St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR R&L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ

Professional

Both

$1,655.82

Service Code	HCPCS 93597 26
Min. Negotiated Rate	$1,241.86
Max. Negotiated Rate	$1,241.86
Rate for Payer: Cash Price	$452.21
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,241.86
Rate for Payer: SOMOS Essential	$1,241.86

PR R&L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ

Professional

Both

$1,257.87

Service Code	HCPCS 93596 26
Min. Negotiated Rate	$943.40
Max. Negotiated Rate	$943.40
Rate for Payer: Cash Price	$345.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$943.40
Rate for Payer: SOMOS Essential	$943.40

PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I

Professional

Both

$1,768.06

Service Code	HCPCS 93461 26
Min. Negotiated Rate	$1,326.04
Max. Negotiated Rate	$1,326.04
Rate for Payer: Cash Price	$472.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,326.04
Rate for Payer: SOMOS Essential	$1,326.04

PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I

Professional

Both

$4,183.73

Service Code	HCPCS 93461 TC
Min. Negotiated Rate	$3,137.80
Max. Negotiated Rate	$3,137.80
Rate for Payer: Cash Price	$1,120.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,137.80
Rate for Payer: SOMOS Essential	$3,137.80

PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I

Professional

Both

$5,951.79

Service Code	HCPCS 93461
Min. Negotiated Rate	$4,463.84
Max. Negotiated Rate	$4,463.84
Rate for Payer: Cash Price	$1,592.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,463.84
Rate for Payer: SOMOS Essential	$4,463.84

PR R & L HRT CATH WINJX HRT ART& L VENTR IMG

Professional

Both

$3,794.42

Service Code	HCPCS 93460 TC
Min. Negotiated Rate	$2,845.82
Max. Negotiated Rate	$2,845.82
Rate for Payer: Cash Price	$1,016.34
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,845.82
Rate for Payer: SOMOS Essential	$2,845.82

PR R & L HRT CATH WINJX HRT ART& L VENTR IMG

Professional

Both

$1,599.89

Service Code	HCPCS 93460 26
Min. Negotiated Rate	$1,199.92
Max. Negotiated Rate	$1,199.92
Rate for Payer: Cash Price	$427.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,199.92
Rate for Payer: SOMOS Essential	$1,199.92

PR R & L HRT CATH WINJX HRT ART& L VENTR IMG

Professional

Both

$5,394.31

Service Code	HCPCS 93460
Min. Negotiated Rate	$4,045.73
Max. Negotiated Rate	$4,045.73
Rate for Payer: Cash Price	$1,443.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,045.73
Rate for Payer: SOMOS Essential	$4,045.73

PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I

Professional

Both

$1,352.96

Service Code	HCPCS 93453 26
Min. Negotiated Rate	$1,014.72
Max. Negotiated Rate	$1,014.72
Rate for Payer: Cash Price	$361.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,014.72
Rate for Payer: SOMOS Essential	$1,014.72

PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I

Professional

Both

$3,621.94

Service Code	HCPCS 93453 TC
Min. Negotiated Rate	$2,716.46
Max. Negotiated Rate	$2,716.46
Rate for Payer: Cash Price	$969.34
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,716.46
Rate for Payer: SOMOS Essential	$2,716.46

PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I

Professional

Both

$4,974.87

Service Code	HCPCS 93453
Min. Negotiated Rate	$3,731.15
Max. Negotiated Rate	$3,731.15
Rate for Payer: Cash Price	$1,330.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,731.15
Rate for Payer: SOMOS Essential	$3,731.15

PR RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX

Professional

Both

$2,773.40

Service Code	HCPCS 67343
Min. Negotiated Rate	$2,080.05
Max. Negotiated Rate	$2,080.05
Rate for Payer: Cash Price	$766.29
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,080.05
Rate for Payer: SOMOS Essential	$2,080.05

PR RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM

Professional

Both

$6,099.49

Service Code	HCPCS 33243
Min. Negotiated Rate	$4,574.62
Max. Negotiated Rate	$4,574.62
Rate for Payer: Cash Price	$1,625.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,574.62
Rate for Payer: SOMOS Essential	$4,574.62

PR RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ

Professional

Both

$3,826.94

Service Code	HCPCS 33244
Min. Negotiated Rate	$2,870.20
Max. Negotiated Rate	$2,870.20
Rate for Payer: Cash Price	$1,012.45
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,870.20
Rate for Payer: SOMOS Essential	$2,870.20

PR RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA

Professional

Both

$3,929.84

Service Code	HCPCS 33974
Min. Negotiated Rate	$2,947.38
Max. Negotiated Rate	$2,947.38
Rate for Payer: Cash Price	$1,048.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,947.38
Rate for Payer: SOMOS Essential	$2,947.38

PR RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET

Professional

Both

$362.46

Service Code	HCPCS 29710
Min. Negotiated Rate	$271.84
Max. Negotiated Rate	$271.84
Rate for Payer: Cash Price	$97.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$271.84
Rate for Payer: SOMOS Essential	$271.84

PR RMVL BLOOD CLOT ANTERIOR SEGMENT EYE

Professional

Both

$2,650.38

Service Code	HCPCS 65930
Min. Negotiated Rate	$1,987.78
Max. Negotiated Rate	$1,987.78
Rate for Payer: Cash Price	$728.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,987.78
Rate for Payer: SOMOS Essential	$1,987.78

PR RMVL BONE FLAP/PROSTHETIC PLATE SKULL

Professional

Both

$4,248.23

Service Code	HCPCS 62142
Min. Negotiated Rate	$3,186.17
Max. Negotiated Rate	$3,186.17
Rate for Payer: Cash Price	$1,128.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,186.17
Rate for Payer: SOMOS Essential	$3,186.17

PR RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT

Professional

Both

$2,908.96

Service Code	HCPCS 62256
Min. Negotiated Rate	$2,181.72
Max. Negotiated Rate	$2,181.72
Rate for Payer: Cash Price	$777.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,181.72
Rate for Payer: SOMOS Essential	$2,181.72

PR RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT

Professional

Both

$5,319.51

Service Code	HCPCS 62258
Min. Negotiated Rate	$3,989.63
Max. Negotiated Rate	$3,989.63
Rate for Payer: Cash Price	$1,410.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,989.63
Rate for Payer: SOMOS Essential	$3,989.63

PR RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT

Professional

Both

$1,521.42

Service Code	HCPCS 65436
Min. Negotiated Rate	$1,141.06
Max. Negotiated Rate	$1,141.06
Rate for Payer: Cash Price	$419.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,141.06
Rate for Payer: SOMOS Essential	$1,141.06

PR RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION

Professional

Both

$283.89

Service Code	HCPCS 65435
Min. Negotiated Rate	$212.92
Max. Negotiated Rate	$212.92
Rate for Payer: Cash Price	$78.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$212.92
Rate for Payer: SOMOS Essential	$212.92

PR RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS

Professional

Both

$375.00

Service Code	HCPCS 97602
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$281.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$281.25
Rate for Payer: SOMOS Essential	$281.25

PR RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL

Professional

Both

$9,970.17

Service Code	HCPCS 22864
Min. Negotiated Rate	$7,477.63
Max. Negotiated Rate	$7,477.63
Rate for Payer: Cash Price	$2,629.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,477.63
Rate for Payer: SOMOS Essential	$7,477.63

PR RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR

Professional

Both

$10,886.58

Service Code	HCPCS 22865
Min. Negotiated Rate	$8,164.94
Max. Negotiated Rate	$8,164.94
Rate for Payer: Cash Price	$2,872.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,164.94
Rate for Payer: SOMOS Essential	$8,164.94

Know your out-of-pocket cost for care.

All Charges