St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR

Professional

Both

$2,786.81

Service Code	HCPCS 15950
Min. Negotiated Rate	$2,090.11
Max. Negotiated Rate	$2,090.11
Rate for Payer: Cash Price	$754.01
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,090.11
Rate for Payer: SOMOS Essential	$2,090.11

PR EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN

Professional

Both

$5,118.23

Service Code	HCPCS 15956
Min. Negotiated Rate	$3,838.67
Max. Negotiated Rate	$3,838.67
Rate for Payer: Cash Price	$1,412.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,838.67
Rate for Payer: SOMOS Essential	$3,838.67

PR EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE

Professional

Both

$4,010.65

Service Code	HCPCS 15952
Min. Negotiated Rate	$3,007.99
Max. Negotiated Rate	$3,007.99
Rate for Payer: Cash Price	$1,082.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,007.99
Rate for Payer: SOMOS Essential	$3,007.99

PR EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>

Professional

Both

$2,385.15

Service Code	HCPCS 25073
Min. Negotiated Rate	$1,788.86
Max. Negotiated Rate	$1,788.86
Rate for Payer: Cash Price	$644.36
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,788.86
Rate for Payer: SOMOS Essential	$1,788.86

PR EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>

Professional

Both

$2,004.14

Service Code	HCPCS 21552
Min. Negotiated Rate	$1,503.10
Max. Negotiated Rate	$1,503.10
Rate for Payer: Cash Price	$539.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,503.10
Rate for Payer: SOMOS Essential	$1,503.10

PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>

Professional

Both

$3,309.29

Service Code	HCPCS 21933
Min. Negotiated Rate	$2,481.97
Max. Negotiated Rate	$2,481.97
Rate for Payer: Cash Price	$887.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,481.97
Rate for Payer: SOMOS Essential	$2,481.97

PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM

Professional

Both

$2,980.04

Service Code	HCPCS 21932
Min. Negotiated Rate	$2,235.03
Max. Negotiated Rate	$2,235.03
Rate for Payer: Cash Price	$795.71
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,235.03
Rate for Payer: SOMOS Essential	$2,235.03

PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>

Professional

Both

$2,294.95

Service Code	HCPCS 21014
Min. Negotiated Rate	$1,721.21
Max. Negotiated Rate	$1,721.21
Rate for Payer: Cash Price	$619.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,721.21
Rate for Payer: SOMOS Essential	$1,721.21

PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM

Professional

Both

$1,762.32

Service Code	HCPCS 21013
Min. Negotiated Rate	$1,321.74
Max. Negotiated Rate	$1,321.74
Rate for Payer: Cash Price	$476.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,321.74
Rate for Payer: SOMOS Essential	$1,321.74

PR EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>

Professional

Both

$1,889.97

Service Code	HCPCS 25071
Min. Negotiated Rate	$1,417.48
Max. Negotiated Rate	$1,417.48
Rate for Payer: Cash Price	$510.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,417.48
Rate for Payer: SOMOS Essential	$1,417.48

PR EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM

Professional

Both

$2,298.42

Service Code	HCPCS 25076
Min. Negotiated Rate	$1,723.82
Max. Negotiated Rate	$1,723.82
Rate for Payer: Cash Price	$623.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,723.82
Rate for Payer: SOMOS Essential	$1,723.82

PR EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM

Professional

Both

$2,346.16

Service Code	HCPCS 21556
Min. Negotiated Rate	$1,759.62
Max. Negotiated Rate	$1,759.62
Rate for Payer: Cash Price	$631.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,759.62
Rate for Payer: SOMOS Essential	$1,759.62

PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM

Professional

Both

$2,423.89

Service Code	HCPCS 23076
Min. Negotiated Rate	$1,817.92
Max. Negotiated Rate	$1,817.92
Rate for Payer: Cash Price	$654.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,817.92
Rate for Payer: SOMOS Essential	$1,817.92

PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM

Professional

Both

$2,536.42

Service Code	HCPCS 22900
Min. Negotiated Rate	$1,902.32
Max. Negotiated Rate	$1,902.32
Rate for Payer: Cash Price	$682.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,902.32
Rate for Payer: SOMOS Essential	$1,902.32

PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>

Professional

Both

$2,994.15

Service Code	HCPCS 22901
Min. Negotiated Rate	$2,245.61
Max. Negotiated Rate	$2,245.61
Rate for Payer: Cash Price	$803.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,245.61
Rate for Payer: SOMOS Essential	$2,245.61

PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>

Professional

Both

$1,983.73

Service Code	HCPCS 22903
Min. Negotiated Rate	$1,487.80
Max. Negotiated Rate	$1,487.80
Rate for Payer: Cash Price	$532.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,487.80
Rate for Payer: SOMOS Essential	$1,487.80

PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM

Professional

Both

$1,492.51

Service Code	HCPCS 22902
Min. Negotiated Rate	$1,119.38
Max. Negotiated Rate	$1,119.38
Rate for Payer: Cash Price	$404.36
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,119.38
Rate for Payer: SOMOS Essential	$1,119.38

PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>

Professional

Both

$1,906.56

Service Code	HCPCS 28041
Min. Negotiated Rate	$1,429.92
Max. Negotiated Rate	$1,429.92
Rate for Payer: Cash Price	$523.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,429.92
Rate for Payer: SOMOS Essential	$1,429.92

PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM

Professional

Both

$1,458.66

Service Code	HCPCS 28045
Min. Negotiated Rate	$1,094.00
Max. Negotiated Rate	$1,094.00
Rate for Payer: Cash Price	$400.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,094.00
Rate for Payer: SOMOS Essential	$1,094.00

PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM

Professional

Both

$1,402.14

Service Code	HCPCS 25075
Min. Negotiated Rate	$1,051.60
Max. Negotiated Rate	$1,051.60
Rate for Payer: Cash Price	$380.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,051.60
Rate for Payer: SOMOS Essential	$1,051.60

PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>

Professional

Both

$2,985.22

Service Code	HCPCS 27634
Min. Negotiated Rate	$2,238.92
Max. Negotiated Rate	$2,238.92
Rate for Payer: Cash Price	$800.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,238.92
Rate for Payer: SOMOS Essential	$2,238.92

PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM

Professional

Both

$2,042.64

Service Code	HCPCS 27619
Min. Negotiated Rate	$1,531.98
Max. Negotiated Rate	$1,531.98
Rate for Payer: Cash Price	$558.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,531.98
Rate for Payer: SOMOS Essential	$1,531.98

PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM

Professional

Both

$1,346.77

Service Code	HCPCS 27618
Min. Negotiated Rate	$1,010.08
Max. Negotiated Rate	$1,010.08
Rate for Payer: Cash Price	$366.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,010.08
Rate for Payer: SOMOS Essential	$1,010.08

PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM

Professional

Both

$1,357.58

Service Code	HCPCS 21555
Min. Negotiated Rate	$1,018.18
Max. Negotiated Rate	$1,018.18
Rate for Payer: Cash Price	$368.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,018.18
Rate for Payer: SOMOS Essential	$1,018.18

PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>

Professional

Both

$3,253.15

Service Code	HCPCS 21554
Min. Negotiated Rate	$2,439.86
Max. Negotiated Rate	$2,439.86
Rate for Payer: Cash Price	$874.82
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,439.86
Rate for Payer: SOMOS Essential	$2,439.86

Know your out-of-pocket cost for care.

All Charges