St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR RADICAL RESECTION TUMOR FEMOR OR KNEE

Professional

Both

$9,038.51

Service Code	HCPCS 27365
Min. Negotiated Rate	$6,778.88
Max. Negotiated Rate	$6,778.88
Rate for Payer: Cash Price	$2,429.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,778.88
Rate for Payer: SOMOS Essential	$6,778.88

PR RADICAL RESECTION TUMOR METACARPAL

Professional

Both

$4,708.80

Service Code	HCPCS 26250
Min. Negotiated Rate	$3,531.60
Max. Negotiated Rate	$3,531.60
Rate for Payer: Cash Price	$1,272.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,531.60
Rate for Payer: SOMOS Essential	$3,531.60

PR RADICAL RESECTION TUMOR METATARSAL

Professional

Both

$2,969.89

Service Code	HCPCS 28173
Min. Negotiated Rate	$2,227.42
Max. Negotiated Rate	$2,227.42
Rate for Payer: Cash Price	$818.57
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,227.42
Rate for Payer: SOMOS Essential	$2,227.42

PR RADICAL RESECTION TUMOR PHALANX OR TOE

Professional

Both

$1,932.04

Service Code	HCPCS 28175
Min. Negotiated Rate	$1,449.03
Max. Negotiated Rate	$1,449.03
Rate for Payer: Cash Price	$534.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,449.03
Rate for Payer: SOMOS Essential	$1,449.03

PR RADICAL RESECTION TUMOR RADIAL HEAD/NECK

Professional

Both

$5,925.22

Service Code	HCPCS 24152
Min. Negotiated Rate	$4,443.92
Max. Negotiated Rate	$4,443.92
Rate for Payer: Cash Price	$1,597.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,443.92
Rate for Payer: SOMOS Essential	$4,443.92

PR RADICAL RESECTION TUMOR RADIUS OR ULNA

Professional

Both

$6,474.44

Service Code	HCPCS 25170
Min. Negotiated Rate	$4,855.83
Max. Negotiated Rate	$4,855.83
Rate for Payer: Cash Price	$1,742.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,855.83
Rate for Payer: SOMOS Essential	$4,855.83

PR RADICAL RESECTION TUMOR SCAPULA

Professional

Both

$7,788.03

Service Code	HCPCS 23210
Min. Negotiated Rate	$5,841.02
Max. Negotiated Rate	$5,841.02
Rate for Payer: Cash Price	$2,094.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,841.02
Rate for Payer: SOMOS Essential	$5,841.02

PR RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS

Professional

Both

$6,807.36

Service Code	HCPCS 24150
Min. Negotiated Rate	$5,105.52
Max. Negotiated Rate	$5,105.52
Rate for Payer: Cash Price	$1,833.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,105.52
Rate for Payer: SOMOS Essential	$5,105.52

PR RADICAL STYLOIDECTOMY SEPARATE PROCEDURE

Professional

Both

$1,918.21

Service Code	HCPCS 25230
Min. Negotiated Rate	$1,438.66
Max. Negotiated Rate	$1,438.66
Rate for Payer: Cash Price	$523.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,438.66
Rate for Payer: SOMOS Essential	$1,438.66

PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN

Professional

Both

$802.80

Service Code	HCPCS 64625
Min. Negotiated Rate	$602.10
Max. Negotiated Rate	$602.10
Rate for Payer: Cash Price	$221.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$602.10
Rate for Payer: SOMOS Essential	$602.10

PR RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT

Professional

Both

$5,199.85

Service Code	HCPCS 24149
Min. Negotiated Rate	$3,899.89
Max. Negotiated Rate	$3,899.89
Rate for Payer: Cash Price	$1,408.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,899.89
Rate for Payer: SOMOS Essential	$3,899.89

PR RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS

Professional

Both

$4,887.37

Service Code	HCPCS 28171
Min. Negotiated Rate	$3,665.53
Max. Negotiated Rate	$3,665.53
Rate for Payer: Cash Price	$1,317.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,665.53
Rate for Payer: SOMOS Essential	$3,665.53

PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>

Professional

Both

$5,196.49

Service Code	HCPCS 25078
Min. Negotiated Rate	$3,897.37
Max. Negotiated Rate	$3,897.37
Rate for Payer: Cash Price	$1,395.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,897.37
Rate for Payer: SOMOS Essential	$3,897.37

PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>

Professional

Both

$4,653.85

Service Code	HCPCS 26118
Min. Negotiated Rate	$3,490.39
Max. Negotiated Rate	$3,490.39
Rate for Payer: Cash Price	$1,249.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,490.39
Rate for Payer: SOMOS Essential	$3,490.39

PR RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC

Professional

Both

$11,082.02

Service Code	HCPCS 27076
Min. Negotiated Rate	$8,311.52
Max. Negotiated Rate	$8,311.52
Rate for Payer: Cash Price	$2,974.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,311.52
Rate for Payer: SOMOS Essential	$8,311.52

PR RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR

Professional

Both

$9,037.46

Service Code	HCPCS 27078
Min. Negotiated Rate	$6,778.10
Max. Negotiated Rate	$6,778.10
Rate for Payer: Cash Price	$2,429.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,778.10
Rate for Payer: SOMOS Essential	$6,778.10

PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL

Professional

Both

$9,167.59

Service Code	HCPCS 27075
Min. Negotiated Rate	$6,875.69
Max. Negotiated Rate	$6,875.69
Rate for Payer: Cash Price	$2,463.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,875.69
Rate for Payer: SOMOS Essential	$6,875.69

PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER

Professional

Both

$3,534.13

Service Code	HCPCS 26260
Min. Negotiated Rate	$2,650.60
Max. Negotiated Rate	$2,650.60
Rate for Payer: Cash Price	$954.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,650.60
Rate for Payer: SOMOS Essential	$2,650.60

PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>

Professional

Both

$4,423.55

Service Code	HCPCS 21016
Min. Negotiated Rate	$3,317.66
Max. Negotiated Rate	$3,317.66
Rate for Payer: Cash Price	$1,190.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,317.66
Rate for Payer: SOMOS Essential	$3,317.66

PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM

Professional

Both

$3,044.02

Service Code	HCPCS 21015
Min. Negotiated Rate	$2,283.02
Max. Negotiated Rate	$2,283.02
Rate for Payer: Cash Price	$821.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,283.02
Rate for Payer: SOMOS Essential	$2,283.02

PR RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>

Professional

Both

$8,005.03

Service Code	HCPCS 27059
Min. Negotiated Rate	$6,003.77
Max. Negotiated Rate	$6,003.77
Rate for Payer: Cash Price	$2,154.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,003.77
Rate for Payer: SOMOS Essential	$6,003.77

PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>

Professional

Both

$5,923.37

Service Code	HCPCS 22905
Min. Negotiated Rate	$4,442.53
Max. Negotiated Rate	$4,442.53
Rate for Payer: Cash Price	$1,592.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,442.53
Rate for Payer: SOMOS Essential	$4,442.53

PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM

Professional

Both

$4,694.41

Service Code	HCPCS 22904
Min. Negotiated Rate	$3,520.81
Max. Negotiated Rate	$3,520.81
Rate for Payer: Cash Price	$1,254.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,520.81
Rate for Payer: SOMOS Essential	$3,520.81

PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM

Professional

Both

$4,560.01

Service Code	HCPCS 21935
Min. Negotiated Rate	$3,420.01
Max. Negotiated Rate	$3,420.01
Rate for Payer: Cash Price	$1,226.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,420.01
Rate for Payer: SOMOS Essential	$3,420.01

PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>

Professional

Both

$6,335.28

Service Code	HCPCS 21936
Min. Negotiated Rate	$4,751.46
Max. Negotiated Rate	$4,751.46
Rate for Payer: Cash Price	$1,696.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,751.46
Rate for Payer: SOMOS Essential	$4,751.46

Know your out-of-pocket cost for care.

All Charges