St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION

Professional

Both

$10,750.60

Service Code	HCPCS 33464
Min. Negotiated Rate	$8,062.95
Max. Negotiated Rate	$8,062.95
Rate for Payer: Cash Price	$2,859.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,062.95
Rate for Payer: SOMOS Essential	$8,062.95

PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE

Professional

Both

$529.48

Service Code	HCPCS 90716
Min. Negotiated Rate	$397.11
Max. Negotiated Rate	$397.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$397.11
Rate for Payer: SOMOS Essential	$397.11

PR VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX

Professional

Both

$2,806.69

Service Code	HCPCS 37500
Min. Negotiated Rate	$2,105.02
Max. Negotiated Rate	$2,105.02
Rate for Payer: Cash Price	$745.37
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,105.02
Rate for Payer: SOMOS Essential	$2,105.02

PR VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I

Professional

Both

$2,008.58

Service Code	HCPCS 37242
Min. Negotiated Rate	$1,506.44
Max. Negotiated Rate	$1,506.44
Rate for Payer: Cash Price	$536.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,506.44
Rate for Payer: SOMOS Essential	$1,506.44

PR VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE

Professional

Both

$2,703.96

Service Code	HCPCS 37244
Min. Negotiated Rate	$2,027.97
Max. Negotiated Rate	$2,027.97
Rate for Payer: Cash Price	$727.39
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,027.97
Rate for Payer: SOMOS Essential	$2,027.97

PR VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I

Professional

Both

$1,806.56

Service Code	HCPCS 37241
Min. Negotiated Rate	$1,354.92
Max. Negotiated Rate	$1,354.92
Rate for Payer: Cash Price	$479.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,354.92
Rate for Payer: SOMOS Essential	$1,354.92

PR VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT

Professional

Both

$2,283.19

Service Code	HCPCS 37243
Min. Negotiated Rate	$1,712.39
Max. Negotiated Rate	$1,712.39
Rate for Payer: Cash Price	$615.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,712.39
Rate for Payer: SOMOS Essential	$1,712.39

PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS

Professional

Both

$967.09

Service Code	HCPCS 55250
Min. Negotiated Rate	$725.32
Max. Negotiated Rate	$725.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$725.32
Rate for Payer: SOMOS Essential	$725.32

PR VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX

Professional

Both

$1,170.30

Service Code	HCPCS 55200
Min. Negotiated Rate	$877.72
Max. Negotiated Rate	$877.72
Rate for Payer: Cash Price	$321.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$877.72
Rate for Payer: SOMOS Essential	$877.72

PR VASOTOMY VASOGRAMS UNI/BI

Professional

Both

$774.66

Service Code	HCPCS 55300
Min. Negotiated Rate	$581.00
Max. Negotiated Rate	$581.00
Rate for Payer: Cash Price	$210.81
Rate for Payer: SOMOS CHP/HARP/Medicaid	$581.00
Rate for Payer: SOMOS Essential	$581.00

PR VASOVASOSTOMY VASOVASORRHAPHY

Professional

Both

$2,097.80

Service Code	HCPCS 55400
Min. Negotiated Rate	$1,573.35
Max. Negotiated Rate	$1,573.35
Rate for Payer: Cash Price	$576.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,573.35
Rate for Payer: SOMOS Essential	$1,573.35

PR VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG

Professional

Both

$1,376.83

Service Code	HCPCS 63103
Min. Negotiated Rate	$1,032.62
Max. Negotiated Rate	$1,032.62
Rate for Payer: Cash Price	$360.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,032.62
Rate for Payer: SOMOS Essential	$1,032.62

PR VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR

Professional

Both

$11,622.91

Service Code	HCPCS 63307
Min. Negotiated Rate	$8,717.18
Max. Negotiated Rate	$8,717.18
Rate for Payer: Cash Price	$3,059.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,717.18
Rate for Payer: SOMOS Essential	$8,717.18

PR VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR

Professional

Both

$11,183.69

Service Code	HCPCS 63303
Min. Negotiated Rate	$8,387.77
Max. Negotiated Rate	$8,387.77
Rate for Payer: Cash Price	$2,944.18
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,387.77
Rate for Payer: SOMOS Essential	$8,387.77

PR VCRPEC LES 1 SEG XDRL THRC THORACOLMBR

Professional

Both

$10,521.63

Service Code	HCPCS 63302
Min. Negotiated Rate	$7,891.22
Max. Negotiated Rate	$7,891.22
Rate for Payer: Cash Price	$2,774.34
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,891.22
Rate for Payer: SOMOS Essential	$7,891.22

PR VCRPEC LES 1 SGM XDRL CERVICAL

Professional

Both

$8,526.46

Service Code	HCPCS 63300
Min. Negotiated Rate	$6,394.84
Max. Negotiated Rate	$6,394.84
Rate for Payer: Cash Price	$2,253.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,394.84
Rate for Payer: SOMOS Essential	$6,394.84

PR VCRPEC LES 1 SGM XDRL THORACIC TTHRC

Professional

Both

$10,654.98

Service Code	HCPCS 63301
Min. Negotiated Rate	$7,991.24
Max. Negotiated Rate	$7,991.24
Rate for Payer: Cash Price	$2,808.10
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,991.24
Rate for Payer: SOMOS Essential	$7,991.24

PR VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG

Professional

Both

$11,208.23

Service Code	HCPCS 63087
Min. Negotiated Rate	$8,406.17
Max. Negotiated Rate	$8,406.17
Rate for Payer: Cash Price	$2,989.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,406.17
Rate for Payer: SOMOS Essential	$8,406.17

PR VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG

Professional

Both

$1,202.15

Service Code	HCPCS 63088
Min. Negotiated Rate	$901.61
Max. Negotiated Rate	$901.61
Rate for Payer: Cash Price	$318.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$901.61
Rate for Payer: SOMOS Essential	$901.61

PR VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG

Professional

Both

$8,868.41

Service Code	HCPCS 63090
Min. Negotiated Rate	$6,651.31
Max. Negotiated Rate	$6,651.31
Rate for Payer: Cash Price	$2,364.70
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,651.31
Rate for Payer: SOMOS Essential	$6,651.31

PR VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG

Professional

Both

$799.65

Service Code	HCPCS 63091
Min. Negotiated Rate	$599.74
Max. Negotiated Rate	$599.74
Rate for Payer: Cash Price	$210.73
Rate for Payer: SOMOS CHP/HARP/Medicaid	$599.74
Rate for Payer: SOMOS Essential	$599.74

PR VEEG BY TECH 2-12 HOURS UNMONITORED

Professional

Both

$600.88

Service Code	HCPCS 95711
Min. Negotiated Rate	$450.66
Max. Negotiated Rate	$450.66
Rate for Payer: SOMOS CHP/HARP/Medicaid	$450.66
Rate for Payer: SOMOS Essential	$450.66

PR VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING

Professional

Both

$2,603.62

Service Code	HCPCS 95713
Min. Negotiated Rate	$1,952.72
Max. Negotiated Rate	$1,952.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,952.72
Rate for Payer: SOMOS Essential	$1,952.72

PR VEEG BY TECH 2-12 HR INTERMITTENT MONITORING

Professional

Both

$1,747.41

Service Code	HCPCS 95712
Min. Negotiated Rate	$1,310.56
Max. Negotiated Rate	$1,310.56
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,310.56
Rate for Payer: SOMOS Essential	$1,310.56

PR VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR

Professional

Both

$3,767.93

Service Code	HCPCS 95716
Min. Negotiated Rate	$2,825.95
Max. Negotiated Rate	$2,825.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,825.95
Rate for Payer: SOMOS Essential	$2,825.95

Know your out-of-pocket cost for care.

All Charges