St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>

Professional

Both

$1,824.13

Service Code	HCPCS 27632
Min. Negotiated Rate	$1,368.10
Max. Negotiated Rate	$1,368.10
Rate for Payer: Cash Price	$489.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,368.10
Rate for Payer: SOMOS Essential	$1,368.10

PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>

Professional

Both

$2,108.82

Service Code	HCPCS 27043
Min. Negotiated Rate	$1,581.62
Max. Negotiated Rate	$1,581.62
Rate for Payer: Cash Price	$567.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,581.62
Rate for Payer: SOMOS Essential	$1,581.62

PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>

Professional

Both

$1,878.94

Service Code	HCPCS 23071
Min. Negotiated Rate	$1,409.20
Max. Negotiated Rate	$1,409.20
Rate for Payer: Cash Price	$507.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,409.20
Rate for Payer: SOMOS Essential	$1,409.20

PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM

Professional

Both

$1,458.07

Service Code	HCPCS 23075
Min. Negotiated Rate	$1,093.55
Max. Negotiated Rate	$1,093.55
Rate for Payer: Cash Price	$397.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,093.55
Rate for Payer: SOMOS Essential	$1,093.55

PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM

Professional

Both

$1,398.71

Service Code	HCPCS 27327
Min. Negotiated Rate	$1,049.03
Max. Negotiated Rate	$1,049.03
Rate for Payer: Cash Price	$380.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,049.03
Rate for Payer: SOMOS Essential	$1,049.03

PR EXCISION/UNROOFING CYST KIDNEY

Professional

Both

$4,072.50

Service Code	HCPCS 50280
Min. Negotiated Rate	$3,054.38
Max. Negotiated Rate	$3,054.38
Rate for Payer: Cash Price	$1,080.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,054.38
Rate for Payer: SOMOS Essential	$3,054.38

PR EXCISION VAGINAL CYST/TUMOR

Professional

Both

$820.82

Service Code	HCPCS 57135
Min. Negotiated Rate	$615.62
Max. Negotiated Rate	$615.62
Rate for Payer: Cash Price	$221.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$615.62
Rate for Payer: SOMOS Essential	$615.62

PR EXCISION VAGINAL SEPTUM

Professional

Both

$758.10

Service Code	HCPCS 57130
Min. Negotiated Rate	$568.58
Max. Negotiated Rate	$568.58
Rate for Payer: Cash Price	$204.57
Rate for Payer: SOMOS CHP/HARP/Medicaid	$568.58
Rate for Payer: SOMOS Essential	$568.58

PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>

Professional

Both

$1,876.07

Service Code	HCPCS 27337
Min. Negotiated Rate	$1,407.05
Max. Negotiated Rate	$1,407.05
Rate for Payer: Cash Price	$506.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,407.05
Rate for Payer: SOMOS Essential	$1,407.05

PR EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH

Professional

Both

$4,074.35

Service Code	HCPCS 68540
Min. Negotiated Rate	$3,055.76
Max. Negotiated Rate	$3,055.76
Rate for Payer: Cash Price	$1,119.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,055.76
Rate for Payer: SOMOS Essential	$3,055.76

PR EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY

Professional

Both

$5,074.02

Service Code	HCPCS 68550
Min. Negotiated Rate	$3,805.52
Max. Negotiated Rate	$3,805.52
Rate for Payer: Cash Price	$1,393.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,805.52
Rate for Payer: SOMOS Essential	$3,805.52

PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR

Professional

Both

$4,498.66

Service Code	HCPCS 43101
Min. Negotiated Rate	$3,374.00
Max. Negotiated Rate	$3,374.00
Rate for Payer: Cash Price	$1,197.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,374.00
Rate for Payer: SOMOS Essential	$3,374.00

PR EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR

Professional

Both

$2,744.95

Service Code	HCPCS 43100
Min. Negotiated Rate	$2,058.71
Max. Negotiated Rate	$2,058.71
Rate for Payer: Cash Price	$746.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,058.71
Rate for Payer: SOMOS Essential	$2,058.71

PR EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE

Professional

Both

$651.70

Service Code	HCPCS 67840
Min. Negotiated Rate	$488.78
Max. Negotiated Rate	$488.78
Rate for Payer: Cash Price	$178.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$488.78
Rate for Payer: SOMOS Essential	$488.78

PR EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC

Professional

Both

$1,291.19

Service Code	HCPCS 40816
Min. Negotiated Rate	$968.39
Max. Negotiated Rate	$968.39
Rate for Payer: Cash Price	$354.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$968.39
Rate for Payer: SOMOS Essential	$968.39

PR EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR

Professional

Both

$1,206.10

Service Code	HCPCS 40814
Min. Negotiated Rate	$904.58
Max. Negotiated Rate	$904.58
Rate for Payer: Cash Price	$328.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$904.58
Rate for Payer: SOMOS Essential	$904.58

PR EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR

Professional

Both

$780.54

Service Code	HCPCS 40812
Min. Negotiated Rate	$585.40
Max. Negotiated Rate	$585.40
Rate for Payer: Cash Price	$210.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$585.40
Rate for Payer: SOMOS Essential	$585.40

PR EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE

Professional

Both

$1,401.54

Service Code	HCPCS 42107
Min. Negotiated Rate	$1,051.16
Max. Negotiated Rate	$1,051.16
Rate for Payer: Cash Price	$374.43
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,051.16
Rate for Payer: SOMOS Essential	$1,051.16

PR EXC LESION PALATE UVULA W/O CLOSURE

Professional

Both

$578.06

Service Code	HCPCS 42104
Min. Negotiated Rate	$433.54
Max. Negotiated Rate	$433.54
Rate for Payer: Cash Price	$158.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$433.54
Rate for Payer: SOMOS Essential	$433.54

PR EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE

Professional

Both

$691.32

Service Code	HCPCS 42106
Min. Negotiated Rate	$518.49
Max. Negotiated Rate	$518.49
Rate for Payer: Cash Price	$185.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$518.49
Rate for Payer: SOMOS Essential	$518.49

PR EXC LESION SPERMATIC CORD SEPARATE PROCEDURE

Professional

Both

$2,059.82

Service Code	HCPCS 55520
Min. Negotiated Rate	$1,544.86
Max. Negotiated Rate	$1,544.86
Rate for Payer: Cash Price	$553.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,544.86
Rate for Payer: SOMOS Essential	$1,544.86

PR EXC LESION TDN SHTH/JT CAPSL HAND/FNGR

Professional

Both

$1,401.09

Service Code	HCPCS 26160
Min. Negotiated Rate	$1,050.82
Max. Negotiated Rate	$1,050.82
Rate for Payer: Cash Price	$382.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,050.82
Rate for Payer: SOMOS Essential	$1,050.82

PR EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT

Professional

Both

$1,298.05

Service Code	HCPCS 28090
Min. Negotiated Rate	$973.54
Max. Negotiated Rate	$973.54
Rate for Payer: Cash Price	$358.61
Rate for Payer: SOMOS CHP/HARP/Medicaid	$973.54
Rate for Payer: SOMOS Essential	$973.54

PR EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA

Professional

Both

$1,141.04

Service Code	HCPCS 28092
Min. Negotiated Rate	$855.78
Max. Negotiated Rate	$855.78
Rate for Payer: Cash Price	$317.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$855.78
Rate for Payer: SOMOS Essential	$855.78

PR EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS

Professional

Both

$1,042.48

Service Code	HCPCS 41112
Min. Negotiated Rate	$781.86
Max. Negotiated Rate	$781.86
Rate for Payer: Cash Price	$283.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$781.86
Rate for Payer: SOMOS Essential	$781.86

Know your out-of-pocket cost for care.

All Charges