St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

CHG IAADIADOO STREPTOCOCCUS GROUP A

Professional

Both

$41.32

Service Code	HCPCS 87880
Min. Negotiated Rate	$30.99
Max. Negotiated Rate	$30.99
Rate for Payer: Cash Price	$16.53
Rate for Payer: SOMOS CHP/HARP/Medicaid	$30.99
Rate for Payer: SOMOS Essential	$30.99

CHG IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE

Professional

Both

$133.53

Service Code	HCPCS 88342 26
Min. Negotiated Rate	$100.15
Max. Negotiated Rate	$100.15
Rate for Payer: Cash Price	$36.82
Rate for Payer: SOMOS CHP/HARP/Medicaid	$100.15
Rate for Payer: SOMOS Essential	$100.15

CHG IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE

Professional

Both

$418.01

Service Code	HCPCS 88342
Min. Negotiated Rate	$313.51
Max. Negotiated Rate	$313.51
Rate for Payer: Cash Price	$122.32
Rate for Payer: SOMOS CHP/HARP/Medicaid	$313.51
Rate for Payer: SOMOS Essential	$313.51

CHG IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE

Professional

Both

$284.48

Service Code	HCPCS 88342 TC
Min. Negotiated Rate	$213.36
Max. Negotiated Rate	$213.36
Rate for Payer: Cash Price	$85.50
Rate for Payer: SOMOS CHP/HARP/Medicaid	$213.36
Rate for Payer: SOMOS Essential	$213.36

CHG IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX

Professional

Both

$251.55

Service Code	HCPCS 88341 TC
Min. Negotiated Rate	$188.66
Max. Negotiated Rate	$188.66
Rate for Payer: Cash Price	$75.05
Rate for Payer: SOMOS CHP/HARP/Medicaid	$188.66
Rate for Payer: SOMOS Essential	$188.66

CHG IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX

Professional

Both

$108.82

Service Code	HCPCS 88341 26
Min. Negotiated Rate	$81.62
Max. Negotiated Rate	$81.62
Rate for Payer: Cash Price	$29.58
Rate for Payer: SOMOS CHP/HARP/Medicaid	$81.62
Rate for Payer: SOMOS Essential	$81.62

CHG IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX

Professional

Both

$360.36

Service Code	HCPCS 88341
Min. Negotiated Rate	$270.27
Max. Negotiated Rate	$270.27
Rate for Payer: Cash Price	$104.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$270.27
Rate for Payer: SOMOS Essential	$270.27

CHG IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX

Professional

Both

$146.62

Service Code	HCPCS 88344 26
Min. Negotiated Rate	$109.96
Max. Negotiated Rate	$109.96
Rate for Payer: Cash Price	$40.44
Rate for Payer: SOMOS CHP/HARP/Medicaid	$109.96
Rate for Payer: SOMOS Essential	$109.96

CHG IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX

Professional

Both

$561.93

Service Code	HCPCS 88344 TC
Min. Negotiated Rate	$421.45
Max. Negotiated Rate	$421.45
Rate for Payer: Cash Price	$160.55
Rate for Payer: SOMOS CHP/HARP/Medicaid	$421.45
Rate for Payer: SOMOS Essential	$421.45

CHG IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX

Professional

Both

$708.54

Service Code	HCPCS 88344
Min. Negotiated Rate	$531.40
Max. Negotiated Rate	$531.40
Rate for Payer: Cash Price	$200.99
Rate for Payer: SOMOS CHP/HARP/Medicaid	$531.40
Rate for Payer: SOMOS Essential	$531.40

CHG IMMUNOELECTROPHORESIS CROSSED

Professional

Both

$85.54

Service Code	HCPCS 86327 26
Min. Negotiated Rate	$64.16
Max. Negotiated Rate	$64.16
Rate for Payer: Cash Price	$23.13
Rate for Payer: SOMOS CHP/HARP/Medicaid	$64.16
Rate for Payer: SOMOS Essential	$64.16

CHG IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION

Professional

Both

$69.20

Service Code	HCPCS 86325 26
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$51.90
Rate for Payer: Cash Price	$19.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$51.90
Rate for Payer: SOMOS Essential	$51.90

CHG IMMUNOELECTROPHORESIS SERUM

Professional

Both

$69.20

Service Code	HCPCS 86320 26
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$51.90
Rate for Payer: Cash Price	$19.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$51.90
Rate for Payer: SOMOS Essential	$51.90

CHG IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS

Professional

Both

$69.20

Service Code	HCPCS 86335 26
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$51.90
Rate for Payer: Cash Price	$19.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$51.90
Rate for Payer: SOMOS Essential	$51.90

CHG IMMUNOFIXJ ELECTROPHORESIS SERUM

Professional

Both

$69.20

Service Code	HCPCS 86334 26
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$51.90
Rate for Payer: Cash Price	$19.03
Rate for Payer: SOMOS CHP/HARP/Medicaid	$51.90
Rate for Payer: SOMOS Essential	$51.90

CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN

Professional

Both

$137.10

Service Code	HCPCS 88346 26
Min. Negotiated Rate	$102.82
Max. Negotiated Rate	$102.82
Rate for Payer: Cash Price	$37.83
Rate for Payer: SOMOS CHP/HARP/Medicaid	$102.82
Rate for Payer: SOMOS Essential	$102.82

CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN

Professional

Both

$502.99

Service Code	HCPCS 88346 TC
Min. Negotiated Rate	$377.24
Max. Negotiated Rate	$377.24
Rate for Payer: Cash Price	$136.42
Rate for Payer: SOMOS CHP/HARP/Medicaid	$377.24
Rate for Payer: SOMOS Essential	$377.24

CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN

Professional

Both

$640.08

Service Code	HCPCS 88346
Min. Negotiated Rate	$480.06
Max. Negotiated Rate	$480.06
Rate for Payer: Cash Price	$174.25
Rate for Payer: SOMOS CHP/HARP/Medicaid	$480.06
Rate for Payer: SOMOS Essential	$480.06

CHG IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN

Professional

Both

$379.37

Service Code	HCPCS 88350 TC
Min. Negotiated Rate	$284.53
Max. Negotiated Rate	$284.53
Rate for Payer: Cash Price	$101.61
Rate for Payer: SOMOS CHP/HARP/Medicaid	$284.53
Rate for Payer: SOMOS Essential	$284.53

CHG IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN

Professional

Both

$490.49

Service Code	HCPCS 88350
Min. Negotiated Rate	$367.87
Max. Negotiated Rate	$367.87
Rate for Payer: Cash Price	$132.24
Rate for Payer: SOMOS CHP/HARP/Medicaid	$367.87
Rate for Payer: SOMOS Essential	$367.87

CHG IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN

Professional

Both

$111.13

Service Code	HCPCS 88350 26
Min. Negotiated Rate	$83.35
Max. Negotiated Rate	$83.35
Rate for Payer: Cash Price	$30.63
Rate for Payer: SOMOS CHP/HARP/Medicaid	$83.35
Rate for Payer: SOMOS Essential	$83.35

CHG IN SITU HYBRIDIZATION EA ADDL PROBE STAIN

Professional

Both

$130.66

Service Code	HCPCS 88364 26
Min. Negotiated Rate	$98.00
Max. Negotiated Rate	$98.00
Rate for Payer: Cash Price	$35.65
Rate for Payer: SOMOS CHP/HARP/Medicaid	$98.00
Rate for Payer: SOMOS Essential	$98.00

CHG IN SITU HYBRIDIZATION EA ADDL PROBE STAIN

Professional

Both

$444.05

Service Code	HCPCS 88364 TC
Min. Negotiated Rate	$333.04
Max. Negotiated Rate	$333.04
Rate for Payer: Cash Price	$118.90
Rate for Payer: SOMOS CHP/HARP/Medicaid	$333.04
Rate for Payer: SOMOS Essential	$333.04

CHG IN SITU HYBRIDIZATION EA ADDL PROBE STAIN

Professional

Both

$574.70

Service Code	HCPCS 88364
Min. Negotiated Rate	$431.02
Max. Negotiated Rate	$431.02
Rate for Payer: Cash Price	$154.54
Rate for Payer: SOMOS CHP/HARP/Medicaid	$431.02
Rate for Payer: SOMOS Essential	$431.02

CHG IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN

Professional

Both

$238.42

Service Code	HCPCS 88366 26
Min. Negotiated Rate	$178.82
Max. Negotiated Rate	$178.82
Rate for Payer: Cash Price	$64.93
Rate for Payer: SOMOS CHP/HARP/Medicaid	$178.82
Rate for Payer: SOMOS Essential	$178.82

Know your out-of-pocket cost for care.

All Charges