St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

LEVEL I HEMATOLOGY TESTS

Facility

$22.04

Service Code	EAPG 00408
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$22.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$16.20
Rate for Payer: Healthfirst Commercial	$22.04

LEVEL I HEPATOBILIARY AND PANCREAS PROCEDURES

Facility

$1,828.30

Service Code	EAPG 00151
Min. Negotiated Rate	$1,828.30
Max. Negotiated Rate	$1,828.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,828.30

LEVEL I HYSTERECTOMY AND MYOMECTOMY PROCEDURES

Facility

$1,515.87

Service Code	EAPG 00204
Min. Negotiated Rate	$1,515.87
Max. Negotiated Rate	$1,515.87
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,515.87

LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES

Facility

$416.77

Service Code	EAPG 00351
Min. Negotiated Rate	$303.17
Max. Negotiated Rate	$416.77
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$303.17
Rate for Payer: Healthfirst Commercial	$416.77

LEVEL II ALLERGY TESTS

Facility

$319.37

Service Code	EAPG 02016
Min. Negotiated Rate	$319.37
Max. Negotiated Rate	$319.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$319.37

LEVEL II ANAL AND RECTAL PROCEDURES

Facility

$2,668.95

Service Code	EAPG 00142
Min. Negotiated Rate	$1,937.07
Max. Negotiated Rate	$2,668.95
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,937.07
Rate for Payer: Healthfirst Commercial	$2,668.95

LEVEL II ANCLLARY THERAPEUTIC SERVICES

Facility

$90.26

Service Code	EAPG 00269
Min. Negotiated Rate	$90.26
Max. Negotiated Rate	$90.26
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$90.26

LEVEL II ANTERIOR SEGMENT EYE PROCEDURES

Facility

$3,815.52

Service Code	EAPG 00235
Min. Negotiated Rate	$2,770.22
Max. Negotiated Rate	$3,815.52
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,770.22
Rate for Payer: Healthfirst Commercial	$3,815.52

LEVEL II ARTHROPLASTY

Facility

$6,078.16

Service Code	EAPG 00047
Min. Negotiated Rate	$4,413.37
Max. Negotiated Rate	$6,078.16
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,413.37
Rate for Payer: Healthfirst Commercial	$6,078.16

LEVEL II ARTHROSCOPY

Facility

$6,028.93

Service Code	EAPG 00038
Min. Negotiated Rate	$4,376.34
Max. Negotiated Rate	$6,028.93
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,376.34
Rate for Payer: Healthfirst Commercial	$6,028.93

LEVEL II BLADDER AND URETERAL PROCEDURES

Facility

$2,457.79

Service Code	EAPG 00174
Min. Negotiated Rate	$2,457.79
Max. Negotiated Rate	$2,457.79
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,457.79

LEVEL II BLOOD AND BLOOD PRODUCT EXCHANGE

Facility

$3,556.04

Service Code	EAPG 00114
Min. Negotiated Rate	$2,580.44
Max. Negotiated Rate	$3,556.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,580.44
Rate for Payer: Healthfirst Commercial	$3,556.04

LEVEL II BLOOD AND TISSUE TYPING TESTS

Facility

$81.84

Service Code	EAPG 00393
Min. Negotiated Rate	$60.17
Max. Negotiated Rate	$81.84
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$60.17
Rate for Payer: Healthfirst Commercial	$81.84

LEVEL II BLOOD PRODUCTS

Facility

$842.41

Service Code	EAPG 02062
Min. Negotiated Rate	$842.41
Max. Negotiated Rate	$842.41
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$842.41

LEVEL II BRACHYTHERAPY SOURCES

Facility

$1,742.67

Service Code	EAPG 00336
Min. Negotiated Rate	$1,742.67
Max. Negotiated Rate	$1,742.67
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,742.67

LEVEL II BREAST PROCEDURES

Facility

$3,859.09

Service Code	EAPG 00021
Min. Negotiated Rate	$2,800.30
Max. Negotiated Rate	$3,859.09
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,800.30
Rate for Payer: Healthfirst Commercial	$3,859.09

LEVEL II CENTRAL VENOUS ACCESS PROCEDURES

Facility

$2,413.08

Service Code	EAPG 00083
Min. Negotiated Rate	$1,751.93
Max. Negotiated Rate	$2,413.08
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,751.93
Rate for Payer: Healthfirst Commercial	$2,413.08

LEVEL II CHEMISTRY TESTS

Facility

$66.86

Service Code	EAPG 00401
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$66.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$48.60
Rate for Payer: Healthfirst Commercial	$66.86

LEVEL II CLOTTING TESTS

Facility

$79.43

Service Code	EAPG 00407
Min. Negotiated Rate	$57.86
Max. Negotiated Rate	$79.43
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$57.86
Rate for Payer: Healthfirst Commercial	$79.43

LEVEL II COMPUTED TOMOGRAPHY

Facility

$620.07

Service Code	EAPG 00300
Min. Negotiated Rate	$448.97
Max. Negotiated Rate	$620.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$448.97
Rate for Payer: Healthfirst Commercial	$620.07

LEVEL II CONVENTIONAL RADIOLOGY

Facility

$321.69

Service Code	EAPG 00389
Min. Negotiated Rate	$321.69
Max. Negotiated Rate	$321.69
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$321.69

LEVEL II CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES

Facility

$3,719.08

Service Code	EAPG 00248
Min. Negotiated Rate	$3,719.08
Max. Negotiated Rate	$3,719.08
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,719.08

LEVEL II CRANIOFACIAL BONE PROCEDURES

Facility

$4,043.08

Service Code	EAPG 00228
Min. Negotiated Rate	$4,043.08
Max. Negotiated Rate	$4,043.08
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,043.08

LEVEL II DENTAL FILM

Facility

$147.65

Service Code	EAPG 00374
Min. Negotiated Rate	$106.46
Max. Negotiated Rate	$147.65
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$106.46
Rate for Payer: Healthfirst Commercial	$147.65

LEVEL II DENTAL RESTORATIONS

Facility

$313.82

Service Code	EAPG 00362
Min. Negotiated Rate	$226.80
Max. Negotiated Rate	$313.82
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$226.80
Rate for Payer: Healthfirst Commercial	$313.82

Know your out-of-pocket cost for care.

All Charges