St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS

Professional

Both

$5,268.69

Service Code	HCPCS 47015
Min. Negotiated Rate	$3,951.52
Max. Negotiated Rate	$3,951.52
Rate for Payer: Cash Price	$1,403.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,951.52
Rate for Payer: SOMOS Essential	$3,951.52

PR LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE

Professional

Both

$1,454.32

Service Code	HCPCS 31561
Min. Negotiated Rate	$1,090.74
Max. Negotiated Rate	$1,090.74
Rate for Payer: Cash Price	$392.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,090.74
Rate for Payer: SOMOS Essential	$1,090.74

PR LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP

Professional

Both

$1,124.90

Service Code	HCPCS 31541
Min. Negotiated Rate	$843.68
Max. Negotiated Rate	$843.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$843.68
Rate for Payer: SOMOS Essential	$843.68

PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP

Professional

Both

$1,541.33

Service Code	HCPCS 31545
Min. Negotiated Rate	$1,156.00
Max. Negotiated Rate	$1,156.00
Rate for Payer: Cash Price	$416.36
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,156.00
Rate for Payer: SOMOS Essential	$1,156.00

PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT

Professional

Both

$2,332.40

Service Code	HCPCS 31546
Min. Negotiated Rate	$1,749.30
Max. Negotiated Rate	$1,749.30
Rate for Payer: Cash Price	$630.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,749.30
Rate for Payer: SOMOS Essential	$1,749.30

PR LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE

Professional

Both

$1,057.25

Service Code	HCPCS 31571
Min. Negotiated Rate	$792.94
Max. Negotiated Rate	$792.94
Rate for Payer: Cash Price	$286.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$792.94
Rate for Payer: SOMOS Essential	$792.94

PR LARYNGEAL FUNCTION STUDIES

Professional

Both

$160.93

Service Code	HCPCS 92520
Min. Negotiated Rate	$120.70
Max. Negotiated Rate	$120.70
Rate for Payer: Cash Price	$43.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$120.70
Rate for Payer: SOMOS Essential	$120.70

PR LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE

Professional

Both

$4,017.86

Service Code	HCPCS 31590
Min. Negotiated Rate	$3,013.40
Max. Negotiated Rate	$3,013.40
Rate for Payer: Cash Price	$1,088.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,013.40
Rate for Payer: SOMOS Essential	$3,013.40

PR LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ

Professional

Both

$9,384.73

Service Code	HCPCS 31367
Min. Negotiated Rate	$7,038.55
Max. Negotiated Rate	$7,038.55
Rate for Payer: Cash Price	$2,529.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,038.55
Rate for Payer: SOMOS Essential	$7,038.55

PR LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ

Professional

Both

$10,375.72

Service Code	HCPCS 31368
Min. Negotiated Rate	$7,781.79
Max. Negotiated Rate	$7,781.79
Rate for Payer: Cash Price	$2,795.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,781.79
Rate for Payer: SOMOS Essential	$7,781.79

PR LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION

Professional

Both

$8,871.24

Service Code	HCPCS 31360
Min. Negotiated Rate	$6,653.43
Max. Negotiated Rate	$6,653.43
Rate for Payer: Cash Price	$2,393.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,653.43
Rate for Payer: SOMOS Essential	$6,653.43

PR LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION

Professional

Both

$10,939.92

Service Code	HCPCS 31365
Min. Negotiated Rate	$8,204.94
Max. Negotiated Rate	$8,204.94
Rate for Payer: Cash Price	$2,946.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,204.94
Rate for Payer: SOMOS Essential	$8,204.94

PR LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT

Professional

Both

$5,224.73

Service Code	HCPCS 31587
Min. Negotiated Rate	$3,918.55
Max. Negotiated Rate	$3,918.55
Rate for Payer: Cash Price	$1,413.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,918.55
Rate for Payer: SOMOS Essential	$3,918.55

PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT < 12 YRS

Professional

Both

$6,666.84

Service Code	HCPCS 31551
Min. Negotiated Rate	$5,000.13
Max. Negotiated Rate	$5,000.13
Rate for Payer: Cash Price	$1,802.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,000.13
Rate for Payer: SOMOS Essential	$5,000.13

PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS >

Professional

Both

$6,440.04

Service Code	HCPCS 31552
Min. Negotiated Rate	$4,830.03
Max. Negotiated Rate	$4,830.03
Rate for Payer: Cash Price	$1,739.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,830.03
Rate for Payer: SOMOS Essential	$4,830.03

PR LARYNGOPLASTY LARYNGEAL STEN W/STENT < 12 YRS

Professional

Both

$7,276.19

Service Code	HCPCS 31553
Min. Negotiated Rate	$5,457.14
Max. Negotiated Rate	$5,457.14
Rate for Payer: Cash Price	$1,963.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,457.14
Rate for Payer: SOMOS Essential	$5,457.14

PR LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS >

Professional

Both

$7,280.49

Service Code	HCPCS 31554
Min. Negotiated Rate	$5,460.37
Max. Negotiated Rate	$5,460.37
Rate for Payer: Cash Price	$1,964.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,460.37
Rate for Payer: SOMOS Essential	$5,460.37

PR LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION

Professional

Both

$5,567.42

Service Code	HCPCS 31580
Min. Negotiated Rate	$4,175.56
Max. Negotiated Rate	$4,175.56
Rate for Payer: Cash Price	$1,502.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,175.56
Rate for Payer: SOMOS Essential	$4,175.56

PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL

Professional

Both

$4,772.11

Service Code	HCPCS 31591
Min. Negotiated Rate	$3,579.08
Max. Negotiated Rate	$3,579.08
Rate for Payer: Cash Price	$1,290.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,579.08
Rate for Payer: SOMOS Essential	$3,579.08

PR LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS

Professional

Both

$6,117.65

Service Code	HCPCS 31584
Min. Negotiated Rate	$4,588.24
Max. Negotiated Rate	$4,588.24
Rate for Payer: Cash Price	$1,650.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,588.24
Rate for Payer: SOMOS Essential	$4,588.24

PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC

Professional

Both

$982.70

Service Code	HCPCS 31570
Min. Negotiated Rate	$737.02
Max. Negotiated Rate	$737.02
Rate for Payer: Cash Price	$265.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$737.02
Rate for Payer: SOMOS Essential	$737.02

PR LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY

Professional

Both

$1,331.58

Service Code	HCPCS 31560
Min. Negotiated Rate	$998.68
Max. Negotiated Rate	$998.68
Rate for Payer: Cash Price	$358.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$998.68
Rate for Payer: SOMOS Essential	$998.68

PR LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY

Professional

Both

$803.67

Service Code	HCPCS 31535
Min. Negotiated Rate	$602.75
Max. Negotiated Rate	$602.75
Rate for Payer: Cash Price	$218.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$602.75
Rate for Payer: SOMOS Essential	$602.75

PR LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT

Professional

Both

$1,031.07

Service Code	HCPCS 31540
Min. Negotiated Rate	$773.30
Max. Negotiated Rate	$773.30
Rate for Payer: Cash Price	$277.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$773.30
Rate for Payer: SOMOS Essential	$773.30

PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI

Professional

Both

$772.10

Service Code	HCPCS 31572
Min. Negotiated Rate	$579.08
Max. Negotiated Rate	$579.08
Rate for Payer: Cash Price	$208.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$579.08
Rate for Payer: SOMOS Essential	$579.08

Know your out-of-pocket cost for care.

All Charges