St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

LEVEL II DEVICE PLACEMENT FOR RADIATION THERAPY

Facility

$1,610.75

Service Code	EAPG 00338
Min. Negotiated Rate	$1,610.75
Max. Negotiated Rate	$1,610.75
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,610.75

LEVEL II DIAGNOSTIC NUCLEAR MEDICINE

Facility

$1,297.45

Service Code	EAPG 00332
Min. Negotiated Rate	$941.92
Max. Negotiated Rate	$1,297.45
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$941.92
Rate for Payer: Healthfirst Commercial	$1,297.45

LEVEL II DIAGNOSTIC ULTRASOUND

Facility

$1,113.24

Service Code	EAPG 00289
Min. Negotiated Rate	$807.69
Max. Negotiated Rate	$1,113.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$807.69
Rate for Payer: Healthfirst Commercial	$1,113.24

LEVEL II EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$2,914.77

Service Code	EAPG 00253
Min. Negotiated Rate	$2,115.27
Max. Negotiated Rate	$2,914.77
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,115.27
Rate for Payer: Healthfirst Commercial	$2,914.77

LEVEL II ENDOCRINOLOGY TESTS

Facility

$70.79

Service Code	EAPG 00399
Min. Negotiated Rate	$50.91
Max. Negotiated Rate	$70.79
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$50.91
Rate for Payer: Healthfirst Commercial	$70.79

LEVEL II ENDODONTICS

Facility

$358.37

Service Code	EAPG 00365
Min. Negotiated Rate	$259.20
Max. Negotiated Rate	$358.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$259.20
Rate for Payer: Healthfirst Commercial	$358.37

LEVEL II ENDOSCOPY OF THE UPPER AIRWAY

Facility

$2,932.14

Service Code	EAPG 00063
Min. Negotiated Rate	$2,129.16
Max. Negotiated Rate	$2,932.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,129.16
Rate for Payer: Healthfirst Commercial	$2,932.14

LEVEL II ERCP AND RELATED ENDOSCOPIC PROCEDURES

Facility

$1,807.47

Service Code	EAPG 00153
Min. Negotiated Rate	$1,807.47
Max. Negotiated Rate	$1,807.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,807.47

LEVEL II ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES

Facility

$3,031.73

Service Code	EAPG 00126
Min. Negotiated Rate	$3,031.73
Max. Negotiated Rate	$3,031.73
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,031.73

LEVEL II EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES

Facility

$2,272.64

Service Code	EAPG 00259
Min. Negotiated Rate	$2,272.64
Max. Negotiated Rate	$2,272.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,272.64

LEVEL II FETAL PROCEDURES

Facility

$1,238.78

Service Code	EAPG 00192
Min. Negotiated Rate	$900.26
Max. Negotiated Rate	$1,238.78
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$900.26
Rate for Payer: Healthfirst Commercial	$1,238.78

LEVEL II FOOT PROCEDURES

Facility

$3,628.80

Service Code	EAPG 00036
Min. Negotiated Rate	$2,633.67
Max. Negotiated Rate	$3,628.80
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,633.67
Rate for Payer: Healthfirst Commercial	$3,628.80

LEVEL II FOREARM AND WRIST PROCEDURES

Facility

$2,860.47

Service Code	EAPG 00024
Min. Negotiated Rate	$2,860.47
Max. Negotiated Rate	$2,860.47
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,860.47

LEVEL II GASTROINTESTINAL PROCEDURES

Facility

$4,205.27

Service Code	EAPG 00144
Min. Negotiated Rate	$3,052.56
Max. Negotiated Rate	$4,205.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,052.56
Rate for Payer: Healthfirst Commercial	$4,205.27

LEVEL II HAND PROCEDURES

Facility

$3,641.50

Service Code	EAPG 00034
Min. Negotiated Rate	$2,642.93
Max. Negotiated Rate	$3,641.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,642.93
Rate for Payer: Healthfirst Commercial	$3,641.50

LEVEL II HEMATOLOGY TESTS

Facility

$53.71

Service Code	EAPG 00409
Min. Negotiated Rate	$39.34
Max. Negotiated Rate	$53.71
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$39.34
Rate for Payer: Healthfirst Commercial	$53.71

LEVEL II HEPATOBILIARY AND PANCREAS PROCEDURES

Facility

$2,899.82

Service Code	EAPG 00152
Min. Negotiated Rate	$2,899.82
Max. Negotiated Rate	$2,899.82
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,899.82

LEVEL II HIP AND FEMUR PROCEDURES

Facility

$2,767.90

Service Code	EAPG 00055
Min. Negotiated Rate	$2,767.90
Max. Negotiated Rate	$2,767.90
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,767.90

LEVEL II HYSTERECTOMY AND MYOMECTOMY PROCEDURES

Facility

$2,594.33

Service Code	EAPG 00206
Min. Negotiated Rate	$2,594.33
Max. Negotiated Rate	$2,594.33
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,594.33

LEVEL III ANTERIOR SEGMENT EYE PROCEDURES

Facility

$5,498.46

Service Code	EAPG 00236
Min. Negotiated Rate	$3,992.17
Max. Negotiated Rate	$5,498.46
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,992.17
Rate for Payer: Healthfirst Commercial	$5,498.46

LEVEL III BLOOD AND TISSUE TYPING TESTS

Facility

$60.17

Service Code	EAPG 02043
Min. Negotiated Rate	$60.17
Max. Negotiated Rate	$60.17
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$60.17

LEVEL III BLOOD PRODUCT EXCHANGE SERVICES

Facility

$2,580.44

Service Code	EAPG 00155
Min. Negotiated Rate	$2,580.44
Max. Negotiated Rate	$2,580.44
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,580.44

LEVEL III BRACHYTHERAPY SOURCES

Facility

$18,167.26

Service Code	EAPG 00337
Min. Negotiated Rate	$18,167.26
Max. Negotiated Rate	$18,167.26
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$18,167.26

LEVEL III BREAST PROCEDURES

Facility

$5,527.04

Service Code	EAPG 00022
Min. Negotiated Rate	$4,013.00
Max. Negotiated Rate	$5,527.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,013.00
Rate for Payer: Healthfirst Commercial	$5,527.04

LEVEL III CHEMISTRY TESTS

Facility

$67.11

Service Code	EAPG 00384
Min. Negotiated Rate	$67.11
Max. Negotiated Rate	$67.11
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$67.11

Know your out-of-pocket cost for care.

All Charges