St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR OSTEOPLASTY FACIAL BONES AUGMENTATION

Professional

Both

$3,081.12

Service Code	HCPCS 21208
Min. Negotiated Rate	$2,310.84
Max. Negotiated Rate	$2,310.84
Rate for Payer: Cash Price	$843.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,310.84
Rate for Payer: SOMOS Essential	$2,310.84

PR OSTEOPLASTY FACIAL BONES REDUCTION

Professional

Both

$2,641.91

Service Code	HCPCS 21209
Min. Negotiated Rate	$1,981.43
Max. Negotiated Rate	$1,981.43
Rate for Payer: Cash Price	$700.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,981.43
Rate for Payer: SOMOS Essential	$1,981.43

PR OSTEOPLASTY FEMUR LENGTHENING

Professional

Both

$5,235.34

Service Code	HCPCS 27466
Min. Negotiated Rate	$3,926.50
Max. Negotiated Rate	$3,926.50
Rate for Payer: Cash Price	$1,411.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,926.50
Rate for Payer: SOMOS Essential	$3,926.50

PR OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876

Professional

Both

$5,514.67

Service Code	HCPCS 27465
Min. Negotiated Rate	$4,136.00
Max. Negotiated Rate	$4,136.00
Rate for Payer: Cash Price	$1,484.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,136.00
Rate for Payer: SOMOS Essential	$4,136.00

PR OSTEOPLASTY HUMERUS

Professional

Both

$4,715.90

Service Code	HCPCS 24420
Min. Negotiated Rate	$3,536.92
Max. Negotiated Rate	$3,536.92
Rate for Payer: Cash Price	$1,270.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,536.92
Rate for Payer: SOMOS Essential	$3,536.92

PR OSTEOPLASTY LENGTHENING METACARPAL/PHALANX

Professional

Both

$4,140.75

Service Code	HCPCS 26568
Min. Negotiated Rate	$3,105.56
Max. Negotiated Rate	$3,105.56
Rate for Payer: Cash Price	$1,112.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,105.56
Rate for Payer: SOMOS Essential	$3,105.56

PR OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAF

Professional

Both

$4,993.45

Service Code	HCPCS 25393
Min. Negotiated Rate	$3,745.09
Max. Negotiated Rate	$3,745.09
Rate for Payer: Cash Price	$1,346.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,745.09
Rate for Payer: SOMOS Essential	$3,745.09

PR OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT

Professional

Both

$4,410.95

Service Code	HCPCS 25391
Min. Negotiated Rate	$3,308.21
Max. Negotiated Rate	$3,308.21
Rate for Payer: Cash Price	$1,189.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,308.21
Rate for Payer: SOMOS Essential	$3,308.21

PR OSTEOPLASTY RADIUS & ULNA SHORTENING

Professional

Both

$4,487.95

Service Code	HCPCS 25392
Min. Negotiated Rate	$3,365.96
Max. Negotiated Rate	$3,365.96
Rate for Payer: Cash Price	$1,209.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,365.96
Rate for Payer: SOMOS Essential	$3,365.96

PR OSTEOPLASTY RADIUS/ULNA SHORTENING

Professional

Both

$3,394.02

Service Code	HCPCS 25390
Min. Negotiated Rate	$2,545.52
Max. Negotiated Rate	$2,545.52
Rate for Payer: Cash Price	$917.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,545.52
Rate for Payer: SOMOS Essential	$2,545.52

PR OSTEOPLASTY TIBIA & FIBULA LENGTHENING/SHORTENIN

Professional

Both

$4,741.42

Service Code	HCPCS 27715
Min. Negotiated Rate	$3,556.06
Max. Negotiated Rate	$3,556.06
Rate for Payer: Cash Price	$1,279.31
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,556.06
Rate for Payer: SOMOS Essential	$3,556.06

PR OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ

Professional

Both

$7,511.53

Service Code	HCPCS 27156
Min. Negotiated Rate	$5,633.65
Max. Negotiated Rate	$5,633.65
Rate for Payer: Cash Price	$2,020.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,633.65
Rate for Payer: SOMOS Essential	$5,633.65

PR OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL

Professional

Both

$6,064.42

Service Code	HCPCS 27165
Min. Negotiated Rate	$4,548.32
Max. Negotiated Rate	$4,548.32
Rate for Payer: Cash Price	$1,630.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,548.32
Rate for Payer: SOMOS Essential	$4,548.32

PR OSTEOT MLT W/RELIGNMT IMED ROD

Professional

Both

$4,867.42

Service Code	HCPCS 27712
Min. Negotiated Rate	$3,650.56
Max. Negotiated Rate	$3,650.56
Rate for Payer: Cash Price	$1,315.45
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,650.56
Rate for Payer: SOMOS Essential	$3,650.56

PR OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT

Professional

Both

$5,715.33

Service Code	HCPCS 27454
Min. Negotiated Rate	$4,286.50
Max. Negotiated Rate	$4,286.50
Rate for Payer: Cash Price	$1,539.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,286.50
Rate for Payer: SOMOS Essential	$4,286.50

PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION

Professional

Both

$2,824.54

Service Code	HCPCS 28300
Min. Negotiated Rate	$2,118.40
Max. Negotiated Rate	$2,118.40
Rate for Payer: Cash Price	$767.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,118.40
Rate for Payer: SOMOS Essential	$2,118.40

PR OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION

Professional

Both

$3,639.69

Service Code	HCPCS 23480
Min. Negotiated Rate	$2,729.77
Max. Negotiated Rate	$2,729.77
Rate for Payer: Cash Price	$982.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,729.77
Rate for Payer: SOMOS Essential	$2,729.77

PR OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL

Professional

Both

$4,215.47

Service Code	HCPCS 23485
Min. Negotiated Rate	$3,161.60
Max. Negotiated Rate	$3,161.60
Rate for Payer: Cash Price	$1,137.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,161.60
Rate for Payer: SOMOS Essential	$3,161.60

PR OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE

Professional

Both

$5,386.40

Service Code	HCPCS 27161
Min. Negotiated Rate	$4,039.80
Max. Negotiated Rate	$4,039.80
Rate for Payer: Cash Price	$1,453.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,039.80
Rate for Payer: SOMOS Essential	$4,039.80

PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION

Professional

Both

$4,486.51

Service Code	HCPCS 27450
Min. Negotiated Rate	$3,364.88
Max. Negotiated Rate	$3,364.88
Rate for Payer: Cash Price	$1,202.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,364.88
Rate for Payer: SOMOS Essential	$3,364.88

PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION

Professional

Both

$3,671.50

Service Code	HCPCS 27448
Min. Negotiated Rate	$2,753.62
Max. Negotiated Rate	$2,753.62
Rate for Payer: Cash Price	$991.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,753.62
Rate for Payer: SOMOS Essential	$2,753.62

PR OSTEOTOMY FIBULA

Professional

Both

$1,782.87

Service Code	HCPCS 27707
Min. Negotiated Rate	$1,337.15
Max. Negotiated Rate	$1,337.15
Rate for Payer: Cash Price	$486.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,337.15
Rate for Payer: SOMOS Essential	$1,337.15

PR OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION

Professional

Both

$3,670.28

Service Code	HCPCS 24400
Min. Negotiated Rate	$2,752.71
Max. Negotiated Rate	$2,752.71
Rate for Payer: Cash Price	$990.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,752.71
Rate for Payer: SOMOS Essential	$2,752.71

PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE

Professional

Both

$5,614.60

Service Code	HCPCS 27146
Min. Negotiated Rate	$4,210.95
Max. Negotiated Rate	$4,210.95
Rate for Payer: Cash Price	$1,521.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,210.95
Rate for Payer: SOMOS Essential	$4,210.95

PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT

Professional

Both

$6,974.21

Service Code	HCPCS 27151
Min. Negotiated Rate	$5,230.66
Max. Negotiated Rate	$5,230.66
Rate for Payer: Cash Price	$1,875.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,230.66
Rate for Payer: SOMOS Essential	$5,230.66

Know your out-of-pocket cost for care.

All Charges