St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH

Professional

Both

$447.27

Service Code	HCPCS 95937
Min. Negotiated Rate	$335.45
Max. Negotiated Rate	$335.45
Rate for Payer: Cash Price	$120.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$335.45
Rate for Payer: SOMOS Essential	$335.45

PR NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH

Professional

Both

$308.91

Service Code	HCPCS 95937 TC
Min. Negotiated Rate	$231.68
Max. Negotiated Rate	$231.68
Rate for Payer: Cash Price	$83.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$231.68
Rate for Payer: SOMOS Essential	$231.68

PR NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH

Professional

Both

$138.36

Service Code	HCPCS 95937 26
Min. Negotiated Rate	$103.77
Max. Negotiated Rate	$103.77
Rate for Payer: Cash Price	$37.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$103.77
Rate for Payer: SOMOS Essential	$103.77

PR NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT

Professional

Both

$2,253.72

Service Code	HCPCS 64702
Min. Negotiated Rate	$1,690.29
Max. Negotiated Rate	$1,690.29
Rate for Payer: Cash Price	$614.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,690.29
Rate for Payer: SOMOS Essential	$1,690.29

PR NEUROPLASTY NERVE HAND/FOOT

Professional

Both

$1,379.18

Service Code	HCPCS 64704
Min. Negotiated Rate	$1,034.38
Max. Negotiated Rate	$1,034.38
Rate for Payer: Cash Price	$378.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,034.38
Rate for Payer: SOMOS Essential	$1,034.38

PR NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE

Professional

Both

$2,228.28

Service Code	HCPCS 64716
Min. Negotiated Rate	$1,671.21
Max. Negotiated Rate	$1,671.21
Rate for Payer: Cash Price	$605.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,671.21
Rate for Payer: SOMOS Essential	$1,671.21

PR NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW

Professional

Both

$2,670.22

Service Code	HCPCS 64718
Min. Negotiated Rate	$2,002.66
Max. Negotiated Rate	$2,002.66
Rate for Payer: Cash Price	$725.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,002.66
Rate for Payer: SOMOS Essential	$2,002.66

PR NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST

Professional

Both

$1,801.10

Service Code	HCPCS 64719
Min. Negotiated Rate	$1,350.82
Max. Negotiated Rate	$1,350.82
Rate for Payer: Cash Price	$490.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,350.82
Rate for Payer: SOMOS Essential	$1,350.82

PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE

Professional

Both

$1,931.51

Service Code	HCPCS 64721
Min. Negotiated Rate	$1,448.63
Max. Negotiated Rate	$1,448.63
Rate for Payer: Cash Price	$526.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,448.63
Rate for Payer: SOMOS Essential	$1,448.63

PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR

Professional

Both

$415.56

Service Code	HCPCS 96132
Min. Negotiated Rate	$311.67
Max. Negotiated Rate	$311.67
Rate for Payer: Cash Price	$114.16
Rate for Payer: SOMOS CHP/HARP/Medicaid	$311.67
Rate for Payer: SOMOS Essential	$311.67

PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR

Professional

Both

$293.79

Service Code	HCPCS 96133
Min. Negotiated Rate	$220.34
Max. Negotiated Rate	$220.34
Rate for Payer: Cash Price	$81.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$220.34
Rate for Payer: SOMOS Essential	$220.34

PR NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC

Professional

Both

$2,186.31

Service Code	HCPCS 64708
Min. Negotiated Rate	$1,639.73
Max. Negotiated Rate	$1,639.73
Rate for Payer: Cash Price	$603.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,639.73
Rate for Payer: SOMOS Essential	$1,639.73

PR NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS

Professional

Both

$3,568.99

Service Code	HCPCS 64713
Min. Negotiated Rate	$2,676.74
Max. Negotiated Rate	$2,676.74
Rate for Payer: Cash Price	$967.36
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,676.74
Rate for Payer: SOMOS Essential	$2,676.74

PR NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS

Professional

Both

$3,384.01

Service Code	HCPCS 64714
Min. Negotiated Rate	$2,538.01
Max. Negotiated Rate	$2,538.01
Rate for Payer: Cash Price	$923.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,538.01
Rate for Payer: SOMOS Essential	$2,538.01

PR NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV

Professional

Both

$2,632.63

Service Code	HCPCS 64712
Min. Negotiated Rate	$1,974.47
Max. Negotiated Rate	$1,974.47
Rate for Payer: Cash Price	$713.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,974.47
Rate for Payer: SOMOS Essential	$1,974.47

PR N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI

Professional

Both

$100.59

Service Code	HCPCS 93924 26
Min. Negotiated Rate	$75.44
Max. Negotiated Rate	$75.44
Rate for Payer: Cash Price	$26.69
Rate for Payer: SOMOS CHP/HARP/Medicaid	$75.44
Rate for Payer: SOMOS Essential	$75.44

PR N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI

Professional

Both

$682.22

Service Code	HCPCS 93924
Min. Negotiated Rate	$511.66
Max. Negotiated Rate	$511.66
Rate for Payer: Cash Price	$188.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$511.66
Rate for Payer: SOMOS Essential	$511.66

PR N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI

Professional

Both

$581.63

Service Code	HCPCS 93924 TC
Min. Negotiated Rate	$436.22
Max. Negotiated Rate	$436.22
Rate for Payer: Cash Price	$161.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$436.22
Rate for Payer: SOMOS Essential	$436.22

PR NIPPLE/AREOLA RECONSTRUCTION

Professional

Both

$2,947.91

Service Code	HCPCS 19350
Min. Negotiated Rate	$2,210.93
Max. Negotiated Rate	$2,210.93
Rate for Payer: Cash Price	$796.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,210.93
Rate for Payer: SOMOS Essential	$2,210.93

PR NIPPLE EXPLORATION

Professional

Both

$1,583.02

Service Code	HCPCS 19110
Min. Negotiated Rate	$1,187.26
Max. Negotiated Rate	$1,187.26
Rate for Payer: Cash Price	$427.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,187.26
Rate for Payer: SOMOS Essential	$1,187.26

PR NITRIC OXIDE EXPIRED GAS DETERMINATION

Professional

Both

$81.80

Service Code	HCPCS 95012
Min. Negotiated Rate	$61.35
Max. Negotiated Rate	$61.35
Rate for Payer: Cash Price	$22.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$61.35
Rate for Payer: SOMOS Essential	$61.35

PR NJX AA&/STRD PLANTAR COMMON DIGITAL NERVES

Professional

Both

$136.22

Service Code	HCPCS 64455
Min. Negotiated Rate	$102.16
Max. Negotiated Rate	$102.16
Rate for Payer: Cash Price	$36.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$102.16
Rate for Payer: SOMOS Essential	$102.16

PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL

Professional

Both

$539.63

Service Code	HCPCS 64479
Min. Negotiated Rate	$404.72
Max. Negotiated Rate	$404.72
Rate for Payer: Cash Price	$147.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$404.72
Rate for Payer: SOMOS Essential	$404.72

PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC EA ADDL

Professional

Both

$253.58

Service Code	HCPCS 64480
Min. Negotiated Rate	$190.18
Max. Negotiated Rate	$190.18
Rate for Payer: Cash Price	$68.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$190.18
Rate for Payer: SOMOS Essential	$190.18

PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL

Professional

Both

$458.29

Service Code	HCPCS 64483
Min. Negotiated Rate	$343.72
Max. Negotiated Rate	$343.72
Rate for Payer: Cash Price	$126.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$343.72
Rate for Payer: SOMOS Essential	$343.72

Know your out-of-pocket cost for care.

All Charges