St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC

Professional

Both

$292.60

Service Code	HCPCS 31575
Min. Negotiated Rate	$219.45
Max. Negotiated Rate	$219.45
Rate for Payer: Cash Price	$80.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$219.45
Rate for Payer: SOMOS Essential	$219.45

PR LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER

Professional

Both

$638.75

Service Code	HCPCS 31578
Min. Negotiated Rate	$479.06
Max. Negotiated Rate	$479.06
Rate for Payer: Cash Price	$173.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$479.06
Rate for Payer: SOMOS Essential	$479.06

PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI

Professional

Both

$637.32

Service Code	HCPCS 31573
Min. Negotiated Rate	$477.99
Max. Negotiated Rate	$477.99
Rate for Payer: Cash Price	$172.26
Rate for Payer: SOMOS CHP/HARP/Medicaid	$477.99
Rate for Payer: SOMOS Essential	$477.99

PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)

Professional

Both

$507.68

Service Code	HCPCS 31576
Min. Negotiated Rate	$380.76
Max. Negotiated Rate	$380.76
Rate for Payer: Cash Price	$138.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$380.76
Rate for Payer: SOMOS Essential	$380.76

PR LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI

Professional

Both

$638.75

Service Code	HCPCS 31574
Min. Negotiated Rate	$479.06
Max. Negotiated Rate	$479.06
Rate for Payer: Cash Price	$173.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$479.06
Rate for Payer: SOMOS Essential	$479.06

PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY

Professional

Both

$509.43

Service Code	HCPCS 31579
Min. Negotiated Rate	$382.07
Max. Negotiated Rate	$382.07
Rate for Payer: Cash Price	$138.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$382.07
Rate for Payer: SOMOS Essential	$382.07

PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)

Professional

Both

$577.19

Service Code	HCPCS 31577
Min. Negotiated Rate	$432.89
Max. Negotiated Rate	$432.89
Rate for Payer: Cash Price	$154.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$432.89
Rate for Payer: SOMOS Essential	$432.89

PR LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE

Professional

Both

$904.19

Service Code	HCPCS 31531
Min. Negotiated Rate	$678.14
Max. Negotiated Rate	$678.14
Rate for Payer: Cash Price	$243.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$678.14
Rate for Payer: SOMOS Essential	$678.14

PR LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX

Professional

Both

$210.42

Service Code	HCPCS 31505
Min. Negotiated Rate	$157.82
Max. Negotiated Rate	$157.82
Rate for Payer: Cash Price	$57.71
Rate for Payer: SOMOS CHP/HARP/Medicaid	$157.82
Rate for Payer: SOMOS Essential	$157.82

PR LARYNGOSCOPY INDIRECT W/BIOPSY

Professional

Both

$518.49

Service Code	HCPCS 31510
Min. Negotiated Rate	$388.87
Max. Negotiated Rate	$388.87
Rate for Payer: Cash Price	$140.43
Rate for Payer: SOMOS CHP/HARP/Medicaid	$388.87
Rate for Payer: SOMOS Essential	$388.87

PR LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY

Professional

Both

$572.57

Service Code	HCPCS 31511
Min. Negotiated Rate	$429.43
Max. Negotiated Rate	$429.43
Rate for Payer: Cash Price	$156.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$429.43
Rate for Payer: SOMOS Essential	$429.43

PR LARYNGOSCOPY INDIRECT W/REMOVAL LESION

Professional

Both

$552.79

Service Code	HCPCS 31512
Min. Negotiated Rate	$414.59
Max. Negotiated Rate	$414.59
Rate for Payer: Cash Price	$150.29
Rate for Payer: SOMOS CHP/HARP/Medicaid	$414.59
Rate for Payer: SOMOS Essential	$414.59

PR LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION

Professional

Both

$558.01

Service Code	HCPCS 31513
Min. Negotiated Rate	$418.51
Max. Negotiated Rate	$418.51
Rate for Payer: Cash Price	$152.36
Rate for Payer: SOMOS CHP/HARP/Medicaid	$418.51
Rate for Payer: SOMOS Essential	$418.51

PR LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE

Professional

Both

$898.98

Service Code	HCPCS 31536
Min. Negotiated Rate	$674.24
Max. Negotiated Rate	$674.24
Rate for Payer: Cash Price	$242.16
Rate for Payer: SOMOS CHP/HARP/Medicaid	$674.24
Rate for Payer: SOMOS Essential	$674.24

PR LARYNGOSCOPY W/FOREIGN BODY REMOVAL

Professional

Both

$853.27

Service Code	HCPCS 31530
Min. Negotiated Rate	$639.95
Max. Negotiated Rate	$639.95
Rate for Payer: Cash Price	$229.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$639.95
Rate for Payer: SOMOS Essential	$639.95

PR LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION

Professional

Both

$476.42

Service Code	HCPCS 31515
Min. Negotiated Rate	$357.32
Max. Negotiated Rate	$357.32
Rate for Payer: Cash Price	$128.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$357.32
Rate for Payer: SOMOS Essential	$357.32

PR LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ

Professional

Both

$684.15

Service Code	HCPCS 31529
Min. Negotiated Rate	$513.11
Max. Negotiated Rate	$513.11
Rate for Payer: Cash Price	$186.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$513.11
Rate for Payer: SOMOS Essential	$513.11

PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN

Professional

Both

$680.75

Service Code	HCPCS 31525
Min. Negotiated Rate	$510.56
Max. Negotiated Rate	$510.56
Rate for Payer: Cash Price	$185.67
Rate for Payer: SOMOS CHP/HARP/Medicaid	$510.56
Rate for Payer: SOMOS Essential	$510.56

PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN

Professional

Both

$666.40

Service Code	HCPCS 31520
Min. Negotiated Rate	$499.80
Max. Negotiated Rate	$499.80
Rate for Payer: Cash Price	$181.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$499.80
Rate for Payer: SOMOS Essential	$499.80

PR LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR

Professional

Both

$831.57

Service Code	HCPCS 31527
Min. Negotiated Rate	$623.68
Max. Negotiated Rate	$623.68
Rate for Payer: Cash Price	$224.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$623.68
Rate for Payer: SOMOS Essential	$623.68

PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN

Professional

Both

$618.28

Service Code	HCPCS 31528
Min. Negotiated Rate	$463.71
Max. Negotiated Rate	$463.71
Rate for Payer: Cash Price	$167.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$463.71
Rate for Payer: SOMOS Essential	$463.71

PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE

Professional

Both

$670.39

Service Code	HCPCS 31526
Min. Negotiated Rate	$502.79
Max. Negotiated Rate	$502.79
Rate for Payer: Cash Price	$181.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$502.79
Rate for Payer: SOMOS Essential	$502.79

PR LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY

Professional

Both

$5,416.92

Service Code	HCPCS 31300
Min. Negotiated Rate	$4,062.69
Max. Negotiated Rate	$4,062.69
Rate for Payer: Cash Price	$1,461.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,062.69
Rate for Payer: SOMOS Essential	$4,062.69

PR LASER COAGULATION OF PROSTATE FOR URINE FLOW

Professional

Both

$2,720.76

Service Code	HCPCS 52647
Min. Negotiated Rate	$2,040.57
Max. Negotiated Rate	$2,040.57
Rate for Payer: Cash Price	$746.43
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,040.57
Rate for Payer: SOMOS Essential	$2,040.57

PR LASER ENUCLEATION PROSTATE W/MORCELLATION

Professional

Both

$3,455.59

Service Code	HCPCS 52649
Min. Negotiated Rate	$2,591.69
Max. Negotiated Rate	$2,591.69
Rate for Payer: Cash Price	$945.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,591.69
Rate for Payer: SOMOS Essential	$2,591.69

Know your out-of-pocket cost for care.

All Charges