St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED

Professional

Both

$5,593.56

Service Code	HCPCS 49618
Min. Negotiated Rate	$4,195.17
Max. Negotiated Rate	$4,195.17
Rate for Payer: Cash Price	$1,485.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,195.17
Rate for Payer: SOMOS Essential	$4,195.17

PR RPR AA HERNIA RECR > 10 CM REDUCIBLE

Professional

Both

$3,986.43

Service Code	HCPCS 49617
Min. Negotiated Rate	$2,989.82
Max. Negotiated Rate	$2,989.82
Rate for Payer: Cash Price	$1,059.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,989.82
Rate for Payer: SOMOS Essential	$2,989.82

PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED

Professional

Both

$3,884.62

Service Code	HCPCS 49616
Min. Negotiated Rate	$2,913.46
Max. Negotiated Rate	$2,913.46
Rate for Payer: Cash Price	$1,031.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,913.46
Rate for Payer: SOMOS Essential	$2,913.46

PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE

Professional

Both

$2,889.01

Service Code	HCPCS 49615
Min. Negotiated Rate	$2,166.76
Max. Negotiated Rate	$2,166.76
Rate for Payer: Cash Price	$766.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,166.76
Rate for Payer: SOMOS Essential	$2,166.76

PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED

Professional

Both

$2,583.35

Service Code	HCPCS 49614
Min. Negotiated Rate	$1,937.51
Max. Negotiated Rate	$1,937.51
Rate for Payer: Cash Price	$685.74
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,937.51
Rate for Payer: SOMOS Essential	$1,937.51

PR RPR AA HERNIA RECR < 3 CM REDUCIBLE

Professional

Both

$1,899.52

Service Code	HCPCS 49613
Min. Negotiated Rate	$1,424.64
Max. Negotiated Rate	$1,424.64
Rate for Payer: Cash Price	$505.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,424.64
Rate for Payer: SOMOS Essential	$1,424.64

PR RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON

Professional

Both

$3,693.52

Service Code	HCPCS 26352
Min. Negotiated Rate	$2,770.14
Max. Negotiated Rate	$2,770.14
Rate for Payer: Cash Price	$992.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,770.14
Rate for Payer: SOMOS Essential	$2,770.14

PR RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON

Professional

Both

$3,303.30

Service Code	HCPCS 26350
Min. Negotiated Rate	$2,477.48
Max. Negotiated Rate	$2,477.48
Rate for Payer: Cash Price	$893.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,477.48
Rate for Payer: SOMOS Essential	$2,477.48

PR RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON

Professional

Both

$4,359.08

Service Code	HCPCS 26358
Min. Negotiated Rate	$3,269.31
Max. Negotiated Rate	$3,269.31
Rate for Payer: Cash Price	$1,180.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,269.31
Rate for Payer: SOMOS Essential	$3,269.31

PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON

Professional

Both

$3,958.71

Service Code	HCPCS 26357
Min. Negotiated Rate	$2,969.03
Max. Negotiated Rate	$2,969.03
Rate for Payer: Cash Price	$1,070.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,969.03
Rate for Payer: SOMOS Essential	$2,969.03

PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON

Professional

Both

$3,510.43

Service Code	HCPCS 26356
Min. Negotiated Rate	$2,632.82
Max. Negotiated Rate	$2,632.82
Rate for Payer: Cash Price	$952.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,632.82
Rate for Payer: SOMOS Essential	$2,632.82

PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN

Professional

Both

$3,470.78

Service Code	HCPCS 26370
Min. Negotiated Rate	$2,603.08
Max. Negotiated Rate	$2,603.08
Rate for Payer: Cash Price	$934.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,603.08
Rate for Payer: SOMOS Essential	$2,603.08

PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA

Professional

Both

$4,066.16

Service Code	HCPCS 26372
Min. Negotiated Rate	$3,049.62
Max. Negotiated Rate	$3,049.62
Rate for Payer: Cash Price	$1,094.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,049.62
Rate for Payer: SOMOS Essential	$3,049.62

PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA

Professional

Both

$3,916.36

Service Code	HCPCS 26373
Min. Negotiated Rate	$2,937.27
Max. Negotiated Rate	$2,937.27
Rate for Payer: Cash Price	$1,053.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,937.27
Rate for Payer: SOMOS Essential	$2,937.27

PR RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ

Professional

Both

$7,657.34

Service Code	HCPCS 33507
Min. Negotiated Rate	$5,743.00
Max. Negotiated Rate	$5,743.00
Rate for Payer: Cash Price	$2,032.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,743.00
Rate for Payer: SOMOS Essential	$5,743.00

PR RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL

Professional

Both

$9,166.12

Service Code	HCPCS 33505
Min. Negotiated Rate	$6,874.59
Max. Negotiated Rate	$6,874.59
Rate for Payer: Cash Price	$2,429.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,874.59
Rate for Payer: SOMOS Essential	$6,874.59

PR RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT

Professional

Both

$5,916.51

Service Code	HCPCS 33503
Min. Negotiated Rate	$4,437.38
Max. Negotiated Rate	$4,437.38
Rate for Payer: Cash Price	$1,578.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,437.38
Rate for Payer: SOMOS Essential	$4,437.38

PR RPR ANOM CORONARY ART FROM PULM ART TO AORTA

Professional

Both

$9,125.20

Service Code	HCPCS 33506
Min. Negotiated Rate	$6,843.90
Max. Negotiated Rate	$6,843.90
Rate for Payer: Cash Price	$2,422.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,843.90
Rate for Payer: SOMOS Essential	$6,843.90

PR RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP

Professional

Both

$6,529.43

Service Code	HCPCS 33504
Min. Negotiated Rate	$4,897.07
Max. Negotiated Rate	$4,897.07
Rate for Payer: Cash Price	$1,740.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,897.07
Rate for Payer: SOMOS Essential	$4,897.07

PR RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION

Professional

Both

$5,692.47

Service Code	HCPCS 33502
Min. Negotiated Rate	$4,269.35
Max. Negotiated Rate	$4,269.35
Rate for Payer: Cash Price	$1,518.34
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,269.35
Rate for Payer: SOMOS Essential	$4,269.35

PR RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH

Professional

Both

$7,286.13

Service Code	HCPCS 33641
Min. Negotiated Rate	$5,464.60
Max. Negotiated Rate	$5,464.60
Rate for Payer: Cash Price	$1,937.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,464.60
Rate for Payer: SOMOS Essential	$5,464.60

PR RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS

Professional

Both

$8,080.87

Service Code	HCPCS 33647
Min. Negotiated Rate	$6,060.65
Max. Negotiated Rate	$6,060.65
Rate for Payer: Cash Price	$2,145.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,060.65
Rate for Payer: SOMOS Essential	$6,060.65

PR RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING

Professional

Both

$2,983.33

Service Code	HCPCS 67902
Min. Negotiated Rate	$2,237.50
Max. Negotiated Rate	$2,237.50
Rate for Payer: Cash Price	$820.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,237.50
Rate for Payer: SOMOS Essential	$2,237.50

PR RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL

Professional

Both

$2,442.48

Service Code	HCPCS 67901
Min. Negotiated Rate	$1,831.86
Max. Negotiated Rate	$1,831.86
Rate for Payer: Cash Price	$669.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,831.86
Rate for Payer: SOMOS Essential	$1,831.86

PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL

Professional

Both

$1,974.11

Service Code	HCPCS 67903
Min. Negotiated Rate	$1,480.58
Max. Negotiated Rate	$1,480.58
Rate for Payer: Cash Price	$543.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,480.58
Rate for Payer: SOMOS Essential	$1,480.58

Know your out-of-pocket cost for care.

All Charges