St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

LEVEL III DENTAL RESTORATIONS

Facility

$748.38

Service Code	EAPG 00363
Min. Negotiated Rate	$543.86
Max. Negotiated Rate	$748.38
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$543.86
Rate for Payer: Healthfirst Commercial	$748.38

LEVEL III DEVICE PLACEMENT FOR RADIATION THERAPY

Facility

$2,298.10

Service Code	EAPG 00339
Min. Negotiated Rate	$2,298.10
Max. Negotiated Rate	$2,298.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,298.10

LEVEL III EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$4,131.27

Service Code	EAPG 00254
Min. Negotiated Rate	$2,999.33
Max. Negotiated Rate	$4,131.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,999.33
Rate for Payer: Healthfirst Commercial	$4,131.27

LEVEL III ENDODONTICS

Facility

$361.01

Service Code	EAPG 00366
Min. Negotiated Rate	$261.52
Max. Negotiated Rate	$361.01
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$261.52
Rate for Payer: Healthfirst Commercial	$361.01

LEVEL III KIDNEY AND URETERAL PROCEDURES

Facility

$2,476.30

Service Code	EAPG 00172
Min. Negotiated Rate	$2,476.30
Max. Negotiated Rate	$2,476.30
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,476.30

LEVEL III LAPAROSCOPY

Facility

$5,612.32

Service Code	EAPG 00148
Min. Negotiated Rate	$4,073.17
Max. Negotiated Rate	$5,612.32
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,073.17
Rate for Payer: Healthfirst Commercial	$5,612.32

LEVEL III MICROBIOLOGY TESTS

Facility

$76.37

Service Code	EAPG 00388
Min. Negotiated Rate	$76.37
Max. Negotiated Rate	$76.37
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$76.37

LEVEL II IMMUNIZATION

Facility

$118.57

Service Code	EAPG 00415
Min. Negotiated Rate	$85.63
Max. Negotiated Rate	$118.57
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$85.63
Rate for Payer: Healthfirst Commercial	$118.57

LEVEL II IMMUNOLOGY TESTS

Facility

$74.54

Service Code	EAPG 00395
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$74.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$53.23
Rate for Payer: Healthfirst Commercial	$74.54

LEVEL III NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility

$24,682.08

Service Code	EAPG 00223
Min. Negotiated Rate	$17,917.31
Max. Negotiated Rate	$24,682.08
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$17,917.31
Rate for Payer: Healthfirst Commercial	$24,682.08

LEVEL III ORAL AND MAXILLOFACIAL PROCEDURES

Facility

$661.55

Service Code	EAPG 00369
Min. Negotiated Rate	$481.37
Max. Negotiated Rate	$661.55
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$481.37
Rate for Payer: Healthfirst Commercial	$661.55

LEVEL III PATHOLOGY TESTS

Facility

$108.77

Service Code	EAPG 00308
Min. Negotiated Rate	$108.77
Max. Negotiated Rate	$108.77
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$108.77

LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

Facility

$4,644.11

Service Code	EAPG 00085
Min. Negotiated Rate	$3,371.94
Max. Negotiated Rate	$4,644.11
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,371.94
Rate for Payer: Healthfirst Commercial	$4,644.11

LEVEL III PROSTHODONTICS, FIXED

Facility

$671.27

Service Code	EAPG 00355
Min. Negotiated Rate	$488.32
Max. Negotiated Rate	$671.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$488.32
Rate for Payer: Healthfirst Commercial	$671.27

LEVEL III PROSTHODONTICS, REMOVABLE

Facility

$432.94

Service Code	EAPG 00358
Min. Negotiated Rate	$314.74
Max. Negotiated Rate	$432.94
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$314.74
Rate for Payer: Healthfirst Commercial	$432.94

LEVEL III RADIATION THERAPY

Facility

$1,342.24

Service Code	EAPG 00348
Min. Negotiated Rate	$974.32
Max. Negotiated Rate	$1,342.24
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$974.32
Rate for Payer: Healthfirst Commercial	$1,342.24

LEVEL III RADIATION TREATMENT PREPARATION & PLANNING

Facility

$292.68

Service Code	EAPG 00478
Min. Negotiated Rate	$212.92
Max. Negotiated Rate	$292.68
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$212.92
Rate for Payer: Healthfirst Commercial	$292.68

LEVEL III SKIN EXCISIONS, BIOPSIES, AND REPAIRS

Facility

$3,606.55

Service Code	EAPG 00011
Min. Negotiated Rate	$2,617.47
Max. Negotiated Rate	$3,606.55
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,617.47
Rate for Payer: Healthfirst Commercial	$3,606.55

LEVEL III SPINE PROCEDURES

Facility

$4,943.34

Service Code	EAPG 00057
Min. Negotiated Rate	$4,943.34
Max. Negotiated Rate	$4,943.34
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,943.34

LEVEL III UPPER GI ENDOSCOPY

Facility

$1,233.52

Service Code	EAPG 00154
Min. Negotiated Rate	$1,233.52
Max. Negotiated Rate	$1,233.52
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,233.52

LEVEL III VASCULAR RADIOLOGICAL PROCEDURES

Facility

$1,610.81

Service Code	EAPG 00280
Min. Negotiated Rate	$1,168.72
Max. Negotiated Rate	$1,610.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,168.72
Rate for Payer: Healthfirst Commercial	$1,610.81

LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES

Facility

$671.15

Service Code	EAPG 00050
Min. Negotiated Rate	$671.15
Max. Negotiated Rate	$671.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$671.15

LEVEL II KIDNEY AND URETERAL PROCEDURES

Facility

$1,825.98

Service Code	EAPG 00171
Min. Negotiated Rate	$1,825.98
Max. Negotiated Rate	$1,825.98
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,825.98

LEVEL II KNEE AND LOWER LEG PROCEDURES

Facility

$2,527.22

Service Code	EAPG 00052
Min. Negotiated Rate	$2,527.22
Max. Negotiated Rate	$2,527.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,527.22

LEVEL II LAPAROSCOPY

Facility

$4,382.26

Service Code	EAPG 00146
Min. Negotiated Rate	$3,182.16
Max. Negotiated Rate	$4,382.26
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,182.16
Rate for Payer: Healthfirst Commercial	$4,382.26

Know your out-of-pocket cost for care.

All Charges