St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI

Professional

Both

$243.57

Service Code	HCPCS 95868 26
Min. Negotiated Rate	$182.68
Max. Negotiated Rate	$182.68
Rate for Payer: Cash Price	$67.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$182.68
Rate for Payer: SOMOS Essential	$182.68

PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI

Professional

Both

$339.12

Service Code	HCPCS 95868 TC
Min. Negotiated Rate	$254.34
Max. Negotiated Rate	$254.34
Rate for Payer: Cash Price	$91.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$254.34
Rate for Payer: SOMOS Essential	$254.34

PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI

Professional

Both

$582.65

Service Code	HCPCS 95868
Min. Negotiated Rate	$436.99
Max. Negotiated Rate	$436.99
Rate for Payer: Cash Price	$159.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$436.99
Rate for Payer: SOMOS Essential	$436.99

PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI

Professional

Both

$451.89

Service Code	HCPCS 95867
Min. Negotiated Rate	$338.92
Max. Negotiated Rate	$338.92
Rate for Payer: Cash Price	$123.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$338.92
Rate for Payer: SOMOS Essential	$338.92

PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI

Professional

Both

$165.94

Service Code	HCPCS 95867 26
Min. Negotiated Rate	$124.46
Max. Negotiated Rate	$124.46
Rate for Payer: Cash Price	$45.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$124.46
Rate for Payer: SOMOS Essential	$124.46

PR NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI

Professional

Both

$285.92

Service Code	HCPCS 95867 TC
Min. Negotiated Rate	$214.44
Max. Negotiated Rate	$214.44
Rate for Payer: Cash Price	$77.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$214.44
Rate for Payer: SOMOS Essential	$214.44

PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM

Professional

Both

$250.88

Service Code	HCPCS 95866 26
Min. Negotiated Rate	$188.16
Max. Negotiated Rate	$188.16
Rate for Payer: Cash Price	$68.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$188.16
Rate for Payer: SOMOS Essential	$188.16

PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM

Professional

Both

$275.87

Service Code	HCPCS 95866 TC
Min. Negotiated Rate	$206.90
Max. Negotiated Rate	$206.90
Rate for Payer: Cash Price	$71.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$206.90
Rate for Payer: SOMOS Essential	$206.90

PR NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM

Professional

Both

$526.75

Service Code	HCPCS 95866
Min. Negotiated Rate	$395.06
Max. Negotiated Rate	$395.06
Rate for Payer: Cash Price	$140.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$395.06
Rate for Payer: SOMOS Essential	$395.06

PR NEEDLE ELECTROMYOGRAPHY LARYNX

Professional

Both

$621.18

Service Code	HCPCS 95865
Min. Negotiated Rate	$465.88
Max. Negotiated Rate	$465.88
Rate for Payer: Cash Price	$169.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$465.88
Rate for Payer: SOMOS Essential	$465.88

PR NEEDLE ELECTROMYOGRAPHY LARYNX

Professional

Both

$297.43

Service Code	HCPCS 95865 TC
Min. Negotiated Rate	$223.07
Max. Negotiated Rate	$223.07
Rate for Payer: Cash Price	$80.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$223.07
Rate for Payer: SOMOS Essential	$223.07

PR NEEDLE ELECTROMYOGRAPHY LARYNX

Professional

Both

$323.75

Service Code	HCPCS 95865 26
Min. Negotiated Rate	$242.81
Max. Negotiated Rate	$242.81
Rate for Payer: Cash Price	$89.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$242.81
Rate for Payer: SOMOS Essential	$242.81

PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED

Professional

Both

$260.75

Service Code	HCPCS 95885
Min. Negotiated Rate	$195.56
Max. Negotiated Rate	$195.56
Rate for Payer: Cash Price	$71.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$195.56
Rate for Payer: SOMOS Essential	$195.56

PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED

Professional

Both

$71.02

Service Code	HCPCS 95885 26
Min. Negotiated Rate	$53.26
Max. Negotiated Rate	$53.26
Rate for Payer: Cash Price	$19.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$53.26
Rate for Payer: SOMOS Essential	$53.26

PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED

Professional

Both

$189.74

Service Code	HCPCS 95885 TC
Min. Negotiated Rate	$142.30
Max. Negotiated Rate	$142.30
Rate for Payer: Cash Price	$51.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$142.30
Rate for Payer: SOMOS Essential	$142.30

PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE

Professional

Both

$407.61

Service Code	HCPCS 95886
Min. Negotiated Rate	$305.71
Max. Negotiated Rate	$305.71
Rate for Payer: Cash Price	$110.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$305.71
Rate for Payer: SOMOS Essential	$305.71

PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE

Professional

Both

$227.12

Service Code	HCPCS 95886 TC
Min. Negotiated Rate	$170.34
Max. Negotiated Rate	$170.34
Rate for Payer: Cash Price	$61.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$170.34
Rate for Payer: SOMOS Essential	$170.34

PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE

Professional

Both

$180.46

Service Code	HCPCS 95886 26
Min. Negotiated Rate	$135.34
Max. Negotiated Rate	$135.34
Rate for Payer: Cash Price	$48.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$135.34
Rate for Payer: SOMOS Essential	$135.34

PR NEEDLE EMG GUID W/CHEMODENERVATION

Professional

Both

$76.41

Service Code	HCPCS 95874 26
Min. Negotiated Rate	$57.31
Max. Negotiated Rate	$57.31
Rate for Payer: Cash Price	$20.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$57.31
Rate for Payer: SOMOS Essential	$57.31

PR NEEDLE EMG GUID W/CHEMODENERVATION

Professional

Both

$250.11

Service Code	HCPCS 95874 TC
Min. Negotiated Rate	$187.58
Max. Negotiated Rate	$187.58
Rate for Payer: Cash Price	$67.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$187.58
Rate for Payer: SOMOS Essential	$187.58

PR NEEDLE EMG GUID W/CHEMODENERVATION

Professional

Both

$326.52

Service Code	HCPCS 95874
Min. Negotiated Rate	$244.89
Max. Negotiated Rate	$244.89
Rate for Payer: Cash Price	$88.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$244.89
Rate for Payer: SOMOS Essential	$244.89

PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI

Professional

Both

$77.70

Service Code	HCPCS 95870 26
Min. Negotiated Rate	$58.28
Max. Negotiated Rate	$58.28
Rate for Payer: Cash Price	$21.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$58.28
Rate for Payer: SOMOS Essential	$58.28

PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI

Professional

Both

$354.97

Service Code	HCPCS 95870
Min. Negotiated Rate	$266.23
Max. Negotiated Rate	$266.23
Rate for Payer: Cash Price	$96.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$266.23
Rate for Payer: SOMOS Essential	$266.23

PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI

Professional

Both

$277.31

Service Code	HCPCS 95870 TC
Min. Negotiated Rate	$207.98
Max. Negotiated Rate	$207.98
Rate for Payer: Cash Price	$75.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$207.98
Rate for Payer: SOMOS Essential	$207.98

PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION

Professional

Both

$148.75

Service Code	HCPCS 95887 26
Min. Negotiated Rate	$111.56
Max. Negotiated Rate	$111.56
Rate for Payer: Cash Price	$40.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$111.56
Rate for Payer: SOMOS Essential	$111.56

Know your out-of-pocket cost for care.

All Charges