St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM

Professional

Both

$2,737.11

Service Code	HCPCS 27048
Min. Negotiated Rate	$2,052.83
Max. Negotiated Rate	$2,052.83
Rate for Payer: Cash Price	$737.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,052.83
Rate for Payer: SOMOS Essential	$2,052.83

PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>

Professional

Both

$3,274.57

Service Code	HCPCS 27045
Min. Negotiated Rate	$2,455.93
Max. Negotiated Rate	$2,455.93
Rate for Payer: Cash Price	$876.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,455.93
Rate for Payer: SOMOS Essential	$2,455.93

PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM

Professional

Both

$1,608.53

Service Code	HCPCS 27047
Min. Negotiated Rate	$1,206.40
Max. Negotiated Rate	$1,206.40
Rate for Payer: Cash Price	$436.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,206.40
Rate for Payer: SOMOS Essential	$1,206.40

PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>

Professional

Both

$3,113.60

Service Code	HCPCS 23073
Min. Negotiated Rate	$2,335.20
Max. Negotiated Rate	$2,335.20
Rate for Payer: Cash Price	$837.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,335.20
Rate for Payer: SOMOS Essential	$2,335.20

PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>

Professional

Both

$3,362.45

Service Code	HCPCS 27339
Min. Negotiated Rate	$2,521.84
Max. Negotiated Rate	$2,521.84
Rate for Payer: Cash Price	$907.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,521.84
Rate for Payer: SOMOS Essential	$2,521.84

PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM

Professional

Both

$2,785.09

Service Code	HCPCS 27328
Min. Negotiated Rate	$2,088.82
Max. Negotiated Rate	$2,088.82
Rate for Payer: Cash Price	$751.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,088.82
Rate for Payer: SOMOS Essential	$2,088.82

PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>

Professional

Both

$1,814.51

Service Code	HCPCS 24071
Min. Negotiated Rate	$1,360.88
Max. Negotiated Rate	$1,360.88
Rate for Payer: Cash Price	$488.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,360.88
Rate for Payer: SOMOS Essential	$1,360.88

PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM

Professional

Both

$1,468.88

Service Code	HCPCS 24075
Min. Negotiated Rate	$1,101.66
Max. Negotiated Rate	$1,101.66
Rate for Payer: Cash Price	$397.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,101.66
Rate for Payer: SOMOS Essential	$1,101.66

PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>

Professional

Both

$3,089.87

Service Code	HCPCS 24073
Min. Negotiated Rate	$2,317.40
Max. Negotiated Rate	$2,317.40
Rate for Payer: Cash Price	$831.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,317.40
Rate for Payer: SOMOS Essential	$2,317.40

PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM

Professional

Both

$2,436.21

Service Code	HCPCS 24076
Min. Negotiated Rate	$1,827.16
Max. Negotiated Rate	$1,827.16
Rate for Payer: Cash Price	$657.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,827.16
Rate for Payer: SOMOS Essential	$1,827.16

PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM

Professional

Both

$1,467.66

Service Code	HCPCS 26115
Min. Negotiated Rate	$1,100.74
Max. Negotiated Rate	$1,100.74
Rate for Payer: Cash Price	$400.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,100.74
Rate for Payer: SOMOS Essential	$1,100.74

PR EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM

Professional

Both

$2,320.50

Service Code	HCPCS 26116
Min. Negotiated Rate	$1,740.38
Max. Negotiated Rate	$1,740.38
Rate for Payer: Cash Price	$630.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,740.38
Rate for Payer: SOMOS Essential	$1,740.38

PR EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR

Professional

Both

$2,673.93

Service Code	HCPCS 51500
Min. Negotiated Rate	$2,005.45
Max. Negotiated Rate	$2,005.45
Rate for Payer: Cash Price	$732.45
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,005.45
Rate for Payer: SOMOS Essential	$2,005.45

PR EXC URETHRAL DIVERTICULUM SPX FEMALE

Professional

Both

$2,578.14

Service Code	HCPCS 53230
Min. Negotiated Rate	$1,933.60
Max. Negotiated Rate	$1,933.60
Rate for Payer: Cash Price	$706.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,933.60
Rate for Payer: SOMOS Essential	$1,933.60

PR EXC URETHRAL DIVERTICULUM SPX MALE

Professional

Both

$2,659.37

Service Code	HCPCS 53235
Min. Negotiated Rate	$1,994.53
Max. Negotiated Rate	$1,994.53
Rate for Payer: Cash Price	$729.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,994.53
Rate for Payer: SOMOS Essential	$1,994.53

PR EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL

Professional

Both

$1,811.60

Service Code	HCPCS 55535
Min. Negotiated Rate	$1,358.70
Max. Negotiated Rate	$1,358.70
Rate for Payer: Cash Price	$497.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,358.70
Rate for Payer: SOMOS Essential	$1,358.70

PR EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX

Professional

Both

$1,487.99

Service Code	HCPCS 55530
Min. Negotiated Rate	$1,115.99
Max. Negotiated Rate	$1,115.99
Rate for Payer: Cash Price	$408.48
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,115.99
Rate for Payer: SOMOS Essential	$1,115.99

PR EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR

Professional

Both

$2,511.43

Service Code	HCPCS 55540
Min. Negotiated Rate	$1,883.57
Max. Negotiated Rate	$1,883.57
Rate for Payer: Cash Price	$672.86
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,883.57
Rate for Payer: SOMOS Essential	$1,883.57

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

Professional

Both

$3,786.30

Service Code	HCPCS 26415
Min. Negotiated Rate	$2,839.72
Max. Negotiated Rate	$2,839.72
Rate for Payer: Cash Price	$1,018.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,839.72
Rate for Payer: SOMOS Essential	$2,839.72

PR EXC XTRPARENCHYMAL LESION TESTIS

Professional

Both

$2,258.31

Service Code	HCPCS 54512
Min. Negotiated Rate	$1,693.73
Max. Negotiated Rate	$1,693.73
Rate for Payer: Cash Price	$620.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,693.73
Rate for Payer: SOMOS Essential	$1,693.73

PR EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY

Professional

Both

$5,503.23

Service Code	HCPCS 65110
Min. Negotiated Rate	$4,127.42
Max. Negotiated Rate	$4,127.42
Rate for Payer: Cash Price	$1,506.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,127.42
Rate for Payer: SOMOS Essential	$4,127.42

PR EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE

Professional

Both

$6,289.40

Service Code	HCPCS 65112
Min. Negotiated Rate	$4,717.05
Max. Negotiated Rate	$4,717.05
Rate for Payer: Cash Price	$1,723.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,717.05
Rate for Payer: SOMOS Essential	$4,717.05

PR EXISION OF SUBLINGUAL GLAND

Professional

Both

$1,581.72

Service Code	HCPCS 42450
Min. Negotiated Rate	$1,186.29
Max. Negotiated Rate	$1,186.29
Rate for Payer: Cash Price	$429.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,186.29
Rate for Payer: SOMOS Essential	$1,186.29

PR EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP

Professional

Both

$6,568.49

Service Code	HCPCS 65114
Min. Negotiated Rate	$4,926.37
Max. Negotiated Rate	$4,926.37
Rate for Payer: Cash Price	$1,797.34
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,926.37
Rate for Payer: SOMOS Essential	$4,926.37

PR EXPL CONGENITAL ATRESIA BILE DUCTS

Professional

Both

$4,792.27

Service Code	HCPCS 47700
Min. Negotiated Rate	$3,594.20
Max. Negotiated Rate	$3,594.20
Rate for Payer: Cash Price	$1,278.67
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,594.20
Rate for Payer: SOMOS Essential	$3,594.20

Know your out-of-pocket cost for care.

All Charges