St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

LEVEL II LOWER AIRWAY ENDOSCOPY

Facility

$1,626.95

Service Code	EAPG 00071
Min. Negotiated Rate	$1,626.95
Max. Negotiated Rate	$1,626.95
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,626.95

LEVEL II LOWER GI ENDOSCOPY

Facility

$1,525.14

Service Code	EAPG 00137
Min. Negotiated Rate	$1,106.24
Max. Negotiated Rate	$1,525.14
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,106.24
Rate for Payer: Healthfirst Commercial	$1,525.14

LEVEL II MAXILLOFACIAL PROSTHETICS

Facility

$426.54

Service Code	EAPG 00360
Min. Negotiated Rate	$310.12
Max. Negotiated Rate	$426.54
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$310.12
Rate for Payer: Healthfirst Commercial	$426.54

LEVEL II MICROBIOLOGY TESTS

Facility

$76.28

Service Code	EAPG 00397
Min. Negotiated Rate	$55.54
Max. Negotiated Rate	$76.28
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$55.54
Rate for Payer: Healthfirst Commercial	$76.28

LEVEL I IMMUNIZATION

Facility

$57.16

Service Code	EAPG 00414
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$57.16
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$41.66
Rate for Payer: Healthfirst Commercial	$57.16

LEVEL I IMMUNOLOGY TESTS

Facility

$20.83

Service Code	EAPG 00394
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$20.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$16.20
Rate for Payer: Healthfirst Commercial	$20.83

LEVEL II NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility

$6,166.06

Service Code	EAPG 00218
Min. Negotiated Rate	$4,475.86
Max. Negotiated Rate	$6,166.06
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,475.86
Rate for Payer: Healthfirst Commercial	$6,166.06

LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP

Facility

$967.86

Service Code	EAPG 00220
Min. Negotiated Rate	$703.55
Max. Negotiated Rate	$967.86
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$703.55
Rate for Payer: Healthfirst Commercial	$967.86

LEVEL II ORAL AND MAXILLOFACIAL PROCEDURES

Facility

$661.55

Service Code	EAPG 00368
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 II OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES

Facility

$2,180.07

Service Code	EAPG 00208
Min. Negotiated Rate	$2,180.07
Max. Negotiated Rate	$2,180.07
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,180.07

LEVEL II PATHOLOGY TESTS

Facility

$137.88

Service Code	EAPG 00391
Min. Negotiated Rate	$99.51
Max. Negotiated Rate	$137.88
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$99.51
Rate for Payer: Healthfirst Commercial	$137.88

LEVEL II PENILE PROCEDURES

Facility

$1,252.04

Service Code	EAPG 00187
Min. Negotiated Rate	$1,252.04
Max. Negotiated Rate	$1,252.04
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,252.04

LEVEL II PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES

Facility

$3,464.51

Service Code	EAPG 00121
Min. Negotiated Rate	$3,464.51
Max. Negotiated Rate	$3,464.51
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,464.51

LEVEL II PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES

Facility

$1,844.50

Service Code	EAPG 00189
Min. Negotiated Rate	$1,844.50
Max. Negotiated Rate	$1,844.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,844.50

LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

Facility

$3,371.94

Service Code	EAPG 00079
Min. Negotiated Rate	$3,371.94
Max. Negotiated Rate	$3,371.94
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,371.94

LEVEL II PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION

Facility

$4,446.69

Service Code	EAPG 00091
Min. Negotiated Rate	$3,228.45
Max. Negotiated Rate	$4,446.69
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,228.45
Rate for Payer: Healthfirst Commercial	$4,446.69

LEVEL II POSTERIOR SEGMENT EYE PROCEDURES

Facility

$4,831.69

Service Code	EAPG 00238
Min. Negotiated Rate	$3,508.48
Max. Negotiated Rate	$4,831.69
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,508.48
Rate for Payer: Healthfirst Commercial	$4,831.69

LEVEL II PROSTATE PROCEDURES

Facility

$4,686.25

Service Code	EAPG 00184
Min. Negotiated Rate	$3,402.02
Max. Negotiated Rate	$4,686.25
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,402.02
Rate for Payer: Healthfirst Commercial	$4,686.25

LEVEL II PROSTHODONTICS, FIXED

Facility

$542.64

Service Code	EAPG 00354
Min. Negotiated Rate	$393.43
Max. Negotiated Rate	$542.64
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$393.43
Rate for Payer: Healthfirst Commercial	$542.64

LEVEL II PROSTHODONTICS, REMOVABLE

Facility

$562.50

Service Code	EAPG 00357
Min. Negotiated Rate	$407.32
Max. Negotiated Rate	$562.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$407.32
Rate for Payer: Healthfirst Commercial	$562.50

LEVEL II RADIATION THERAPY

Facility

$279.22

Service Code	EAPG 00347
Min. Negotiated Rate	$203.66
Max. Negotiated Rate	$279.22
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$203.66
Rate for Payer: Healthfirst Commercial	$279.22

LEVEL II RADIATION TREATMENT PREPARATION & PLANNING

Facility

$767.81

Service Code	EAPG 00477
Min. Negotiated Rate	$557.75
Max. Negotiated Rate	$767.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$557.75
Rate for Payer: Healthfirst Commercial	$767.81

LEVEL II REPAIR AND PLASTIC PROCEDURES OF EYE

Facility

$3,319.15

Service Code	EAPG 00241
Min. Negotiated Rate	$2,409.19
Max. Negotiated Rate	$3,319.15
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,409.19
Rate for Payer: Healthfirst Commercial	$3,319.15

LEVEL II SHOULDER AND UPPER ARM PROCEDURES

Facility

$2,876.67

Service Code	EAPG 00058
Min. Negotiated Rate	$2,876.67
Max. Negotiated Rate	$2,876.67
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,876.67

LEVEL II SKIN EXCISIONS, BIOPSIES, AND REPAIRS

Facility

$2,151.21

Service Code	EAPG 00010
Min. Negotiated Rate	$1,562.15
Max. Negotiated Rate	$2,151.21
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,562.15
Rate for Payer: Healthfirst Commercial	$2,151.21

Know your out-of-pocket cost for care.

All Charges