St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN

Professional

Both

$2,891.95

Service Code	HCPCS 34490
Min. Negotiated Rate	$2,168.96
Max. Negotiated Rate	$2,168.96
Rate for Payer: Cash Price	$679.70
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,168.96
Rate for Payer: SOMOS Essential	$2,168.96

PR THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC

Professional

Both

$4,803.93

Service Code	HCPCS 34471
Min. Negotiated Rate	$3,602.95
Max. Negotiated Rate	$3,602.95
Rate for Payer: Cash Price	$1,272.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,602.95
Rate for Payer: SOMOS Essential	$3,602.95

PR THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG

Professional

Both

$6,389.95

Service Code	HCPCS 34451
Min. Negotiated Rate	$4,792.46
Max. Negotiated Rate	$4,792.46
Rate for Payer: Cash Price	$1,692.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,792.46
Rate for Payer: SOMOS Essential	$4,792.46

PR THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC

Professional

Both

$3,091.52

Service Code	HCPCS 34421
Min. Negotiated Rate	$2,318.64
Max. Negotiated Rate	$2,318.64
Rate for Payer: Cash Price	$820.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,318.64
Rate for Payer: SOMOS Essential	$2,318.64

PR THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC

Professional

Both

$6,526.07

Service Code	HCPCS 34401
Min. Negotiated Rate	$4,894.55
Max. Negotiated Rate	$4,894.55
Rate for Payer: Cash Price	$1,749.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,894.55
Rate for Payer: SOMOS Essential	$4,894.55

PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF

Professional

Both

$2,737.91

Service Code	HCPCS 36831
Min. Negotiated Rate	$2,053.43
Max. Negotiated Rate	$2,053.43
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,053.43
Rate for Payer: SOMOS Essential	$2,053.43

PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX

Professional

Both

$1,652.88

Service Code	HCPCS 37211
Min. Negotiated Rate	$1,239.66
Max. Negotiated Rate	$1,239.66
Rate for Payer: Cash Price	$443.19
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,239.66
Rate for Payer: SOMOS Essential	$1,239.66

PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX

Professional

Both

$980.70

Service Code	HCPCS 37213
Min. Negotiated Rate	$735.52
Max. Negotiated Rate	$735.52
Rate for Payer: Cash Price	$261.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$735.52
Rate for Payer: SOMOS Essential	$735.52

PR THROMBOLYSIS CEREBRAL IV INFUSION

Professional

Both

$1,619.03

Service Code	HCPCS 37195
Min. Negotiated Rate	$1,214.27
Max. Negotiated Rate	$1,214.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,214.27
Rate for Payer: SOMOS Essential	$1,214.27

PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION

Professional

Both

$242.73

Service Code	HCPCS 92977
Min. Negotiated Rate	$182.05
Max. Negotiated Rate	$182.05
Rate for Payer: Cash Price	$68.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$182.05
Rate for Payer: SOMOS Essential	$182.05

PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH

Professional

Both

$1,648.64

Service Code	HCPCS 92975
Min. Negotiated Rate	$1,236.48
Max. Negotiated Rate	$1,236.48
Rate for Payer: Cash Price	$438.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,236.48
Rate for Payer: SOMOS Essential	$1,236.48

PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX

Professional

Both

$1,433.81

Service Code	HCPCS 37212
Min. Negotiated Rate	$1,075.36
Max. Negotiated Rate	$1,075.36
Rate for Payer: Cash Price	$383.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,075.36
Rate for Payer: SOMOS Essential	$1,075.36

PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC

Professional

Both

$3,262.98

Service Code	HCPCS 32659
Min. Negotiated Rate	$2,447.24
Max. Negotiated Rate	$2,447.24
Rate for Payer: Cash Price	$872.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,447.24
Rate for Payer: SOMOS Essential	$2,447.24

PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS

Professional

Both

$7,393.12

Service Code	HCPCS 32652
Min. Negotiated Rate	$5,544.84
Max. Negotiated Rate	$5,544.84
Rate for Payer: Cash Price	$1,967.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,544.84
Rate for Payer: SOMOS Essential	$5,544.84

PR THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX

Professional

Both

$6,080.62

Service Code	HCPCS 60522
Min. Negotiated Rate	$4,560.46
Max. Negotiated Rate	$4,560.46
Rate for Payer: Cash Price	$1,619.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,560.46
Rate for Payer: SOMOS Essential	$4,560.46

PR THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX

Professional

Both

$4,705.79

Service Code	HCPCS 60520
Min. Negotiated Rate	$3,529.34
Max. Negotiated Rate	$3,529.34
Rate for Payer: Cash Price	$1,258.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,529.34
Rate for Payer: SOMOS Essential	$3,529.34

PR THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX

Professional

Both

$5,015.85

Service Code	HCPCS 60521
Min. Negotiated Rate	$3,761.89
Max. Negotiated Rate	$3,761.89
Rate for Payer: Cash Price	$1,336.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,761.89
Rate for Payer: SOMOS Essential	$3,761.89

PR THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL

Professional

Both

$4,784.19

Service Code	HCPCS 60260
Min. Negotiated Rate	$3,588.14
Max. Negotiated Rate	$3,588.14
Rate for Payer: Cash Price	$1,284.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,588.14
Rate for Payer: SOMOS Essential	$3,588.14

PR THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH

Professional

Both

$4,648.39

Service Code	HCPCS 60271
Min. Negotiated Rate	$3,486.29
Max. Negotiated Rate	$3,486.29
Rate for Payer: Cash Price	$1,247.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,486.29
Rate for Payer: SOMOS Essential	$3,486.29

PR THYROIDECTOMY TOTAL/COMPLETE

Professional

Both

$4,056.12

Service Code	HCPCS 60240
Min. Negotiated Rate	$3,042.09
Max. Negotiated Rate	$3,042.09
Rate for Payer: Cash Price	$1,088.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,042.09
Rate for Payer: SOMOS Essential	$3,042.09

PR THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT

Professional

Both

$5,830.76

Service Code	HCPCS 60252
Min. Negotiated Rate	$4,373.07
Max. Negotiated Rate	$4,373.07
Rate for Payer: Cash Price	$1,561.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,373.07
Rate for Payer: SOMOS Essential	$4,373.07

PR THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT

Professional

Both

$7,325.19

Service Code	HCPCS 60254
Min. Negotiated Rate	$5,493.89
Max. Negotiated Rate	$5,493.89
Rate for Payer: Cash Price	$1,966.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,493.89
Rate for Payer: SOMOS Essential	$5,493.89

PR THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC

Professional

Both

$6,042.82

Service Code	HCPCS 60270
Min. Negotiated Rate	$4,532.12
Max. Negotiated Rate	$4,532.12
Rate for Payer: Cash Price	$1,612.70
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,532.12
Rate for Payer: SOMOS Essential	$4,532.12

PR TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT

Professional

Both

$4,719.37

Service Code	HCPCS 33745
Min. Negotiated Rate	$3,539.53
Max. Negotiated Rate	$3,539.53
Rate for Payer: Cash Price	$1,253.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,539.53
Rate for Payer: SOMOS Essential	$3,539.53

PR TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL

Professional

Both

$1,884.19

Service Code	HCPCS 33746
Min. Negotiated Rate	$1,413.14
Max. Negotiated Rate	$1,413.14
Rate for Payer: Cash Price	$500.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,413.14
Rate for Payer: SOMOS Essential	$1,413.14

Know your out-of-pocket cost for care.

All Charges