St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US

Professional

Both

$4,090.42

Service Code	HCPCS 55880
Min. Negotiated Rate	$3,067.82
Max. Negotiated Rate	$3,067.82
Rate for Payer: Cash Price	$1,119.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,067.82
Rate for Payer: SOMOS Essential	$3,067.82

PR TRANSRECTAL DRAINAGE OF PELVIC ABSCESS

Professional

Both

$1,882.44

Service Code	HCPCS 45000
Min. Negotiated Rate	$1,411.83
Max. Negotiated Rate	$1,411.83
Rate for Payer: Cash Price	$508.23
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,411.83
Rate for Payer: SOMOS Essential	$1,411.83

PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL

Professional

Both

$55.93

Service Code	HCPCS 93293 26
Min. Negotiated Rate	$41.95
Max. Negotiated Rate	$41.95
Rate for Payer: Cash Price	$15.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$41.95
Rate for Payer: SOMOS Essential	$41.95

PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL

Professional

Both

$136.43

Service Code	HCPCS 93293 TC
Min. Negotiated Rate	$102.32
Max. Negotiated Rate	$102.32
Rate for Payer: Cash Price	$35.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$102.32
Rate for Payer: SOMOS Essential	$102.32

PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL

Professional

Both

$192.36

Service Code	HCPCS 93293
Min. Negotiated Rate	$144.27
Max. Negotiated Rate	$144.27
Rate for Payer: Cash Price	$50.96
Rate for Payer: SOMOS CHP/HARP/Medicaid	$144.27
Rate for Payer: SOMOS Essential	$144.27

PR TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV

Professional

Both

$10,753.12

Service Code	HCPCS 61595
Min. Negotiated Rate	$8,064.84
Max. Negotiated Rate	$8,064.84
Rate for Payer: Cash Price	$2,887.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,064.84
Rate for Payer: SOMOS Essential	$8,064.84

PR TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT

Professional

Both

$4,133.22

Service Code	HCPCS 33621
Min. Negotiated Rate	$3,099.92
Max. Negotiated Rate	$3,099.92
Rate for Payer: Cash Price	$1,101.14
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,099.92
Rate for Payer: SOMOS Essential	$3,099.92

PR TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR

Professional

Both

$4,803.58

Service Code	HCPCS 50770
Min. Negotiated Rate	$3,602.68
Max. Negotiated Rate	$3,602.68
Rate for Payer: Cash Price	$1,313.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,602.68
Rate for Payer: SOMOS Essential	$3,602.68

PR TRANSURETHRAL INCISION PROSTATE

Professional

Both

$1,991.05

Service Code	HCPCS 52450
Min. Negotiated Rate	$1,493.29
Max. Negotiated Rate	$1,493.29
Rate for Payer: Cash Price	$548.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,493.29
Rate for Payer: SOMOS Essential	$1,493.29

PR TRANSURETHRAL RESECTION BLADDER NECK

Professional

Both

$2,069.80

Service Code	HCPCS 52500
Min. Negotiated Rate	$1,552.35
Max. Negotiated Rate	$1,552.35
Rate for Payer: Cash Price	$569.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,552.35
Rate for Payer: SOMOS Essential	$1,552.35

PR TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL

Professional

Both

$3,290.56

Service Code	HCPCS 0421T
Min. Negotiated Rate	$2,467.92
Max. Negotiated Rate	$2,467.92
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,467.92
Rate for Payer: SOMOS Essential	$2,467.92

PR TRANSVESICAL URETROLITHOTOMY

Professional

Both

$2,450.14

Service Code	HCPCS 51060
Min. Negotiated Rate	$1,837.60
Max. Negotiated Rate	$1,837.60
Rate for Payer: Cash Price	$671.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,837.60
Rate for Payer: SOMOS Essential	$1,837.60

PR TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA

Professional

Both

$14,400.26

Service Code	HCPCS 33871
Min. Negotiated Rate	$10,800.20
Max. Negotiated Rate	$10,800.20
Rate for Payer: Cash Price	$3,820.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$10,800.20
Rate for Payer: SOMOS Essential	$10,800.20

PR TREATMENT CLOSED ELBOW DISLOCATION REQ ANES

Professional

Both

$2,134.09

Service Code	HCPCS 24605
Min. Negotiated Rate	$1,600.57
Max. Negotiated Rate	$1,600.57
Rate for Payer: Cash Price	$581.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,600.57
Rate for Payer: SOMOS Essential	$1,600.57

PR TREATMENT CLOSED ELBOW DISLOCATION W/O ANES

Professional

Both

$1,545.53

Service Code	HCPCS 24600
Min. Negotiated Rate	$1,159.15
Max. Negotiated Rate	$1,159.15
Rate for Payer: Cash Price	$420.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,159.15
Rate for Payer: SOMOS Essential	$1,159.15

PR TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION

Professional

Both

$1,245.06

Service Code	HCPCS 67228
Min. Negotiated Rate	$933.80
Max. Negotiated Rate	$933.80
Rate for Payer: Cash Price	$341.59
Rate for Payer: SOMOS CHP/HARP/Medicaid	$933.80
Rate for Payer: SOMOS Essential	$933.80

PR TR FNGR AXH POS W/O MVASC ANAST

Professional

Both

$6,156.71

Service Code	HCPCS 26555
Min. Negotiated Rate	$4,617.53
Max. Negotiated Rate	$4,617.53
Rate for Payer: Cash Price	$1,653.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,617.53
Rate for Payer: SOMOS Essential	$4,617.53

PR TRIAMCINOLONE ACETONIDE INJ

Professional

Both

$30.31

Service Code	HCPCS J3301
Min. Negotiated Rate	$22.73
Max. Negotiated Rate	$22.73
Rate for Payer: Cash Price	$1.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22.73
Rate for Payer: SOMOS Essential	$22.73

PR TRICUSPID VALVE RPSG&PLCTJ EBSTEIN ANOMALY

Professional

Both

$10,902.22

Service Code	HCPCS 33468
Min. Negotiated Rate	$8,176.66
Max. Negotiated Rate	$8,176.66
Rate for Payer: Cash Price	$2,892.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,176.66
Rate for Payer: SOMOS Essential	$8,176.66

PR TRIMMING NONDYSTROPHIC NAILS ANY NUMBER

Professional

Both

$29.79

Service Code	HCPCS 11719
Min. Negotiated Rate	$22.34
Max. Negotiated Rate	$22.34
Rate for Payer: Cash Price	$8.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22.34
Rate for Payer: SOMOS Essential	$22.34

PR TRIM NAIL(S)

Professional

Both

$29.79

Service Code	HCPCS G0127
Min. Negotiated Rate	$22.34
Max. Negotiated Rate	$22.34
Rate for Payer: Cash Price	$8.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$22.34
Rate for Payer: SOMOS Essential	$22.34

PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART

Professional

Both

$1,488.87

Service Code	HCPCS 37246
Min. Negotiated Rate	$1,116.65
Max. Negotiated Rate	$1,116.65
Rate for Payer: Cash Price	$397.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,116.65
Rate for Payer: SOMOS Essential	$1,116.65

PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART

Professional

Both

$747.64

Service Code	HCPCS 37247
Min. Negotiated Rate	$560.73
Max. Negotiated Rate	$560.73
Rate for Payer: Cash Price	$198.79
Rate for Payer: SOMOS CHP/HARP/Medicaid	$560.73
Rate for Payer: SOMOS Essential	$560.73

PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN

Professional

Both

$1,239.95

Service Code	HCPCS 37248
Min. Negotiated Rate	$929.96
Max. Negotiated Rate	$929.96
Rate for Payer: Cash Price	$334.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$929.96
Rate for Payer: SOMOS Essential	$929.96

PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN

Professional

Both

$619.36

Service Code	HCPCS 37249
Min. Negotiated Rate	$464.52
Max. Negotiated Rate	$464.52
Rate for Payer: Cash Price	$165.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$464.52
Rate for Payer: SOMOS Essential	$464.52

Know your out-of-pocket cost for care.

All Charges