St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CHG BONE &/JOINT IMAGING LIMITED AREA

Professional

Both

$791.49

Service Code	HCPCS 78300 TC
Min. Negotiated Rate	$593.62
Max. Negotiated Rate	$593.62
Rate for Payer: Cash Price	$210.52
Rate for Payer: SOMOS CHP/HARP/Medicaid	$593.62
Rate for Payer: SOMOS Essential	$593.62

CHG BONE &/JOINT IMAGING LIMITED AREA

Professional

Both

$120.23

Service Code	HCPCS 78300 26
Min. Negotiated Rate	$90.17
Max. Negotiated Rate	$90.17
Rate for Payer: Cash Price	$31.75
Rate for Payer: SOMOS CHP/HARP/Medicaid	$90.17
Rate for Payer: SOMOS Essential	$90.17

CHG BONE &/JOINT IMAGING MULTIPLE AREAS

Professional

Both

$1,104.78

Service Code	HCPCS 78305
Min. Negotiated Rate	$828.59
Max. Negotiated Rate	$828.59
Rate for Payer: Cash Price	$292.11
Rate for Payer: SOMOS CHP/HARP/Medicaid	$828.59
Rate for Payer: SOMOS Essential	$828.59

CHG BONE &/JOINT IMAGING MULTIPLE AREAS

Professional

Both

$948.19

Service Code	HCPCS 78305 TC
Min. Negotiated Rate	$711.14
Max. Negotiated Rate	$711.14
Rate for Payer: Cash Price	$250.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$711.14
Rate for Payer: SOMOS Essential	$711.14

CHG BONE &/JOINT IMAGING MULTIPLE AREAS

Professional

Both

$156.59

Service Code	HCPCS 78305 26
Min. Negotiated Rate	$117.44
Max. Negotiated Rate	$117.44
Rate for Payer: Cash Price	$42.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$117.44
Rate for Payer: SOMOS Essential	$117.44

CHG BONE &/JOINT IMAGING WHOLE BODY

Professional

Both

$160.34

Service Code	HCPCS 78306 26
Min. Negotiated Rate	$120.25
Max. Negotiated Rate	$120.25
Rate for Payer: Cash Price	$43.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$120.25
Rate for Payer: SOMOS Essential	$120.25

CHG BONE &/JOINT IMAGING WHOLE BODY

Professional

Both

$1,180.41

Service Code	HCPCS 78306
Min. Negotiated Rate	$885.31
Max. Negotiated Rate	$885.31
Rate for Payer: Cash Price	$315.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$885.31
Rate for Payer: SOMOS Essential	$885.31

CHG BONE &/JOINT IMAGING WHOLE BODY

Professional

Both

$1,020.08

Service Code	HCPCS 78306 TC
Min. Negotiated Rate	$765.06
Max. Negotiated Rate	$765.06
Rate for Payer: Cash Price	$272.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$765.06
Rate for Payer: SOMOS Essential	$765.06

CHG BONE LENGTH STUDIES

Professional

Both

$193.13

Service Code	HCPCS 77073
Min. Negotiated Rate	$144.85
Max. Negotiated Rate	$144.85
Rate for Payer: Cash Price	$52.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$144.85
Rate for Payer: SOMOS Essential	$144.85

CHG BONE LENGTH STUDIES

Professional

Both

$139.30

Service Code	HCPCS 77073 TC
Min. Negotiated Rate	$104.47
Max. Negotiated Rate	$104.47
Rate for Payer: Cash Price	$38.35
Rate for Payer: SOMOS CHP/HARP/Medicaid	$104.47
Rate for Payer: SOMOS Essential	$104.47

CHG BONE LENGTH STUDIES

Professional

Both

$53.87

Service Code	HCPCS 77073 26
Min. Negotiated Rate	$40.40
Max. Negotiated Rate	$40.40
Rate for Payer: Cash Price	$14.64
Rate for Payer: SOMOS CHP/HARP/Medicaid	$40.40
Rate for Payer: SOMOS Essential	$40.40

CHG BONE MARROW BLOOD SUPPLY

Professional

Both

$997.08

Service Code	HCPCS 77084 TC
Min. Negotiated Rate	$747.81
Max. Negotiated Rate	$747.81
Rate for Payer: Cash Price	$296.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$747.81
Rate for Payer: SOMOS Essential	$747.81

CHG BONE MARROW BLOOD SUPPLY

Professional

Both

$1,304.17

Service Code	HCPCS 77084
Min. Negotiated Rate	$978.13
Max. Negotiated Rate	$978.13
Rate for Payer: Cash Price	$379.77
Rate for Payer: SOMOS CHP/HARP/Medicaid	$978.13
Rate for Payer: SOMOS Essential	$978.13

CHG BONE MARROW BLOOD SUPPLY

Professional

Both

$307.09

Service Code	HCPCS 77084 26
Min. Negotiated Rate	$230.32
Max. Negotiated Rate	$230.32
Rate for Payer: Cash Price	$83.20
Rate for Payer: SOMOS CHP/HARP/Medicaid	$230.32
Rate for Payer: SOMOS Essential	$230.32

CHG BONE MARROW IMAGING LIMITED AREA

Professional

Both

$696.26

Service Code	HCPCS 78102
Min. Negotiated Rate	$522.20
Max. Negotiated Rate	$522.20
Rate for Payer: Cash Price	$187.97
Rate for Payer: SOMOS CHP/HARP/Medicaid	$522.20
Rate for Payer: SOMOS Essential	$522.20

CHG BONE MARROW IMAGING LIMITED AREA

Professional

Both

$98.81

Service Code	HCPCS 78102 26
Min. Negotiated Rate	$74.11
Max. Negotiated Rate	$74.11
Rate for Payer: Cash Price	$26.72
Rate for Payer: SOMOS CHP/HARP/Medicaid	$74.11
Rate for Payer: SOMOS Essential	$74.11

CHG BONE MARROW IMAGING LIMITED AREA

Professional

Both

$597.45

Service Code	HCPCS 78102 TC
Min. Negotiated Rate	$448.09
Max. Negotiated Rate	$448.09
Rate for Payer: Cash Price	$161.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$448.09
Rate for Payer: SOMOS Essential	$448.09

CHG BONE MARROW IMAGING MULTIPLE AREAS

Professional

Both

$629.06

Service Code	HCPCS 78103 TC
Min. Negotiated Rate	$471.80
Max. Negotiated Rate	$471.80
Rate for Payer: Cash Price	$167.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$471.80
Rate for Payer: SOMOS Essential	$471.80

CHG BONE MARROW IMAGING MULTIPLE AREAS

Professional

Both

$742.98

Service Code	HCPCS 78103
Min. Negotiated Rate	$557.24
Max. Negotiated Rate	$557.24
Rate for Payer: Cash Price	$199.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$557.24
Rate for Payer: SOMOS Essential	$557.24

CHG BONE MARROW IMAGING MULTIPLE AREAS

Professional

Both

$113.93

Service Code	HCPCS 78103 26
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Cash Price	$31.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$85.45
Rate for Payer: SOMOS Essential	$85.45

CHG BONE MARROW IMAGING WHOLE BODY

Professional

Both

$856.21

Service Code	HCPCS 78104 TC
Min. Negotiated Rate	$642.16
Max. Negotiated Rate	$642.16
Rate for Payer: Cash Price	$229.46
Rate for Payer: SOMOS CHP/HARP/Medicaid	$642.16
Rate for Payer: SOMOS Essential	$642.16

CHG BONE MARROW IMAGING WHOLE BODY

Professional

Both

$1,004.71

Service Code	HCPCS 78104
Min. Negotiated Rate	$753.53
Max. Negotiated Rate	$753.53
Rate for Payer: Cash Price	$269.06
Rate for Payer: SOMOS CHP/HARP/Medicaid	$753.53
Rate for Payer: SOMOS Essential	$753.53

CHG BONE MARROW IMAGING WHOLE BODY

Professional

Both

$148.51

Service Code	HCPCS 78104 26
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$111.38
Rate for Payer: Cash Price	$39.60
Rate for Payer: SOMOS CHP/HARP/Medicaid	$111.38
Rate for Payer: SOMOS Essential	$111.38

CHG BONE MARROW SMEAR INTERPRETATION

Professional

Both

$190.51

Service Code	HCPCS 85097
Min. Negotiated Rate	$142.88
Max. Negotiated Rate	$142.88
Rate for Payer: Cash Price	$52.41
Rate for Payer: SOMOS CHP/HARP/Medicaid	$142.88
Rate for Payer: SOMOS Essential	$142.88

CHG BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL

Professional

Both

$1,931.62

Service Code	HCPCS 77318
Min. Negotiated Rate	$1,448.71
Max. Negotiated Rate	$1,448.71
Rate for Payer: Cash Price	$533.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$1,448.71
Rate for Payer: SOMOS Essential	$1,448.71

Know your out-of-pocket cost for care.

All Charges