St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1

Professional

Both

$14,448.91

Service Code	HCPCS 26553
Min. Negotiated Rate	$10,836.68
Max. Negotiated Rate	$10,836.68
Rate for Payer: Cash Price	$3,877.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$10,836.68
Rate for Payer: SOMOS Essential	$10,836.68

PR TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2

Professional

Both

$16,817.96

Service Code	HCPCS 26554
Min. Negotiated Rate	$12,613.47
Max. Negotiated Rate	$12,613.47
Rate for Payer: Cash Price	$4,511.38
Rate for Payer: SOMOS CHP/HARP/Medicaid	$12,613.47
Rate for Payer: SOMOS Essential	$12,613.47

PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP

Professional

Both

$3,237.78

Service Code	HCPCS 27691
Min. Negotiated Rate	$2,428.34
Max. Negotiated Rate	$2,428.34
Rate for Payer: Cash Price	$879.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,428.34
Rate for Payer: SOMOS Essential	$2,428.34

PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN

Professional

Both

$431.31

Service Code	HCPCS 27692
Min. Negotiated Rate	$323.48
Max. Negotiated Rate	$323.48
Rate for Payer: Cash Price	$118.47
Rate for Payer: SOMOS CHP/HARP/Medicaid	$323.48
Rate for Payer: SOMOS Essential	$323.48

PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC

Professional

Both

$2,754.57

Service Code	HCPCS 27690
Min. Negotiated Rate	$2,065.93
Max. Negotiated Rate	$2,065.93
Rate for Payer: Cash Price	$750.12
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,065.93
Rate for Payer: SOMOS Essential	$2,065.93

PR TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN

Professional

Both

$3,474.45

Service Code	HCPCS 26480
Min. Negotiated Rate	$2,605.84
Max. Negotiated Rate	$2,605.84
Rate for Payer: Cash Price	$937.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,605.84
Rate for Payer: SOMOS Essential	$2,605.84

PR TRURL DRAINAGE PROSTATIC ABSCESS

Professional

Both

$1,861.41

Service Code	HCPCS 52700
Min. Negotiated Rate	$1,396.06
Max. Negotiated Rate	$1,396.06
Rate for Payer: Cash Price	$510.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,396.06
Rate for Payer: SOMOS Essential	$1,396.06

PR TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY

Professional

Both

$1,603.98

Service Code	HCPCS 53854
Min. Negotiated Rate	$1,202.98
Max. Negotiated Rate	$1,202.98
Rate for Payer: Cash Price	$441.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,202.98
Rate for Payer: SOMOS Essential	$1,202.98

PR TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH

Professional

Both

$1,497.83

Service Code	HCPCS 53850
Min. Negotiated Rate	$1,123.37
Max. Negotiated Rate	$1,123.37
Rate for Payer: Cash Price	$412.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,123.37
Rate for Payer: SOMOS Essential	$1,123.37

PR TRURL DSTRJ PRSTATE TISS RF THERMOTH

Professional

Both

$1,606.71

Service Code	HCPCS 53852
Min. Negotiated Rate	$1,205.03
Max. Negotiated Rate	$1,205.03
Rate for Payer: Cash Price	$441.87
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,205.03
Rate for Payer: SOMOS Essential	$1,205.03

PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE

Professional

Both

$3,043.99

Service Code	HCPCS 52601
Min. Negotiated Rate	$2,282.99
Max. Negotiated Rate	$2,282.99
Rate for Payer: Cash Price	$833.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,282.99
Rate for Payer: SOMOS Essential	$2,282.99

PR TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE

Professional

Both

$1,360.94

Service Code	HCPCS 52640
Min. Negotiated Rate	$1,020.70
Max. Negotiated Rate	$1,020.70
Rate for Payer: Cash Price	$375.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,020.70
Rate for Payer: SOMOS Essential	$1,020.70

PR TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS

Professional

Both

$1,706.53

Service Code	HCPCS 52630
Min. Negotiated Rate	$1,279.90
Max. Negotiated Rate	$1,279.90
Rate for Payer: Cash Price	$468.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,279.90
Rate for Payer: SOMOS Essential	$1,279.90

PR TRURL RF FEMALE BLADDER NECK STRS URIN INCONT

Professional

Both

$930.58

Service Code	HCPCS 53860
Min. Negotiated Rate	$697.94
Max. Negotiated Rate	$697.94
Rate for Payer: Cash Price	$255.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$697.94
Rate for Payer: SOMOS Essential	$697.94

PR TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF

Professional

Both

$3,684.03

Service Code	HCPCS 27100
Min. Negotiated Rate	$2,763.02
Max. Negotiated Rate	$2,763.02
Rate for Payer: Cash Price	$995.04
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,763.02
Rate for Payer: SOMOS Essential	$2,763.02

PR TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP

Professional

Both

$188.16

Service Code	HCPCS 95921 TC
Min. Negotiated Rate	$141.12
Max. Negotiated Rate	$141.12
Rate for Payer: Cash Price	$52.49
Rate for Payer: SOMOS CHP/HARP/Medicaid	$141.12
Rate for Payer: SOMOS Essential	$141.12

PR TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP

Professional

Both

$365.02

Service Code	HCPCS 95921
Min. Negotiated Rate	$273.76
Max. Negotiated Rate	$273.76
Rate for Payer: Cash Price	$100.29
Rate for Payer: SOMOS CHP/HARP/Medicaid	$273.76
Rate for Payer: SOMOS Essential	$273.76

PR TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP

Professional

Both

$176.86

Service Code	HCPCS 95921 26
Min. Negotiated Rate	$132.64
Max. Negotiated Rate	$132.64
Rate for Payer: Cash Price	$47.80
Rate for Payer: SOMOS CHP/HARP/Medicaid	$132.64
Rate for Payer: SOMOS Essential	$132.64

PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT

Professional

Both

$348.99

Service Code	HCPCS 95924 26
Min. Negotiated Rate	$261.74
Max. Negotiated Rate	$261.74
Rate for Payer: Cash Price	$94.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$261.74
Rate for Payer: SOMOS Essential	$261.74

PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT

Professional

Both

$285.78

Service Code	HCPCS 95924 TC
Min. Negotiated Rate	$214.34
Max. Negotiated Rate	$214.34
Rate for Payer: Cash Price	$78.27
Rate for Payer: SOMOS CHP/HARP/Medicaid	$214.34
Rate for Payer: SOMOS Essential	$214.34

PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT

Professional

Both

$634.76

Service Code	HCPCS 95924
Min. Negotiated Rate	$476.07
Max. Negotiated Rate	$476.07
Rate for Payer: Cash Price	$172.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$476.07
Rate for Payer: SOMOS Essential	$476.07

PR TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ

Professional

Both

$223.97

Service Code	HCPCS 95922 TC
Min. Negotiated Rate	$167.98
Max. Negotiated Rate	$167.98
Rate for Payer: Cash Price	$59.01
Rate for Payer: SOMOS CHP/HARP/Medicaid	$167.98
Rate for Payer: SOMOS Essential	$167.98

PR TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ

Professional

Both

$181.51

Service Code	HCPCS 95922 26
Min. Negotiated Rate	$136.13
Max. Negotiated Rate	$136.13
Rate for Payer: Cash Price	$49.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$136.13
Rate for Payer: SOMOS Essential	$136.13

PR TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ

Professional

Both

$405.48

Service Code	HCPCS 95922
Min. Negotiated Rate	$304.11
Max. Negotiated Rate	$304.11
Rate for Payer: Cash Price	$108.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$304.11
Rate for Payer: SOMOS Essential	$304.11

PR TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER

Professional

Both

$656.39

Service Code	HCPCS 31730
Min. Negotiated Rate	$492.29
Max. Negotiated Rate	$492.29
Rate for Payer: Cash Price	$173.40
Rate for Payer: SOMOS CHP/HARP/Medicaid	$492.29
Rate for Payer: SOMOS Essential	$492.29

Know your out-of-pocket cost for care.

All Charges