St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR LIGATION EXTERNAL CAROTID ARTERY

Professional

Both

$3,222.94

Service Code	HCPCS 37600
Min. Negotiated Rate	$2,417.20
Max. Negotiated Rate	$2,417.20
Rate for Payer: Cash Price	$872.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,417.20
Rate for Payer: SOMOS Essential	$2,417.20

PR LIGATION INTERNAL/COMMON CAROTID ARTERY

Professional

Both

$3,290.00

Service Code	HCPCS 37605
Min. Negotiated Rate	$2,467.50
Max. Negotiated Rate	$2,467.50
Rate for Payer: Cash Price	$872.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,467.50
Rate for Payer: SOMOS Essential	$2,467.50

PR LIGATION INTERNAL JUGULAR VEIN

Professional

Both

$3,207.12

Service Code	HCPCS 37565
Min. Negotiated Rate	$2,405.34
Max. Negotiated Rate	$2,405.34
Rate for Payer: Cash Price	$857.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,405.34
Rate for Payer: SOMOS Essential	$2,405.34

PR LIGATION MAJOR ARTERY ABDOMEN

Professional

Both

$5,856.17

Service Code	HCPCS 37617
Min. Negotiated Rate	$4,392.13
Max. Negotiated Rate	$4,392.13
Rate for Payer: Cash Price	$1,566.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,392.13
Rate for Payer: SOMOS Essential	$4,392.13

PR LIGATION MAJOR ARTERY CHEST

Professional

Both

$4,930.28

Service Code	HCPCS 37616
Min. Negotiated Rate	$3,697.71
Max. Negotiated Rate	$3,697.71
Rate for Payer: Cash Price	$1,340.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,697.71
Rate for Payer: SOMOS Essential	$3,697.71

PR LIGATION MAJOR ARTERY EXTREMITY

Professional

Both

$1,730.82

Service Code	HCPCS 37618
Min. Negotiated Rate	$1,298.12
Max. Negotiated Rate	$1,298.12
Rate for Payer: Cash Price	$467.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,298.12
Rate for Payer: SOMOS Essential	$1,298.12

PR LIGATION MAJOR ARTERY NECK

Professional

Both

$2,266.29

Service Code	HCPCS 37615
Min. Negotiated Rate	$1,699.72
Max. Negotiated Rate	$1,699.72
Rate for Payer: Cash Price	$608.45
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,699.72
Rate for Payer: SOMOS Essential	$1,699.72

PR LIGATION OF COMMON ILIAC VEIN

Professional

Both

$5,940.24

Service Code	HCPCS 37660
Min. Negotiated Rate	$4,455.18
Max. Negotiated Rate	$4,455.18
Rate for Payer: Cash Price	$1,579.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,455.18
Rate for Payer: SOMOS Essential	$4,455.18

PR LIGATION OF FEMORAL VEIN

Professional

Both

$2,049.50

Service Code	HCPCS 37650
Min. Negotiated Rate	$1,537.12
Max. Negotiated Rate	$1,537.12
Rate for Payer: Cash Price	$544.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,537.12
Rate for Payer: SOMOS Essential	$1,537.12

PR LIGATION OF INFERIOR VENA CAVA

Professional

Both

$7,807.14

Service Code	HCPCS 37619
Min. Negotiated Rate	$5,855.36
Max. Negotiated Rate	$5,855.36
Rate for Payer: Cash Price	$2,071.33
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,855.36
Rate for Payer: SOMOS Essential	$5,855.36

PR LIGATION PERITONEAL-VENOUS SHUNT

Professional

Both

$1,950.66

Service Code	HCPCS 49428
Min. Negotiated Rate	$1,463.00
Max. Negotiated Rate	$1,463.00
Rate for Payer: Cash Price	$520.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,463.00
Rate for Payer: SOMOS Essential	$1,463.00

PR LIGATION SALIVARY DUCT INTRAORAL

Professional

Both

$936.64

Service Code	HCPCS 42665
Min. Negotiated Rate	$702.48
Max. Negotiated Rate	$702.48
Rate for Payer: Cash Price	$257.57
Rate for Payer: SOMOS CHP/HARP/Medicaid	$702.48
Rate for Payer: SOMOS Essential	$702.48

PR LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA

Professional

Both

$1,655.36

Service Code	HCPCS 37607
Min. Negotiated Rate	$1,241.52
Max. Negotiated Rate	$1,241.52
Rate for Payer: Cash Price	$442.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,241.52
Rate for Payer: SOMOS Essential	$1,241.52

PR LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ

Professional

Both

$1,088.26

Service Code	HCPCS 37700
Min. Negotiated Rate	$816.20
Max. Negotiated Rate	$816.20
Rate for Payer: Cash Price	$290.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$816.20
Rate for Payer: SOMOS Essential	$816.20

PR LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION

Professional

Both

$3,480.23

Service Code	HCPCS 37606
Min. Negotiated Rate	$2,610.17
Max. Negotiated Rate	$2,610.17
Rate for Payer: Cash Price	$925.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,610.17
Rate for Payer: SOMOS Essential	$2,610.17

PR LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG

Professional

Both

$1,127.77

Service Code	HCPCS 37785
Min. Negotiated Rate	$845.83
Max. Negotiated Rate	$845.83
Rate for Payer: Cash Price	$303.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$845.83
Rate for Payer: SOMOS Essential	$845.83

PR LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS

Professional

Both

$2,596.30

Service Code	HCPCS 37735
Min. Negotiated Rate	$1,947.22
Max. Negotiated Rate	$1,947.22
Rate for Payer: Cash Price	$689.57
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,947.22
Rate for Payer: SOMOS Essential	$1,947.22

PR LIGJ DIVJ&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW

Professional

Both

$2,075.40

Service Code	HCPCS 37722
Min. Negotiated Rate	$1,556.55
Max. Negotiated Rate	$1,556.55
Rate for Payer: Cash Price	$546.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,556.55
Rate for Payer: SOMOS Essential	$1,556.55

PR LIGJ DIVJ & STRIPPING SHORT SAPHENOUS VEIN

Professional

Both

$1,753.08

Service Code	HCPCS 37718
Min. Negotiated Rate	$1,314.81
Max. Negotiated Rate	$1,314.81
Rate for Payer: Cash Price	$465.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,314.81
Rate for Payer: SOMOS Essential	$1,314.81

PR LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX

Professional

Both

$1,048.29

Service Code	HCPCS 37780
Min. Negotiated Rate	$786.22
Max. Negotiated Rate	$786.22
Rate for Payer: Cash Price	$280.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$786.22
Rate for Payer: SOMOS Essential	$786.22

PR LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR

Professional

Both

$5,566.23

Service Code	HCPCS 27429
Min. Negotiated Rate	$4,174.67
Max. Negotiated Rate	$4,174.67
Rate for Payer: Cash Price	$1,505.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,174.67
Rate for Payer: SOMOS Essential	$4,174.67

PR LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG

Professional

Both

$2,401.53

Service Code	HCPCS 37761
Min. Negotiated Rate	$1,801.15
Max. Negotiated Rate	$1,801.15
Rate for Payer: Cash Price	$636.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,801.15
Rate for Payer: SOMOS Essential	$1,801.15

PR LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG

Professional

Both

$2,572.92

Service Code	HCPCS 37760
Min. Negotiated Rate	$1,929.69
Max. Negotiated Rate	$1,929.69
Rate for Payer: Cash Price	$682.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,929.69
Rate for Payer: SOMOS Essential	$1,929.69

PR LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J

Professional

Both

$6,511.93

Service Code	HCPCS 43405
Min. Negotiated Rate	$4,883.95
Max. Negotiated Rate	$4,883.95
Rate for Payer: Cash Price	$1,736.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,883.95
Rate for Payer: SOMOS Essential	$4,883.95

PR LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART

Professional

Both

$1,268.72

Service Code	HCPCS 33924
Min. Negotiated Rate	$951.54
Max. Negotiated Rate	$951.54
Rate for Payer: Cash Price	$334.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$951.54
Rate for Payer: SOMOS Essential	$951.54

Know your out-of-pocket cost for care.

All Charges