St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT

Professional

Both

$2,263.91

Service Code	HCPCS 26676
Min. Negotiated Rate	$1,697.93
Max. Negotiated Rate	$1,697.93
Rate for Payer: Cash Price	$617.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,697.93
Rate for Payer: SOMOS Essential	$1,697.93

PR PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA

Professional

Both

$1,888.64

Service Code	HCPCS 26756
Min. Negotiated Rate	$1,416.48
Max. Negotiated Rate	$1,416.48
Rate for Payer: Cash Price	$514.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,416.48
Rate for Payer: SOMOS Essential	$1,416.48

PR PRQ SKEL FIXJ FEMORAL FX PROX END NECK

Professional

Both

$4,001.94

Service Code	HCPCS 27235
Min. Negotiated Rate	$3,001.46
Max. Negotiated Rate	$3,001.46
Rate for Payer: Cash Price	$1,081.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,001.46
Rate for Payer: SOMOS Essential	$3,001.46

PR PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ

Professional

Both

$1,082.76

Service Code	HCPCS 28496
Min. Negotiated Rate	$812.07
Max. Negotiated Rate	$812.07
Rate for Payer: Cash Price	$331.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$812.07
Rate for Payer: SOMOS Essential	$812.07

PR PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ

Professional

Both

$3,623.62

Service Code	HCPCS 24582
Min. Negotiated Rate	$2,717.72
Max. Negotiated Rate	$2,717.72
Rate for Payer: Cash Price	$983.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,717.72
Rate for Payer: SOMOS Essential	$2,717.72

PR PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ

Professional

Both

$3,199.74

Service Code	HCPCS 24566
Min. Negotiated Rate	$2,399.80
Max. Negotiated Rate	$2,399.80
Rate for Payer: Cash Price	$868.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,399.80
Rate for Payer: SOMOS Essential	$2,399.80

PR PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ

Professional

Both

$734.34

Service Code	HCPCS 28666
Min. Negotiated Rate	$550.76
Max. Negotiated Rate	$550.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$550.76
Rate for Payer: SOMOS Essential	$550.76

PR PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ

Professional

Both

$2,000.57

Service Code	HCPCS 26776
Min. Negotiated Rate	$1,500.43
Max. Negotiated Rate	$1,500.43
Rate for Payer: Cash Price	$545.29
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,500.43
Rate for Payer: SOMOS Essential	$1,500.43

PR PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ

Professional

Both

$1,973.62

Service Code	HCPCS 26706
Min. Negotiated Rate	$1,480.22
Max. Negotiated Rate	$1,480.22
Rate for Payer: Cash Price	$539.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,480.22
Rate for Payer: SOMOS Essential	$1,480.22

PR PRQ SKEL FIXJ METAR FX W/MANJ

Professional

Both

$1,698.20

Service Code	HCPCS 28476
Min. Negotiated Rate	$1,273.65
Max. Negotiated Rate	$1,273.65
Rate for Payer: Cash Price	$462.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,273.65
Rate for Payer: SOMOS Essential	$1,273.65

PR PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ

Professional

Both

$856.00

Service Code	HCPCS 28636
Min. Negotiated Rate	$642.00
Max. Negotiated Rate	$642.00
Rate for Payer: Cash Price	$267.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$642.00
Rate for Payer: SOMOS Essential	$642.00

PR PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T

Professional

Both

$2,108.09

Service Code	HCPCS 26727
Min. Negotiated Rate	$1,581.07
Max. Negotiated Rate	$1,581.07
Rate for Payer: Cash Price	$575.34
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,581.07
Rate for Payer: SOMOS Essential	$1,581.07

PR PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX

Professional

Both

$3,509.24

Service Code	HCPCS 24538
Min. Negotiated Rate	$2,631.93
Max. Negotiated Rate	$2,631.93
Rate for Payer: Cash Price	$948.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,631.93
Rate for Payer: SOMOS Essential	$2,631.93

PR PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ

Professional

Both

$1,717.80

Service Code	HCPCS 28576
Min. Negotiated Rate	$1,288.35
Max. Negotiated Rate	$1,288.35
Rate for Payer: Cash Price	$471.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,288.35
Rate for Payer: SOMOS Essential	$1,288.35

PR PRQ SKEL FIXJ TARS JT DISLC W/MANJ

Professional

Both

$1,683.99

Service Code	HCPCS 28606
Min. Negotiated Rate	$1,262.99
Max. Negotiated Rate	$1,262.99
Rate for Payer: Cash Price	$469.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,262.99
Rate for Payer: SOMOS Essential	$1,262.99

PR PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ

Professional

Both

$1,557.92

Service Code	HCPCS 28546
Min. Negotiated Rate	$1,168.44
Max. Negotiated Rate	$1,168.44
Rate for Payer: Cash Price	$429.01
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,168.44
Rate for Payer: SOMOS Essential	$1,168.44

PR PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ

Professional

Both

$1,646.79

Service Code	HCPCS 28456
Min. Negotiated Rate	$1,235.09
Max. Negotiated Rate	$1,235.09
Rate for Payer: Cash Price	$448.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,235.09
Rate for Payer: SOMOS Essential	$1,235.09

PR PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT

Professional

Both

$4,256.49

Service Code	HCPCS 93580
Min. Negotiated Rate	$3,192.37
Max. Negotiated Rate	$3,192.37
Rate for Payer: Cash Price	$1,135.26
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,192.37
Rate for Payer: SOMOS Essential	$3,192.37

PR PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT

Professional

Both

$5,806.01

Service Code	HCPCS 93581
Min. Negotiated Rate	$4,354.51
Max. Negotiated Rate	$4,354.51
Rate for Payer: Cash Price	$1,544.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,354.51
Rate for Payer: SOMOS Essential	$4,354.51

PR PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING

Professional

Both

$1,270.61

Service Code	HCPCS 37197
Min. Negotiated Rate	$952.96
Max. Negotiated Rate	$952.96
Rate for Payer: Cash Price	$341.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$952.96
Rate for Payer: SOMOS Essential	$952.96

PR PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY

Professional

Both

$768.81

Service Code	HCPCS 92973
Min. Negotiated Rate	$576.61
Max. Negotiated Rate	$576.61
Rate for Payer: Cash Price	$205.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$576.61
Rate for Payer: SOMOS Essential	$576.61

PR PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN

Professional

Both

$1,656.27

Service Code	HCPCS 37187
Min. Negotiated Rate	$1,242.20
Max. Negotiated Rate	$1,242.20
Rate for Payer: Cash Price	$445.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,242.20
Rate for Payer: SOMOS Essential	$1,242.20

PR PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH

Professional

Both

$2,766.61

Service Code	HCPCS 92924
Min. Negotiated Rate	$2,074.96
Max. Negotiated Rate	$2,074.96
Rate for Payer: Cash Price	$734.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,074.96
Rate for Payer: SOMOS Essential	$2,074.96

PR PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH

Professional

Both

$211.00

Service Code	HCPCS 92921
Min. Negotiated Rate	$158.25
Max. Negotiated Rate	$158.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$158.25
Rate for Payer: SOMOS Essential	$158.25

PR PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH

Professional

Both

$2,310.60

Service Code	HCPCS 92920
Min. Negotiated Rate	$1,732.95
Max. Negotiated Rate	$1,732.95
Rate for Payer: Cash Price	$615.45
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,732.95
Rate for Payer: SOMOS Essential	$1,732.95

Know your out-of-pocket cost for care.

All Charges