St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

LEVEL I BREAST PROCEDURES

Facility

$2,732.89

Service Code	EAPG 00020
Min. Negotiated Rate	$1,983.36
Max. Negotiated Rate	$2,732.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,983.36
Rate for Payer: Healthfirst Commercial	$2,732.89

LEVEL I CENTRAL VENOUS ACCESS PROCEDURES

Facility

$293.92

Service Code	EAPG 00075
Min. Negotiated Rate	$293.92
Max. Negotiated Rate	$293.92
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$293.92

LEVEL I CHEMISTRY TESTS

Facility

$21.42

Service Code	EAPG 00400
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$21.42
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$16.20
Rate for Payer: Healthfirst Commercial	$21.42

LEVEL I CLOTTING TESTS

Facility

$26.50

Service Code	EAPG 00406
Min. Negotiated Rate	$18.51
Max. Negotiated Rate	$26.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18.51
Rate for Payer: Healthfirst Commercial	$26.50

LEVEL I COMPUTED TOMOGRAPHY

Facility

$518.83

Service Code	EAPG 00299
Min. Negotiated Rate	$377.23
Max. Negotiated Rate	$518.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$377.23
Rate for Payer: Healthfirst Commercial	$518.83

LEVEL I CONVENTIONAL RADIOLOGY

Facility

$60.46

Service Code	EAPG 00471
Min. Negotiated Rate	$43.97
Max. Negotiated Rate	$60.46
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$43.97
Rate for Payer: Healthfirst Commercial	$60.46

LEVEL I CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES

Facility

$2,034.27

Service Code	EAPG 00247
Min. Negotiated Rate	$2,034.27
Max. Negotiated Rate	$2,034.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,034.27

LEVEL I CRANIOFACIAL BONE PROCEDURES

Facility

$3,212.25

Service Code	EAPG 00227
Min. Negotiated Rate	$3,212.25
Max. Negotiated Rate	$3,212.25
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,212.25

LEVEL I DENTAL FILM

Facility

$42.66

Service Code	EAPG 00373
Min. Negotiated Rate	$30.09
Max. Negotiated Rate	$42.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$30.09
Rate for Payer: Healthfirst Commercial	$42.66

LEVEL I DENTAL RESTORATIONS

Facility

$209.16

Service Code	EAPG 00361
Min. Negotiated Rate	$152.74
Max. Negotiated Rate	$209.16
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$152.74
Rate for Payer: Healthfirst Commercial	$209.16

LEVEL I DEVICE PLACEMENT FOR RADIATION THERAPY

Facility

$1,048.38

Service Code	EAPG 00334
Min. Negotiated Rate	$1,048.38
Max. Negotiated Rate	$1,048.38
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,048.38

LEVEL I DIAGNOSTIC NUCLEAR MEDICINE

Facility

$594.51

Service Code	EAPG 00331
Min. Negotiated Rate	$430.46
Max. Negotiated Rate	$594.51
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$430.46
Rate for Payer: Healthfirst Commercial	$594.51

LEVEL I DIAGNOSTIC ULTRASOUND

Facility

$256.64

Service Code	EAPG 00288
Min. Negotiated Rate	$187.46
Max. Negotiated Rate	$256.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$187.46
Rate for Payer: Healthfirst Commercial	$256.64

LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$2,166.73

Service Code	EAPG 00252
Min. Negotiated Rate	$1,573.72
Max. Negotiated Rate	$2,166.73
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,573.72
Rate for Payer: Healthfirst Commercial	$2,166.73

LEVEL I ENDOCRINOLOGY TESTS

Facility

$50.29

Service Code	EAPG 00398
Min. Negotiated Rate	$37.03
Max. Negotiated Rate	$50.29
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$37.03
Rate for Payer: Healthfirst Commercial	$50.29

LEVEL I ENDODONTICS

Facility

$199.30

Service Code	EAPG 00364
Min. Negotiated Rate	$145.80
Max. Negotiated Rate	$199.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$145.80
Rate for Payer: Healthfirst Commercial	$199.30

LEVEL I ENDOSCOPY OF THE UPPER AIRWAY

Facility

$663.85

Service Code	EAPG 00062
Min. Negotiated Rate	$481.37
Max. Negotiated Rate	$663.85
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$481.37
Rate for Payer: Healthfirst Commercial	$663.85

LEVEL I ERCP AND RELATED ENDOSCOPIC PROCEDURES

Facility

$2,264.41

Service Code	EAPG 00138
Min. Negotiated Rate	$1,643.15
Max. Negotiated Rate	$2,264.41
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,643.15
Rate for Payer: Healthfirst Commercial	$2,264.41

LEVEL I ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES

Facility

$2,263.39

Service Code	EAPG 00125
Min. Negotiated Rate	$2,263.39
Max. Negotiated Rate	$2,263.39
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,263.39

LEVEL I EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES

Facility

$1,504.30

Service Code	EAPG 00258
Min. Negotiated Rate	$1,504.30
Max. Negotiated Rate	$1,504.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,504.30

LEVEL I FETAL PROCEDURES

Facility

$413.47

Service Code	EAPG 00191
Min. Negotiated Rate	$300.86
Max. Negotiated Rate	$413.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$300.86
Rate for Payer: Healthfirst Commercial	$413.47

LEVEL I FOOT PROCEDURES

Facility

$2,836.00

Service Code	EAPG 00035
Min. Negotiated Rate	$2,059.73
Max. Negotiated Rate	$2,836.00
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,059.73
Rate for Payer: Healthfirst Commercial	$2,836.00

LEVEL I FOREARM AND WRIST PROCEDURES

Facility

$2,508.70

Service Code	EAPG 00023
Min. Negotiated Rate	$2,508.70
Max. Negotiated Rate	$2,508.70
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,508.70

LEVEL I GASTROINTESTINAL PROCEDURES

Facility

$2,095.23

Service Code	EAPG 00143
Min. Negotiated Rate	$1,520.50
Max. Negotiated Rate	$2,095.23
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,520.50
Rate for Payer: Healthfirst Commercial	$2,095.23

LEVEL I HAND PROCEDURES

Facility

$2,201.62

Service Code	EAPG 00033
Min. Negotiated Rate	$1,599.18
Max. Negotiated Rate	$2,201.62
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,599.18
Rate for Payer: Healthfirst Commercial	$2,201.62

Know your out-of-pocket cost for care.

All Charges