St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR PANCREATORRHAPHY INJURY

Professional

Both

$6,096.55

Service Code	HCPCS 48545
Min. Negotiated Rate	$4,572.41
Max. Negotiated Rate	$4,572.41
Rate for Payer: Cash Price	$1,623.52
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,572.41
Rate for Payer: SOMOS Essential	$4,572.41

PR PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN

Professional

Both

$1,960.07

Service Code	HCPCS 65815
Min. Negotiated Rate	$1,470.05
Max. Negotiated Rate	$1,470.05
Rate for Payer: Cash Price	$541.36
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,470.05
Rate for Payer: SOMOS Essential	$1,470.05

PR PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX

Professional

Both

$362.46

Service Code	HCPCS 65800
Min. Negotiated Rate	$271.84
Max. Negotiated Rate	$271.84
Rate for Payer: Cash Price	$99.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$271.84
Rate for Payer: SOMOS Essential	$271.84

PR PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX

Professional

Both

$1,911.63

Service Code	HCPCS 65810
Min. Negotiated Rate	$1,433.72
Max. Negotiated Rate	$1,433.72
Rate for Payer: Cash Price	$527.78
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,433.72
Rate for Payer: SOMOS Essential	$1,433.72

PR PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC

Professional

Both

$6,176.73

Service Code	HCPCS 60505
Min. Negotiated Rate	$4,632.55
Max. Negotiated Rate	$4,632.55
Rate for Payer: Cash Price	$1,658.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,632.55
Rate for Payer: SOMOS Essential	$4,632.55

PR PARATHYROID AUTOTRANSPLANTATION ADD-ON

Professional

Both

$1,068.17

Service Code	HCPCS 60512
Min. Negotiated Rate	$801.13
Max. Negotiated Rate	$801.13
Rate for Payer: Cash Price	$284.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$801.13
Rate for Payer: SOMOS Essential	$801.13

PR PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS

Professional

Both

$4,318.34

Service Code	HCPCS 60500
Min. Negotiated Rate	$3,238.76
Max. Negotiated Rate	$3,238.76
Rate for Payer: Cash Price	$1,157.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,238.76
Rate for Payer: SOMOS Essential	$3,238.76

PR PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR

Professional

Both

$5,812.66

Service Code	HCPCS 60502
Min. Negotiated Rate	$4,359.50
Max. Negotiated Rate	$4,359.50
Rate for Payer: Cash Price	$1,559.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,359.50
Rate for Payer: SOMOS Essential	$4,359.50

PR PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH

Professional

Both

$4,027.45

Service Code	HCPCS 57423
Min. Negotiated Rate	$3,020.59
Max. Negotiated Rate	$3,020.59
Rate for Payer: Cash Price	$1,086.67
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,020.59
Rate for Payer: SOMOS Essential	$3,020.59

PR PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR

Professional

Both

$3,590.58

Service Code	HCPCS 57284
Min. Negotiated Rate	$2,692.94
Max. Negotiated Rate	$2,692.94
Rate for Payer: Cash Price	$972.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,692.94
Rate for Payer: SOMOS Essential	$2,692.94

PR PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH

Professional

Both

$2,999.64

Service Code	HCPCS 57285
Min. Negotiated Rate	$2,249.73
Max. Negotiated Rate	$2,249.73
Rate for Payer: Cash Price	$811.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,249.73
Rate for Payer: SOMOS Essential	$2,249.73

PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1

Professional

Both

$66.29

Service Code	HCPCS 11055
Min. Negotiated Rate	$49.72
Max. Negotiated Rate	$49.72
Rate for Payer: Cash Price	$17.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$49.72
Rate for Payer: SOMOS Essential	$49.72

PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4

Professional

Both

$89.39

Service Code	HCPCS 11056
Min. Negotiated Rate	$67.04
Max. Negotiated Rate	$67.04
Rate for Payer: Cash Price	$24.26
Rate for Payer: SOMOS CHP/HARP/Medicaid	$67.04
Rate for Payer: SOMOS Essential	$67.04

PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4

Professional

Both

$113.93

Service Code	HCPCS 11057
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Cash Price	$31.69
Rate for Payer: SOMOS CHP/HARP/Medicaid	$85.45
Rate for Payer: SOMOS Essential	$85.45

PR PAROTID DUCT DIVERSION BILATERAL WILKE PX

Professional

Both

$2,146.13

Service Code	HCPCS 42507
Min. Negotiated Rate	$1,609.60
Max. Negotiated Rate	$1,609.60
Rate for Payer: Cash Price	$582.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,609.60
Rate for Payer: SOMOS Essential	$1,609.60

PR PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS

Professional

Both

$2,632.11

Service Code	HCPCS 42510
Min. Negotiated Rate	$1,974.08
Max. Negotiated Rate	$1,974.08
Rate for Payer: Cash Price	$713.31
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,974.08
Rate for Payer: SOMOS Essential	$1,974.08

PR PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS

Professional

Both

$3,538.40

Service Code	HCPCS 42509
Min. Negotiated Rate	$2,653.80
Max. Negotiated Rate	$2,653.80
Rate for Payer: Cash Price	$956.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,653.80
Rate for Payer: SOMOS Essential	$2,653.80

PR PARTIAL EXCISION BONE CLAVICLE

Professional

Both

$2,939.86

Service Code	HCPCS 23180
Min. Negotiated Rate	$2,204.90
Max. Negotiated Rate	$2,204.90
Rate for Payer: Cash Price	$794.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,204.90
Rate for Payer: SOMOS Essential	$2,204.90

PR PARTIAL EXCISION BONE FIBULA

Professional

Both

$2,836.44

Service Code	HCPCS 27641
Min. Negotiated Rate	$2,127.33
Max. Negotiated Rate	$2,127.33
Rate for Payer: Cash Price	$769.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,127.33
Rate for Payer: SOMOS Essential	$2,127.33

PR PARTIAL EXCISION BONE HUMERUS

Professional

Both

$3,124.73

Service Code	HCPCS 24140
Min. Negotiated Rate	$2,343.55
Max. Negotiated Rate	$2,343.55
Rate for Payer: Cash Price	$842.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,343.55
Rate for Payer: SOMOS Essential	$2,343.55

PR PARTIAL EXCISION BONE METACARPAL

Professional

Both

$2,216.83

Service Code	HCPCS 26230
Min. Negotiated Rate	$1,662.62
Max. Negotiated Rate	$1,662.62
Rate for Payer: Cash Price	$601.61
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,662.62
Rate for Payer: SOMOS Essential	$1,662.62

PR PARTIAL EXCISION BONE OLECRANON PROCESS

Professional

Both

$2,789.33

Service Code	HCPCS 24147
Min. Negotiated Rate	$2,092.00
Max. Negotiated Rate	$2,092.00
Rate for Payer: Cash Price	$755.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,092.00
Rate for Payer: SOMOS Essential	$2,092.00

PR PARTIAL EXCISION BONE PROXIMAL HUMERUS

Professional

Both

$3,285.49

Service Code	HCPCS 23184
Min. Negotiated Rate	$2,464.12
Max. Negotiated Rate	$2,464.12
Rate for Payer: Cash Price	$890.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,464.12
Rate for Payer: SOMOS Essential	$2,464.12

PR PARTIAL EXCISION BONE RADIAL HEAD/NECK

Professional

Both

$2,645.44

Service Code	HCPCS 24145
Min. Negotiated Rate	$1,984.08
Max. Negotiated Rate	$1,984.08
Rate for Payer: Cash Price	$716.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,984.08
Rate for Payer: SOMOS Essential	$1,984.08

PR PARTIAL EXCISION BONE RADIUS

Professional

Both

$2,589.30

Service Code	HCPCS 25151
Min. Negotiated Rate	$1,941.98
Max. Negotiated Rate	$1,941.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,941.98
Rate for Payer: SOMOS Essential	$1,941.98

Know your out-of-pocket cost for care.

All Charges