St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA

Professional

Both

$5,853.93

Service Code	HCPCS 27828
Min. Negotiated Rate	$4,390.45
Max. Negotiated Rate	$4,390.45
Rate for Payer: Cash Price	$1,576.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,390.45
Rate for Payer: SOMOS Essential	$4,390.45

PR OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA

Professional

Both

$3,755.78

Service Code	HCPCS 27826
Min. Negotiated Rate	$2,816.84
Max. Negotiated Rate	$2,816.84
Rate for Payer: Cash Price	$1,014.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,816.84
Rate for Payer: SOMOS Essential	$2,816.84

PR OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY

Professional

Both

$4,945.01

Service Code	HCPCS 27827
Min. Negotiated Rate	$3,708.76
Max. Negotiated Rate	$3,708.76
Rate for Payer: Cash Price	$1,333.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,708.76
Rate for Payer: SOMOS Essential	$3,708.76

PR OPEN TREATMENT GREATER TROCHANTERIC FRACTURE

Professional

Both

$3,298.33

Service Code	HCPCS 27248
Min. Negotiated Rate	$2,473.75
Max. Negotiated Rate	$2,473.75
Rate for Payer: Cash Price	$889.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,473.75
Rate for Payer: SOMOS Essential	$2,473.75

PR OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE

Professional

Both

$3,455.69

Service Code	HCPCS 23630
Min. Negotiated Rate	$2,591.77
Max. Negotiated Rate	$2,591.77
Rate for Payer: Cash Price	$936.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,591.77
Rate for Payer: SOMOS Essential	$2,591.77

PR OPEN TREATMENT HUMERAL CONDYLAR FRACTURE

Professional

Both

$3,693.24

Service Code	HCPCS 24579
Min. Negotiated Rate	$2,769.93
Max. Negotiated Rate	$2,769.93
Rate for Payer: Cash Price	$999.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,769.93
Rate for Payer: SOMOS Essential	$2,769.93

PR OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION

Professional

Both

$1,764.98

Service Code	HCPCS 28675
Min. Negotiated Rate	$1,323.74
Max. Negotiated Rate	$1,323.74
Rate for Payer: Cash Price	$487.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,323.74
Rate for Payer: SOMOS Essential	$1,323.74

PR OPEN TREATMENT LUNATE DISLOCATION

Professional

Both

$2,823.17

Service Code	HCPCS 25695
Min. Negotiated Rate	$2,117.38
Max. Negotiated Rate	$2,117.38
Rate for Payer: Cash Price	$764.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,117.38
Rate for Payer: SOMOS Essential	$2,117.38

PR OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE

Professional

Both

$3,329.48

Service Code	HCPCS 21465
Min. Negotiated Rate	$2,497.11
Max. Negotiated Rate	$2,497.11
Rate for Payer: Cash Price	$911.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,497.11
Rate for Payer: SOMOS Essential	$2,497.11

PR OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE

Professional

Both

$2,679.71

Service Code	HCPCS 27766
Min. Negotiated Rate	$2,009.78
Max. Negotiated Rate	$2,009.78
Rate for Payer: Cash Price	$723.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,009.78
Rate for Payer: SOMOS Essential	$2,009.78

PR OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION

Professional

Both

$2,538.45

Service Code	HCPCS 26715
Min. Negotiated Rate	$1,903.84
Max. Negotiated Rate	$1,903.84
Rate for Payer: Cash Price	$690.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,903.84
Rate for Payer: SOMOS Essential	$1,903.84

PR OPEN TREATMENT METATARSAL FRACTURE EACH

Professional

Both

$2,412.20

Service Code	HCPCS 28485
Min. Negotiated Rate	$1,809.15
Max. Negotiated Rate	$1,809.15
Rate for Payer: Cash Price	$663.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,809.15
Rate for Payer: SOMOS Essential	$1,809.15

PR OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED

Professional

Both

$1,929.83

Service Code	HCPCS 21325
Min. Negotiated Rate	$1,447.37
Max. Negotiated Rate	$1,447.37
Rate for Payer: Cash Price	$523.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,447.37
Rate for Payer: SOMOS Essential	$1,447.37

PR OPEN TREATMENT OF ULNAR SHAFT FRACTURE

Professional

Both

$2,774.28

Service Code	HCPCS 25545
Min. Negotiated Rate	$2,080.71
Max. Negotiated Rate	$2,080.71
Rate for Payer: Cash Price	$752.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,080.71
Rate for Payer: SOMOS Essential	$2,080.71

PR OPEN TREATMENT PALATAL/MAXILLARY FRACTURE

Professional

Both

$2,700.11

Service Code	HCPCS 21422
Min. Negotiated Rate	$2,025.08
Max. Negotiated Rate	$2,025.08
Rate for Payer: Cash Price	$726.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,025.08
Rate for Payer: SOMOS Essential	$2,025.08

PR OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE

Professional

Both

$3,208.28

Service Code	HCPCS 27769
Min. Negotiated Rate	$2,406.21
Max. Negotiated Rate	$2,406.21
Rate for Payer: Cash Price	$867.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,406.21
Rate for Payer: SOMOS Essential	$2,406.21

PR OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE

Professional

Both

$3,140.31

Service Code	HCPCS 27784
Min. Negotiated Rate	$2,355.23
Max. Negotiated Rate	$2,355.23
Rate for Payer: Cash Price	$856.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,355.23
Rate for Payer: SOMOS Essential	$2,355.23

PR OPEN TREATMENT PROXIMAL HUMERAL FRACTURE

Professional

Both

$3,906.14

Service Code	HCPCS 23615
Min. Negotiated Rate	$2,929.60
Max. Negotiated Rate	$2,929.60
Rate for Payer: Cash Price	$1,055.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,929.60
Rate for Payer: SOMOS Essential	$2,929.60

PR OPEN TREATMENT RADIAL SHAFT FRACTURE

Professional

Both

$2,967.58

Service Code	HCPCS 25515
Min. Negotiated Rate	$2,225.68
Max. Negotiated Rate	$2,225.68
Rate for Payer: Cash Price	$806.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,225.68
Rate for Payer: SOMOS Essential	$2,225.68

PR OPEN TREATMENT TALOTARSAL JOINT DISLOCATION

Professional

Both

$2,964.12

Service Code	HCPCS 28585
Min. Negotiated Rate	$2,223.09
Max. Negotiated Rate	$2,223.09
Rate for Payer: Cash Price	$823.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,223.09
Rate for Payer: SOMOS Essential	$2,223.09

PR OPEN TREATMENT TALUS FRACTURE

Professional

Both

$4,524.91

Service Code	HCPCS 28445
Min. Negotiated Rate	$3,393.68
Max. Negotiated Rate	$3,393.68
Rate for Payer: Cash Price	$1,239.01
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,393.68
Rate for Payer: SOMOS Essential	$3,393.68

PR OPEN TREATMENT TARSAL BONE DISLOCATION

Professional

Both

$2,882.50

Service Code	HCPCS 28555
Min. Negotiated Rate	$2,161.88
Max. Negotiated Rate	$2,161.88
Rate for Payer: Cash Price	$782.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,161.88
Rate for Payer: SOMOS Essential	$2,161.88

PR OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION

Professional

Both

$3,600.17

Service Code	HCPCS 28615
Min. Negotiated Rate	$2,700.13
Max. Negotiated Rate	$2,700.13
Rate for Payer: Cash Price	$981.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,700.13
Rate for Payer: SOMOS Essential	$2,700.13

PR OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION

Professional

Both

$3,276.98

Service Code	HCPCS 21490
Min. Negotiated Rate	$2,457.74
Max. Negotiated Rate	$2,457.74
Rate for Payer: Cash Price	$898.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,457.74
Rate for Payer: SOMOS Essential	$2,457.74

PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END

Professional

Both

$2,897.30

Service Code	HCPCS 24685
Min. Negotiated Rate	$2,172.98
Max. Negotiated Rate	$2,172.98
Rate for Payer: Cash Price	$786.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,172.98
Rate for Payer: SOMOS Essential	$2,172.98

Know your out-of-pocket cost for care.

All Charges