St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH

Professional

Both

$663.64

Service Code	HCPCS 36011
Min. Negotiated Rate	$497.73
Max. Negotiated Rate	$497.73
Rate for Payer: Cash Price	$177.01
Rate for Payer: SOMOS CHP/HARP/Medicaid	$497.73
Rate for Payer: SOMOS Essential	$497.73

PR SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC

Professional

Both

$730.98

Service Code	HCPCS 36012
Min. Negotiated Rate	$548.24
Max. Negotiated Rate	$548.24
Rate for Payer: Cash Price	$196.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$548.24
Rate for Payer: SOMOS Essential	$548.24

PR SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY

Professional

Both

$1,464.86

Service Code	HCPCS 36225
Min. Negotiated Rate	$1,098.64
Max. Negotiated Rate	$1,098.64
Rate for Payer: Cash Price	$391.71
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,098.64
Rate for Payer: SOMOS Essential	$1,098.64

PR SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY

Professional

Both

$1,664.88

Service Code	HCPCS 36226
Min. Negotiated Rate	$1,248.66
Max. Negotiated Rate	$1,248.66
Rate for Payer: Cash Price	$442.86
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,248.66
Rate for Payer: SOMOS Essential	$1,248.66

PR SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC

Professional

Both

$546.84

Service Code	HCPCS 36227
Min. Negotiated Rate	$410.13
Max. Negotiated Rate	$410.13
Rate for Payer: Cash Price	$146.10
Rate for Payer: SOMOS CHP/HARP/Medicaid	$410.13
Rate for Payer: SOMOS Essential	$410.13

PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT

Professional

Both

$384.48

Service Code	HCPCS 95806
Min. Negotiated Rate	$288.36
Max. Negotiated Rate	$288.36
Rate for Payer: Cash Price	$108.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$288.36
Rate for Payer: SOMOS Essential	$288.36

PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT

Professional

Both

$211.05

Service Code	HCPCS 95806 TC
Min. Negotiated Rate	$158.29
Max. Negotiated Rate	$158.29
Rate for Payer: Cash Price	$60.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$158.29
Rate for Payer: SOMOS Essential	$158.29

PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT

Professional

Both

$173.43

Service Code	HCPCS 95806 26
Min. Negotiated Rate	$130.07
Max. Negotiated Rate	$130.07
Rate for Payer: Cash Price	$47.28
Rate for Payer: SOMOS CHP/HARP/Medicaid	$130.07
Rate for Payer: SOMOS Essential	$130.07

PR SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN

Professional

Both

$1,654.80

Service Code	HCPCS 95807
Min. Negotiated Rate	$1,241.10
Max. Negotiated Rate	$1,241.10
Rate for Payer: Cash Price	$481.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,241.10
Rate for Payer: SOMOS Essential	$1,241.10

PR SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN

Professional

Both

$1,424.61

Service Code	HCPCS 95807 TC
Min. Negotiated Rate	$1,068.46
Max. Negotiated Rate	$1,068.46
Rate for Payer: Cash Price	$417.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,068.46
Rate for Payer: SOMOS Essential	$1,068.46

PR SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN

Professional

Both

$230.20

Service Code	HCPCS 95807 26
Min. Negotiated Rate	$172.65
Max. Negotiated Rate	$172.65
Rate for Payer: Cash Price	$63.88
Rate for Payer: SOMOS CHP/HARP/Medicaid	$172.65
Rate for Payer: SOMOS Essential	$172.65

PR SLING OPERATION STRESS INCONTINENCE

Professional

Both

$3,206.46

Service Code	HCPCS 57288
Min. Negotiated Rate	$2,404.84
Max. Negotiated Rate	$2,404.84
Rate for Payer: Cash Price	$870.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,404.84
Rate for Payer: SOMOS Essential	$2,404.84

PR SLING OPRATION CORRJ MALE URINARY INCONTINENCE

Professional

Both

$3,153.43

Service Code	HCPCS 53440
Min. Negotiated Rate	$2,365.07
Max. Negotiated Rate	$2,365.07
Rate for Payer: Cash Price	$862.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,365.07
Rate for Payer: SOMOS Essential	$2,365.07

PR SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN

Professional

Both

$466.76

Service Code	HCPCS 54000
Min. Negotiated Rate	$350.07
Max. Negotiated Rate	$350.07
Rate for Payer: Cash Price	$129.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$350.07
Rate for Payer: SOMOS Essential	$350.07

PR SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN

Professional

Both

$591.61

Service Code	HCPCS 54001
Min. Negotiated Rate	$443.71
Max. Negotiated Rate	$443.71
Rate for Payer: Cash Price	$162.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$443.71
Rate for Payer: SOMOS Essential	$443.71

PR SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME

Professional

Both

$160.55

Service Code	HCPCS 95800 26
Min. Negotiated Rate	$120.41
Max. Negotiated Rate	$120.41
Rate for Payer: Cash Price	$42.52
Rate for Payer: SOMOS CHP/HARP/Medicaid	$120.41
Rate for Payer: SOMOS Essential	$120.41

PR SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME

Professional

Both

$471.21

Service Code	HCPCS 95800 TC
Min. Negotiated Rate	$353.41
Max. Negotiated Rate	$353.41
Rate for Payer: Cash Price	$115.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$353.41
Rate for Payer: SOMOS Essential	$353.41

PR SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME

Professional

Both

$631.75

Service Code	HCPCS 95800
Min. Negotiated Rate	$473.81
Max. Negotiated Rate	$473.81
Rate for Payer: Cash Price	$157.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$473.81
Rate for Payer: SOMOS Essential	$473.81

PR SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL

Professional

Both

$390.25

Service Code	HCPCS 95801
Min. Negotiated Rate	$292.69
Max. Negotiated Rate	$292.69
Rate for Payer: Cash Price	$112.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$292.69
Rate for Payer: SOMOS Essential	$292.69

PR SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL

Professional

Both

$160.55

Service Code	HCPCS 95801 26
Min. Negotiated Rate	$120.41
Max. Negotiated Rate	$120.41
Rate for Payer: Cash Price	$44.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$120.41
Rate for Payer: SOMOS Essential	$120.41

PR SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL

Professional

Both

$229.71

Service Code	HCPCS 95801 TC
Min. Negotiated Rate	$172.28
Max. Negotiated Rate	$172.28
Rate for Payer: Cash Price	$68.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$172.28
Rate for Payer: SOMOS Essential	$172.28

PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM

Professional

Both

$259.04

Service Code	HCPCS 12002
Min. Negotiated Rate	$194.28
Max. Negotiated Rate	$194.28
Rate for Payer: Cash Price	$69.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$194.28
Rate for Payer: SOMOS Essential	$194.28

PR SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM

Professional

Both

$415.56

Service Code	HCPCS 12005
Min. Negotiated Rate	$311.67
Max. Negotiated Rate	$311.67
Rate for Payer: Cash Price	$111.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$311.67
Rate for Payer: SOMOS Essential	$311.67

PR SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM

Professional

Both

$512.89

Service Code	HCPCS 12006
Min. Negotiated Rate	$384.67
Max. Negotiated Rate	$384.67
Rate for Payer: Cash Price	$136.33
Rate for Payer: SOMOS CHP/HARP/Medicaid	$384.67
Rate for Payer: SOMOS Essential	$384.67

PR SNIP INCISION LACRIMAL PUNCTUM

Professional

Both

$416.15

Service Code	HCPCS 68440
Min. Negotiated Rate	$312.11
Max. Negotiated Rate	$312.11
Rate for Payer: Cash Price	$115.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$312.11
Rate for Payer: SOMOS Essential	$312.11

Know your out-of-pocket cost for care.

All Charges