St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB

Professional

Both

$11,597.60

Service Code	HCPCS 59610
Min. Negotiated Rate	$8,698.20
Max. Negotiated Rate	$8,698.20
Rate for Payer: Cash Price	$3,113.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,698.20
Rate for Payer: SOMOS Essential	$8,698.20

PR ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC

Professional

Both

$12,384.68

Service Code	HCPCS 59618
Min. Negotiated Rate	$9,288.51
Max. Negotiated Rate	$9,288.51
Rate for Payer: Cash Price	$3,337.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9,288.51
Rate for Payer: SOMOS Essential	$9,288.51

PR RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST

Professional

Both

$5,139.09

Service Code	HCPCS 50840
Min. Negotiated Rate	$3,854.32
Max. Negotiated Rate	$3,854.32
Rate for Payer: Cash Price	$1,403.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,854.32
Rate for Payer: SOMOS Essential	$3,854.32

PR RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS

Professional

Both

$14,815.89

Service Code	HCPCS 33411
Min. Negotiated Rate	$11,111.92
Max. Negotiated Rate	$11,111.92
Rate for Payer: Cash Price	$3,937.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$11,111.92
Rate for Payer: SOMOS Essential	$11,111.92

PR RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE

Professional

Both

$14,973.14

Service Code	HCPCS 33440
Min. Negotiated Rate	$11,229.86
Max. Negotiated Rate	$11,229.86
Rate for Payer: Cash Price	$3,968.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$11,229.86
Rate for Payer: SOMOS Essential	$11,229.86

PR RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND

Professional

Both

$12,814.73

Service Code	HCPCS 33406
Min. Negotiated Rate	$9,611.05
Max. Negotiated Rate	$9,611.05
Rate for Payer: Cash Price	$3,403.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$9,611.05
Rate for Payer: SOMOS Essential	$9,611.05

PR RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE

Professional

Both

$11,255.44

Service Code	HCPCS 33410
Min. Negotiated Rate	$8,441.58
Max. Negotiated Rate	$8,441.58
Rate for Payer: Cash Price	$2,990.70
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,441.58
Rate for Payer: SOMOS Essential	$8,441.58

PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL

Professional

Both

$5,014.14

Service Code	HCPCS 62143
Min. Negotiated Rate	$3,760.60
Max. Negotiated Rate	$3,760.60
Rate for Payer: Cash Price	$1,323.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,760.60
Rate for Payer: SOMOS Essential	$3,760.60

PR RPLCMT CATH CTR VAD SUBQ PORT/PMP

Professional

Both

$888.93

Service Code	HCPCS 36578
Min. Negotiated Rate	$666.70
Max. Negotiated Rate	$666.70
Rate for Payer: Cash Price	$238.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$666.70
Rate for Payer: SOMOS Essential	$666.70

PR RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP

Professional

Both

$276.57

Service Code	HCPCS 36580
Min. Negotiated Rate	$207.43
Max. Negotiated Rate	$207.43
Rate for Payer: Cash Price	$73.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$207.43
Rate for Payer: SOMOS Essential	$207.43

PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT

Professional

Both

$1,212.23

Service Code	HCPCS 36585
Min. Negotiated Rate	$909.17
Max. Negotiated Rate	$909.17
Rate for Payer: Cash Price	$319.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$909.17
Rate for Payer: SOMOS Essential	$909.17

PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP

Professional

Both

$1,474.83

Service Code	HCPCS 36583
Min. Negotiated Rate	$1,106.12
Max. Negotiated Rate	$1,106.12
Rate for Payer: Cash Price	$394.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,106.12
Rate for Payer: SOMOS Essential	$1,106.12

PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT

Professional

Both

$1,234.31

Service Code	HCPCS 36582
Min. Negotiated Rate	$925.73
Max. Negotiated Rate	$925.73
Rate for Payer: Cash Price	$331.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$925.73
Rate for Payer: SOMOS Essential	$925.73

PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP

Professional

Both

$766.85

Service Code	HCPCS 36581
Min. Negotiated Rate	$575.14
Max. Negotiated Rate	$575.14
Rate for Payer: Cash Price	$206.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$575.14
Rate for Payer: SOMOS Essential	$575.14

PR RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER

Professional

Both

$2,360.26

Service Code	HCPCS 62194
Min. Negotiated Rate	$1,770.20
Max. Negotiated Rate	$1,770.20
Rate for Payer: Cash Price	$627.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,770.20
Rate for Payer: SOMOS Essential	$1,770.20

PR RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT

Professional

Both

$3,231.45

Service Code	HCPCS 63744
Min. Negotiated Rate	$2,423.59
Max. Negotiated Rate	$2,423.59
Rate for Payer: Cash Price	$864.31
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,423.59
Rate for Payer: SOMOS Essential	$2,423.59

PR RPLCMT/IRRIGATION VENTRICULAR CATHETER

Professional

Both

$2,543.77

Service Code	HCPCS 62225
Min. Negotiated Rate	$1,907.83
Max. Negotiated Rate	$1,907.83
Rate for Payer: Cash Price	$679.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,907.83
Rate for Payer: SOMOS Essential	$1,907.83

PR RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP<100

Professional

Both

$2,773.51

Service Code	HCPCS 69719
Min. Negotiated Rate	$2,080.13
Max. Negotiated Rate	$2,080.13
Rate for Payer: Cash Price	$752.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,080.13
Rate for Payer: SOMOS Essential	$2,080.13

PR RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP>=100

Professional

Both

$2,972.17

Service Code	HCPCS 69730
Min. Negotiated Rate	$2,229.13
Max. Negotiated Rate	$2,229.13
Rate for Payer: Cash Price	$819.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,229.13
Rate for Payer: SOMOS Essential	$2,229.13

PR RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP

Professional

Both

$2,419.69

Service Code	HCPCS 69717
Min. Negotiated Rate	$1,814.77
Max. Negotiated Rate	$1,814.77
Rate for Payer: Cash Price	$656.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,814.77
Rate for Payer: SOMOS Essential	$1,814.77

PR RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT

Professional

Both

$10,048.50

Service Code	HCPCS 33405
Min. Negotiated Rate	$7,536.38
Max. Negotiated Rate	$7,536.38
Rate for Payer: Cash Price	$2,671.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,536.38
Rate for Payer: SOMOS Essential	$7,536.38

PR RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS

Professional

Both

$4,014.78

Service Code	HCPCS 62230
Min. Negotiated Rate	$3,011.08
Max. Negotiated Rate	$3,011.08
Rate for Payer: Cash Price	$1,063.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,011.08
Rate for Payer: SOMOS Essential	$3,011.08

PR RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS

Professional

Both

$10,234.00

Service Code	HCPCS 33983
Min. Negotiated Rate	$7,675.50
Max. Negotiated Rate	$7,675.50
Rate for Payer: Cash Price	$2,666.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,675.50
Rate for Payer: SOMOS Essential	$7,675.50

PR RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP

Professional

Both

$3,646.34

Service Code	HCPCS 33981
Min. Negotiated Rate	$2,734.76
Max. Negotiated Rate	$2,734.76
Rate for Payer: Cash Price	$963.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,734.76
Rate for Payer: SOMOS Essential	$2,734.76

PR RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP

Professional

Both

$9,044.14

Service Code	HCPCS 20816
Min. Negotiated Rate	$6,783.10
Max. Negotiated Rate	$6,783.10
Rate for Payer: Cash Price	$2,430.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,783.10
Rate for Payer: SOMOS Essential	$6,783.10

Know your out-of-pocket cost for care.

All Charges