St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR NEPHROSTOMY/NEPHROTOMY W/DRAINAGE

Professional

Both

$3,868.45

Service Code	HCPCS 50040
Min. Negotiated Rate	$2,901.34
Max. Negotiated Rate	$2,901.34
Rate for Payer: Cash Price	$1,057.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,901.34
Rate for Payer: SOMOS Essential	$2,901.34

PR NEPHROTOMY W/EXPLORATION

Professional

Both

$3,897.18

Service Code	HCPCS 50045
Min. Negotiated Rate	$2,922.88
Max. Negotiated Rate	$2,922.88
Rate for Payer: Cash Price	$1,065.33
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,922.88
Rate for Payer: SOMOS Essential	$2,922.88

PR NERVE CONDUCTION STUDIES 11-12 STUDIES

Professional

Both

$402.22

Service Code	HCPCS 95912 TC
Min. Negotiated Rate	$301.66
Max. Negotiated Rate	$301.66
Rate for Payer: Cash Price	$110.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$301.66
Rate for Payer: SOMOS Essential	$301.66

PR NERVE CONDUCTION STUDIES 11-12 STUDIES

Professional

Both

$619.89

Service Code	HCPCS 95912 26
Min. Negotiated Rate	$464.92
Max. Negotiated Rate	$464.92
Rate for Payer: Cash Price	$170.67
Rate for Payer: SOMOS CHP/HARP/Medicaid	$464.92
Rate for Payer: SOMOS Essential	$464.92

PR NERVE CONDUCTION STUDIES 11-12 STUDIES

Professional

Both

$1,022.11

Service Code	HCPCS 95912
Min. Negotiated Rate	$766.58
Max. Negotiated Rate	$766.58
Rate for Payer: Cash Price	$280.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$766.58
Rate for Payer: SOMOS Essential	$766.58

PR NERVE CONDUCTION STUDIES 1-2 STUDIES

Professional

Both

$371.81

Service Code	HCPCS 95907
Min. Negotiated Rate	$278.86
Max. Negotiated Rate	$278.86
Rate for Payer: Cash Price	$102.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$278.86
Rate for Payer: SOMOS Essential	$278.86

PR NERVE CONDUCTION STUDIES 1-2 STUDIES

Professional

Both

$163.73

Service Code	HCPCS 95907 TC
Min. Negotiated Rate	$122.80
Max. Negotiated Rate	$122.80
Rate for Payer: Cash Price	$45.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$122.80
Rate for Payer: SOMOS Essential	$122.80

PR NERVE CONDUCTION STUDIES 1-2 STUDIES

Professional

Both

$208.08

Service Code	HCPCS 95907 26
Min. Negotiated Rate	$156.06
Max. Negotiated Rate	$156.06
Rate for Payer: Cash Price	$57.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$156.06
Rate for Payer: SOMOS Essential	$156.06

PR NERVE CONDUCTION STUDIES 13/> STUDIES

Professional

Both

$734.30

Service Code	HCPCS 95913 26
Min. Negotiated Rate	$550.72
Max. Negotiated Rate	$550.72
Rate for Payer: Cash Price	$201.67
Rate for Payer: SOMOS CHP/HARP/Medicaid	$550.72
Rate for Payer: SOMOS Essential	$550.72

PR NERVE CONDUCTION STUDIES 13/> STUDIES

Professional

Both

$1,178.21

Service Code	HCPCS 95913
Min. Negotiated Rate	$883.66
Max. Negotiated Rate	$883.66
Rate for Payer: Cash Price	$323.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$883.66
Rate for Payer: SOMOS Essential	$883.66

PR NERVE CONDUCTION STUDIES 13/> STUDIES

Professional

Both

$443.91

Service Code	HCPCS 95913 TC
Min. Negotiated Rate	$332.93
Max. Negotiated Rate	$332.93
Rate for Payer: Cash Price	$121.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$332.93
Rate for Payer: SOMOS Essential	$332.93

PR NERVE CONDUCTION STUDIES 3-4 STUDIES

Professional

Both

$258.06

Service Code	HCPCS 95908 26
Min. Negotiated Rate	$193.54
Max. Negotiated Rate	$193.54
Rate for Payer: Cash Price	$71.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$193.54
Rate for Payer: SOMOS Essential	$193.54

PR NERVE CONDUCTION STUDIES 3-4 STUDIES

Professional

Both

$202.55

Service Code	HCPCS 95908 TC
Min. Negotiated Rate	$151.91
Max. Negotiated Rate	$151.91
Rate for Payer: Cash Price	$55.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$151.91
Rate for Payer: SOMOS Essential	$151.91

PR NERVE CONDUCTION STUDIES 3-4 STUDIES

Professional

Both

$460.60

Service Code	HCPCS 95908
Min. Negotiated Rate	$345.45
Max. Negotiated Rate	$345.45
Rate for Payer: Cash Price	$127.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$345.45
Rate for Payer: SOMOS Essential	$345.45

PR NERVE CONDUCTION STUDIES 5-6 STUDIES

Professional

Both

$242.80

Service Code	HCPCS 95909 TC
Min. Negotiated Rate	$182.10
Max. Negotiated Rate	$182.10
Rate for Payer: Cash Price	$67.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$182.10
Rate for Payer: SOMOS Essential	$182.10

PR NERVE CONDUCTION STUDIES 5-6 STUDIES

Professional

Both

$312.10

Service Code	HCPCS 95909 26
Min. Negotiated Rate	$234.08
Max. Negotiated Rate	$234.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$234.08
Rate for Payer: SOMOS Essential	$234.08

PR NERVE CONDUCTION STUDIES 5-6 STUDIES

Professional

Both

$554.89

Service Code	HCPCS 95909
Min. Negotiated Rate	$416.17
Max. Negotiated Rate	$416.17
Rate for Payer: Cash Price	$152.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$416.17
Rate for Payer: SOMOS Essential	$416.17

PR NERVE CONDUCTION STUDIES 7-8 STUDIES

Professional

Both

$725.06

Service Code	HCPCS 95910
Min. Negotiated Rate	$543.80
Max. Negotiated Rate	$543.80
Rate for Payer: Cash Price	$199.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$543.80
Rate for Payer: SOMOS Essential	$543.80

PR NERVE CONDUCTION STUDIES 7-8 STUDIES

Professional

Both

$414.68

Service Code	HCPCS 95910 26
Min. Negotiated Rate	$311.01
Max. Negotiated Rate	$311.01
Rate for Payer: Cash Price	$114.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$311.01
Rate for Payer: SOMOS Essential	$311.01

PR NERVE CONDUCTION STUDIES 7-8 STUDIES

Professional

Both

$310.35

Service Code	HCPCS 95910 TC
Min. Negotiated Rate	$232.76
Max. Negotiated Rate	$232.76
Rate for Payer: Cash Price	$85.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$232.76
Rate for Payer: SOMOS Essential	$232.76

PR NERVE CONDUCTION STUDIES 9-10 STUDIES

Professional

Both

$873.64

Service Code	HCPCS 95911
Min. Negotiated Rate	$655.23
Max. Negotiated Rate	$655.23
Rate for Payer: Cash Price	$240.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$655.23
Rate for Payer: SOMOS Essential	$655.23

PR NERVE CONDUCTION STUDIES 9-10 STUDIES

Professional

Both

$356.37

Service Code	HCPCS 95911 TC
Min. Negotiated Rate	$267.28
Max. Negotiated Rate	$267.28
Rate for Payer: Cash Price	$97.29
Rate for Payer: SOMOS CHP/HARP/Medicaid	$267.28
Rate for Payer: SOMOS Essential	$267.28

PR NERVE CONDUCTION STUDIES 9-10 STUDIES

Professional

Both

$517.30

Service Code	HCPCS 95911 26
Min. Negotiated Rate	$387.98
Max. Negotiated Rate	$387.98
Rate for Payer: Cash Price	$142.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$387.98
Rate for Payer: SOMOS Essential	$387.98

PR NERVE GRAFT 1 STRAND ARM/LEG <4 CM

Professional

Both

$4,638.38

Service Code	HCPCS 64892
Min. Negotiated Rate	$3,478.78
Max. Negotiated Rate	$3,478.78
Rate for Payer: Cash Price	$1,248.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,478.78
Rate for Payer: SOMOS Essential	$3,478.78

PR NERVE GRAFT 1 STRAND ARM/LEG >4 CM

Professional

Both

$4,942.18

Service Code	HCPCS 64893
Min. Negotiated Rate	$3,706.64
Max. Negotiated Rate	$3,706.64
Rate for Payer: Cash Price	$1,330.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,706.64
Rate for Payer: SOMOS Essential	$3,706.64

Know your out-of-pocket cost for care.

All Charges