min. Negotiated Rate	$850.18
Max. Negotiated Rate	$850.18
Rate for Payer: Cash Price	$309.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$850.18
Rate for Payer: SOMOS Essential	$850.18

PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM

Professional

Both

$1,621.76

Service Code	HCPCS 21930
Min. Negotiated Rate	$1,216.32
Max. Negotiated Rate	$1,216.32
Rate for Payer: Cash Price	$439.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,216.32
Rate for Payer: SOMOS Essential	$1,216.32

PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM

Professional

Both

$1,091.72

Service Code	HCPCS 28043
Min. Negotiated Rate	$818.79
Max. Negotiated Rate	$818.79
Rate for Payer: Cash Price	$302.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$818.79
Rate for Payer: SOMOS Essential	$818.79

Know your out-of-pocket cost for care.

All Charges