St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

PR VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR

Professional

Both

$2,867.27

Service Code	HCPCS 95715
Min. Negotiated Rate	$2,150.45
Max. Negotiated Rate	$2,150.45
Rate for Payer: SOMOS CHP/HARP/Medicaid	$2,150.45
Rate for Payer: SOMOS Essential	$2,150.45

PR VEEG BY TECH EA INCR 12-26 HR UNMONITORED

Professional

Both

$913.43

Service Code	HCPCS 95714
Min. Negotiated Rate	$685.07
Max. Negotiated Rate	$685.07
Rate for Payer: SOMOS CHP/HARP/Medicaid	$685.07
Rate for Payer: SOMOS Essential	$685.07

PR VEN CATHJ SLCTV ORGAN BLD SAMPLING

Professional

Both

$782.78

Service Code	HCPCS 36500
Min. Negotiated Rate	$587.08
Max. Negotiated Rate	$587.08
Rate for Payer: Cash Price	$209.51
Rate for Payer: SOMOS CHP/HARP/Medicaid	$587.08
Rate for Payer: SOMOS Essential	$587.08

PR VENIPUNCTURE CUTDOWN AGE 1 YR/>

Professional

Both

$167.13

Service Code	HCPCS 36425
Min. Negotiated Rate	$125.35
Max. Negotiated Rate	$125.35
Rate for Payer: Cash Price	$45.17
Rate for Payer: SOMOS CHP/HARP/Medicaid	$125.35
Rate for Payer: SOMOS Essential	$125.35

PR VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR

Professional

Both

$212.56

Service Code	HCPCS 36420
Min. Negotiated Rate	$159.42
Max. Negotiated Rate	$159.42
Rate for Payer: Cash Price	$56.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$159.42
Rate for Payer: SOMOS Essential	$159.42

PR VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC

Professional

Both

$9,989.00

Service Code	HCPCS 37160
Min. Negotiated Rate	$7,491.75
Max. Negotiated Rate	$7,491.75
Rate for Payer: Cash Price	$2,655.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,491.75
Rate for Payer: SOMOS Essential	$7,491.75

PR VENOUS ANASTOMOSIS OPEN PORTOCAVAL

Professional

Both

$10,482.68

Service Code	HCPCS 37140
Min. Negotiated Rate	$7,862.01
Max. Negotiated Rate	$7,862.01
Rate for Payer: Cash Price	$2,786.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,862.01
Rate for Payer: SOMOS Essential	$7,862.01

PR VENOUS ANASTOMOSIS OPEN RENOPORTAL

Professional

Both

$9,725.07

Service Code	HCPCS 37145
Min. Negotiated Rate	$7,293.80
Max. Negotiated Rate	$7,293.80
Rate for Payer: Cash Price	$2,585.95
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,293.80
Rate for Payer: SOMOS Essential	$7,293.80

PR VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL

Professional

Both

$10,482.68

Service Code	HCPCS 37181
Min. Negotiated Rate	$7,862.01
Max. Negotiated Rate	$7,862.01
Rate for Payer: Cash Price	$2,786.68
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,862.01
Rate for Payer: SOMOS Essential	$7,862.01

PR VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL

Professional

Both

$9,597.98

Service Code	HCPCS 37180
Min. Negotiated Rate	$7,198.48
Max. Negotiated Rate	$7,198.48
Rate for Payer: Cash Price	$2,552.91
Rate for Payer: SOMOS CHP/HARP/Medicaid	$7,198.48
Rate for Payer: SOMOS Essential	$7,198.48

PR VENOUS VALVE TRANSPOSITION ANY VEIN DONOR

Professional

Both

$4,544.23

Service Code	HCPCS 34510
Min. Negotiated Rate	$3,408.17
Max. Negotiated Rate	$3,408.17
Rate for Payer: Cash Price	$1,204.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$3,408.17
Rate for Payer: SOMOS Essential	$3,408.17

PR VENTILATING TUBE RMVL REQUIRING GENERAL ANES

Professional

Both

$256.03

Service Code	HCPCS 69424
Min. Negotiated Rate	$192.02
Max. Negotiated Rate	$192.02
Rate for Payer: Cash Price	$70.08
Rate for Payer: SOMOS CHP/HARP/Medicaid	$192.02
Rate for Payer: SOMOS Essential	$192.02

PR VENTILATION ASSIST & MGMT INPATIENT 1ST DAY

Professional

Both

$373.38

Service Code	HCPCS 94002
Min. Negotiated Rate	$280.04
Max. Negotiated Rate	$280.04
Rate for Payer: Cash Price	$101.02
Rate for Payer: SOMOS CHP/HARP/Medicaid	$280.04
Rate for Payer: SOMOS Essential	$280.04

PR VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA

Professional

Both

$260.61

Service Code	HCPCS 94003
Min. Negotiated Rate	$195.46
Max. Negotiated Rate	$195.46
Rate for Payer: Cash Price	$71.16
Rate for Payer: SOMOS CHP/HARP/Medicaid	$195.46
Rate for Payer: SOMOS Essential	$195.46

PR VENTILATION ASSIST & MGMT NURSING FAC PR DAY

Professional

Both

$193.13

Service Code	HCPCS 94004
Min. Negotiated Rate	$144.85
Max. Negotiated Rate	$144.85
Rate for Payer: Cash Price	$52.85
Rate for Payer: SOMOS CHP/HARP/Medicaid	$144.85
Rate for Payer: SOMOS Essential	$144.85

PR VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ

Professional

Both

$479.26

Service Code	HCPCS 61026
Min. Negotiated Rate	$359.44
Max. Negotiated Rate	$359.44
Rate for Payer: Cash Price	$133.30
Rate for Payer: SOMOS CHP/HARP/Medicaid	$359.44
Rate for Payer: SOMOS Essential	$359.44

PR VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX

Professional

Both

$500.61

Service Code	HCPCS 61020
Min. Negotiated Rate	$375.46
Max. Negotiated Rate	$375.46
Rate for Payer: Cash Price	$133.67
Rate for Payer: SOMOS CHP/HARP/Medicaid	$375.46
Rate for Payer: SOMOS Essential	$375.46

PR VENTRICULOCISTERNOSTOMY

Professional

Both

$7,720.97

Service Code	HCPCS 62180
Min. Negotiated Rate	$5,790.73
Max. Negotiated Rate	$5,790.73
Rate for Payer: Cash Price	$2,037.94
Rate for Payer: SOMOS CHP/HARP/Medicaid	$5,790.73
Rate for Payer: SOMOS Essential	$5,790.73

PR VENTRICULOCISTERNOSTOMY 3RD VENTRICLE

Professional

Both

$6,646.01

Service Code	HCPCS 62200
Min. Negotiated Rate	$4,984.51
Max. Negotiated Rate	$4,984.51
Rate for Payer: Cash Price	$1,753.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,984.51
Rate for Payer: SOMOS Essential	$4,984.51

PR VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC

Professional

Both

$5,849.03

Service Code	HCPCS 62201
Min. Negotiated Rate	$4,386.77
Max. Negotiated Rate	$4,386.77
Rate for Payer: Cash Price	$1,545.15
Rate for Payer: SOMOS CHP/HARP/Medicaid	$4,386.77
Rate for Payer: SOMOS Essential	$4,386.77

PR VENTRICULOMYOTOMY-MYECTOMY

Professional

Both

$8,961.47

Service Code	HCPCS 33416
Min. Negotiated Rate	$6,721.10
Max. Negotiated Rate	$6,721.10
Rate for Payer: Cash Price	$2,382.00
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,721.10
Rate for Payer: SOMOS Essential	$6,721.10

PR VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT

Professional

Both

$1,588.23

Service Code	HCPCS 40500
Min. Negotiated Rate	$1,191.17
Max. Negotiated Rate	$1,191.17
Rate for Payer: Cash Price	$435.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,191.17
Rate for Payer: SOMOS Essential	$1,191.17

PR VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG

Professional

Both

$10,671.22

Service Code	HCPCS 63102
Min. Negotiated Rate	$8,003.42
Max. Negotiated Rate	$8,003.42
Rate for Payer: Cash Price	$2,827.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,003.42
Rate for Payer: SOMOS Essential	$8,003.42

PR VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG

Professional

Both

$10,974.88

Service Code	HCPCS 63101
Min. Negotiated Rate	$8,231.16
Max. Negotiated Rate	$8,231.16
Rate for Payer: Cash Price	$2,903.84
Rate for Payer: SOMOS CHP/HARP/Medicaid	$8,231.16
Rate for Payer: SOMOS Essential	$8,231.16

PR VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG

Professional

Both

$8,199.98

Service Code	HCPCS 63081
Min. Negotiated Rate	$6,149.98
Max. Negotiated Rate	$6,149.98
Rate for Payer: Cash Price	$2,186.98
Rate for Payer: SOMOS CHP/HARP/Medicaid	$6,149.98
Rate for Payer: SOMOS Essential	$6,149.98

Know your out-of-pocket cost for care.

All Charges