St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL

Professional

Both

$1,398.92

Service Code	HCPCS 31603
Min. Negotiated Rate	$1,049.19
Max. Negotiated Rate	$1,049.19
Rate for Payer: Cash Price	$373.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,049.19
Rate for Payer: SOMOS Essential	$1,049.19

PR TRACHEOSTOMY FENESTRATION W/SKIN FLAPS

Professional

Both

$4,163.08

Service Code	HCPCS 31610
Min. Negotiated Rate	$3,122.31
Max. Negotiated Rate	$3,122.31
Rate for Payer: Cash Price	$1,121.82
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,122.31
Rate for Payer: SOMOS Essential	$3,122.31

PR TRACHEOSTOMY PLANNED SEPARATE PROCEDURE

Professional

Both

$1,337.18

Service Code	HCPCS 31600
Min. Negotiated Rate	$1,002.88
Max. Negotiated Rate	$1,002.88
Rate for Payer: Cash Price	$356.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,002.88
Rate for Payer: SOMOS Essential	$1,002.88

PR TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX

Professional

Both

$1,920.66

Service Code	HCPCS 31601
Min. Negotiated Rate	$1,440.50
Max. Negotiated Rate	$1,440.50
Rate for Payer: Cash Price	$519.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,440.50
Rate for Payer: SOMOS Essential	$1,440.50

PR TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT

Professional

Both

$150.47

Service Code	HCPCS 31502
Min. Negotiated Rate	$112.85
Max. Negotiated Rate	$112.85
Rate for Payer: Cash Price	$40.09
Rate for Payer: SOMOS CHP/HARP/Medicaid	$112.85
Rate for Payer: SOMOS Essential	$112.85

PR TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE

Professional

Both

$1,429.58

Service Code	HCPCS 59070
Min. Negotiated Rate	$1,072.18
Max. Negotiated Rate	$1,072.18
Rate for Payer: Cash Price	$377.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,072.18
Rate for Payer: SOMOS Essential	$1,072.18

PR TRANSCATHETER BIOPSY

Professional

Both

$873.99

Service Code	HCPCS 37200
Min. Negotiated Rate	$655.49
Max. Negotiated Rate	$655.49
Rate for Payer: Cash Price	$235.62
Rate for Payer: SOMOS CHP/HARP/Medicaid	$655.49
Rate for Payer: SOMOS Essential	$655.49

PR TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I

Professional

Both

$2,897.30

Service Code	HCPCS 34712
Min. Negotiated Rate	$2,172.98
Max. Negotiated Rate	$2,172.98
Rate for Payer: Cash Price	$767.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,172.98
Rate for Payer: SOMOS Essential	$2,172.98

PR TRANSCATHETER PLACEMENT&SBSQ REMOVAL CEPD PERQ

Professional

Both

$589.96

Service Code	HCPCS 33370
Min. Negotiated Rate	$442.47
Max. Negotiated Rate	$442.47
Rate for Payer: Cash Price	$155.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$442.47
Rate for Payer: SOMOS Essential	$442.47

PR TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE

Professional

Both

$6,928.08

Service Code	HCPCS 33366
Min. Negotiated Rate	$5,196.06
Max. Negotiated Rate	$5,196.06
Rate for Payer: Cash Price	$1,832.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,196.06
Rate for Payer: SOMOS Essential	$5,196.06

PR TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING

Professional

Both

$1,263.54

Service Code	HCPCS 58345
Min. Negotiated Rate	$947.66
Max. Negotiated Rate	$947.66
Rate for Payer: Cash Price	$340.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$947.66
Rate for Payer: SOMOS Essential	$947.66

PR TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART

Professional

Both

$10,511.59

Service Code	HCPCS 61596
Min. Negotiated Rate	$7,883.69
Max. Negotiated Rate	$7,883.69
Rate for Payer: Cash Price	$2,831.89
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,883.69
Rate for Payer: SOMOS Essential	$7,883.69

PR TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ

Professional

Both

$696.22

Service Code	HCPCS 93893
Min. Negotiated Rate	$522.16
Max. Negotiated Rate	$522.16
Rate for Payer: Cash Price	$472.76
Rate for Payer: SOMOS CHP/HARP/Medicaid	$522.16
Rate for Payer: SOMOS Essential	$522.16

PR TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ

Professional

Both

$242.10

Service Code	HCPCS 93893 26
Min. Negotiated Rate	$181.58
Max. Negotiated Rate	$181.58
Rate for Payer: Cash Price	$65.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$181.58
Rate for Payer: SOMOS Essential	$181.58

PR TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ

Professional

Both

$454.13

Service Code	HCPCS 93893 TC
Min. Negotiated Rate	$340.60
Max. Negotiated Rate	$340.60
Rate for Payer: Cash Price	$406.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$340.60
Rate for Payer: SOMOS Essential	$340.60

PR TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT

Professional

Both

$456.86

Service Code	HCPCS 93892 TC
Min. Negotiated Rate	$342.64
Max. Negotiated Rate	$342.64
Rate for Payer: Cash Price	$318.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$342.64
Rate for Payer: SOMOS Essential	$342.64

PR TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT

Professional

Both

$235.20

Service Code	HCPCS 93892 26
Min. Negotiated Rate	$176.40
Max. Negotiated Rate	$176.40
Rate for Payer: Cash Price	$64.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$176.40
Rate for Payer: SOMOS Essential	$176.40

PR TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT

Professional

Both

$692.06

Service Code	HCPCS 93892
Min. Negotiated Rate	$519.04
Max. Negotiated Rate	$519.04
Rate for Payer: Cash Price	$383.10
Rate for Payer: SOMOS CHP/HARP/Medicaid	$519.04
Rate for Payer: SOMOS Essential	$519.04

PR TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY

Professional

Both

$988.44

Service Code	HCPCS 93890 TC
Min. Negotiated Rate	$741.33
Max. Negotiated Rate	$741.33
Rate for Payer: Cash Price	$276.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$741.33
Rate for Payer: SOMOS Essential	$741.33

PR TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY

Professional

Both

$1,187.90

Service Code	HCPCS 93890
Min. Negotiated Rate	$890.92
Max. Negotiated Rate	$890.92
Rate for Payer: Cash Price	$332.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$890.92
Rate for Payer: SOMOS Essential	$890.92

PR TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY

Professional

Both

$199.43

Service Code	HCPCS 93890 26
Min. Negotiated Rate	$149.57
Max. Negotiated Rate	$149.57
Rate for Payer: Cash Price	$55.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$149.57
Rate for Payer: SOMOS Essential	$149.57

PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL

Professional

Both

$975.52

Service Code	HCPCS 93886 TC
Min. Negotiated Rate	$731.64
Max. Negotiated Rate	$731.64
Rate for Payer: Cash Price	$270.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$731.64
Rate for Payer: SOMOS Essential	$731.64

PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL

Professional

Both

$1,156.47

Service Code	HCPCS 93886
Min. Negotiated Rate	$867.35
Max. Negotiated Rate	$867.35
Rate for Payer: Cash Price	$321.22
Rate for Payer: SOMOS CHP/HARP/Medicaid	$867.35
Rate for Payer: SOMOS Essential	$867.35

PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL

Professional

Both

$180.99

Service Code	HCPCS 93886 26
Min. Negotiated Rate	$135.74
Max. Negotiated Rate	$135.74
Rate for Payer: Cash Price	$50.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$135.74
Rate for Payer: SOMOS Essential	$135.74

PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD

Professional

Both

$102.31

Service Code	HCPCS 93888 26
Min. Negotiated Rate	$76.73
Max. Negotiated Rate	$76.73
Rate for Payer: Cash Price	$27.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$76.73
Rate for Payer: SOMOS Essential	$76.73

Know your out-of-pocket cost for care.

All Charges