St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM

Professional

Both

$286.13

Service Code	HCPCS 11308
Min. Negotiated Rate	$214.60
Max. Negotiated Rate	$214.60
Rate for Payer: Cash Price	$77.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$214.60
Rate for Payer: SOMOS Essential	$214.60

PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<

Professional

Both

$143.19

Service Code	HCPCS 11300
Min. Negotiated Rate	$107.39
Max. Negotiated Rate	$107.39
Rate for Payer: Cash Price	$38.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$107.39
Rate for Payer: SOMOS Essential	$107.39

PR SHORTENING TENDON EXTENSOR HAND/FINGER EACH

Professional

Both

$2,771.72

Service Code	HCPCS 26477
Min. Negotiated Rate	$2,078.79
Max. Negotiated Rate	$2,078.79
Rate for Payer: Cash Price	$753.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,078.79
Rate for Payer: SOMOS Essential	$2,078.79

PR SHORTENING TENDON FLEXOR HAND/FINGER EACH

Professional

Both

$3,006.43

Service Code	HCPCS 26479
Min. Negotiated Rate	$2,254.82
Max. Negotiated Rate	$2,254.82
Rate for Payer: Cash Price	$811.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,254.82
Rate for Payer: SOMOS Essential	$2,254.82

PR SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS

Professional

Both

$664.79

Service Code	HCPCS 95926
Min. Negotiated Rate	$498.59
Max. Negotiated Rate	$498.59
Rate for Payer: Cash Price	$184.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$498.59
Rate for Payer: SOMOS Essential	$498.59

PR SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS

Professional

Both

$557.20

Service Code	HCPCS 95926 TC
Min. Negotiated Rate	$417.90
Max. Negotiated Rate	$417.90
Rate for Payer: Cash Price	$155.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$417.90
Rate for Payer: SOMOS Essential	$417.90

PR SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS

Professional

Both

$107.59

Service Code	HCPCS 95926 26
Min. Negotiated Rate	$80.69
Max. Negotiated Rate	$80.69
Rate for Payer: Cash Price	$29.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$80.69
Rate for Payer: SOMOS Essential	$80.69

PR SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD

Professional

Both

$710.82

Service Code	HCPCS 95927
Min. Negotiated Rate	$533.12
Max. Negotiated Rate	$533.12
Rate for Payer: Cash Price	$213.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$533.12
Rate for Payer: SOMOS Essential	$533.12

PR SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD

Professional

Both

$106.16

Service Code	HCPCS 95927 26
Min. Negotiated Rate	$79.62
Max. Negotiated Rate	$79.62
Rate for Payer: Cash Price	$29.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$79.62
Rate for Payer: SOMOS Essential	$79.62

PR SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD

Professional

Both

$604.63

Service Code	HCPCS 95927 TC
Min. Negotiated Rate	$453.47
Max. Negotiated Rate	$453.47
Rate for Payer: Cash Price	$184.43
Rate for Payer: SOMOS CHP/HARP/Medicaid	$453.47
Rate for Payer: SOMOS Essential	$453.47

PR SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS

Professional

Both

$114.52

Service Code	HCPCS 95925 26
Min. Negotiated Rate	$85.89
Max. Negotiated Rate	$85.89
Rate for Payer: Cash Price	$30.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$85.89
Rate for Payer: SOMOS Essential	$85.89

PR SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS

Professional

Both

$650.62

Service Code	HCPCS 95925 TC
Min. Negotiated Rate	$487.96
Max. Negotiated Rate	$487.96
Rate for Payer: Cash Price	$175.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$487.96
Rate for Payer: SOMOS Essential	$487.96

PR SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS

Professional

Both

$765.14

Service Code	HCPCS 95925
Min. Negotiated Rate	$573.86
Max. Negotiated Rate	$573.86
Rate for Payer: Cash Price	$206.48
Rate for Payer: SOMOS CHP/HARP/Medicaid	$573.86
Rate for Payer: SOMOS Essential	$573.86

PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB

Professional

Both

$1,558.48

Service Code	HCPCS 95938
Min. Negotiated Rate	$1,168.86
Max. Negotiated Rate	$1,168.86
Rate for Payer: Cash Price	$440.34
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,168.86
Rate for Payer: SOMOS Essential	$1,168.86

PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB

Professional

Both

$179.03

Service Code	HCPCS 95938 26
Min. Negotiated Rate	$134.27
Max. Negotiated Rate	$134.27
Rate for Payer: Cash Price	$49.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$134.27
Rate for Payer: SOMOS Essential	$134.27

PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB

Professional

Both

$1,379.46

Service Code	HCPCS 95938 TC
Min. Negotiated Rate	$1,034.60
Max. Negotiated Rate	$1,034.60
Rate for Payer: Cash Price	$390.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,034.60
Rate for Payer: SOMOS Essential	$1,034.60

PR SHUNT ASCENDING AORTA PULMONARY ARTERY

Professional

Both

$5,870.13

Service Code	HCPCS 33755
Min. Negotiated Rate	$4,402.60
Max. Negotiated Rate	$4,402.60
Rate for Payer: Cash Price	$1,565.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,402.60
Rate for Payer: SOMOS Essential	$4,402.60

PR SHUNT CENTRAL W/PROSTHETIC GRAFT

Professional

Both

$5,870.13

Service Code	HCPCS 33764
Min. Negotiated Rate	$4,402.60
Max. Negotiated Rate	$4,402.60
Rate for Payer: Cash Price	$1,565.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,402.60
Rate for Payer: SOMOS Essential	$4,402.60

PR SHUNT DESCENDING AORTA PULMONARY ARTERY

Professional

Both

$5,710.60

Service Code	HCPCS 33762
Min. Negotiated Rate	$4,282.95
Max. Negotiated Rate	$4,282.95
Rate for Payer: Cash Price	$1,519.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,282.95
Rate for Payer: SOMOS Essential	$4,282.95

PR SHUNT SUBCLAVIAN PULMONARY ARTERY

Professional

Both

$5,623.98

Service Code	HCPCS 33750
Min. Negotiated Rate	$4,217.98
Max. Negotiated Rate	$4,217.98
Rate for Payer: Cash Price	$1,495.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,217.98
Rate for Payer: SOMOS Essential	$4,217.98

PR SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS

Professional

Both

$6,334.41

Service Code	HCPCS 33767
Min. Negotiated Rate	$4,750.81
Max. Negotiated Rate	$4,750.81
Rate for Payer: Cash Price	$1,683.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,750.81
Rate for Payer: SOMOS Essential	$4,750.81

PR SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG

Professional

Both

$5,938.00

Service Code	HCPCS 33766
Min. Negotiated Rate	$4,453.50
Max. Negotiated Rate	$4,453.50
Rate for Payer: Cash Price	$1,577.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,453.50
Rate for Payer: SOMOS Essential	$4,453.50

PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM

Professional

Both

$262.61

Service Code	HCPCS 11311
Min. Negotiated Rate	$196.96
Max. Negotiated Rate	$196.96
Rate for Payer: Cash Price	$71.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$196.96
Rate for Payer: SOMOS Essential	$196.96

PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM

Professional

Both

$318.57

Service Code	HCPCS 11312
Min. Negotiated Rate	$238.93
Max. Negotiated Rate	$238.93
Rate for Payer: Cash Price	$83.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$238.93
Rate for Payer: SOMOS Essential	$238.93

PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM

Professional

Both

$214.83

Service Code	HCPCS 11301
Min. Negotiated Rate	$161.12
Max. Negotiated Rate	$161.12
Rate for Payer: Cash Price	$58.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$161.12
Rate for Payer: SOMOS Essential	$161.12

Know your out-of-pocket cost for care.

All Charges