St. Barnabas Hospital

All Charges

Charge

Type

Setting

Price

LEVEL II SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX

Facility

$1,059.89

Service Code	EAPG 00004
Min. Negotiated Rate	$768.35
Max. Negotiated Rate	$1,059.89
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$768.35
Rate for Payer: Healthfirst Commercial	$1,059.89

LEVEL II SMALL AND LARGE INTESTINE SURGICAL PROCEDURES

Facility

$3,184.48

Service Code	EAPG 00128
Min. Negotiated Rate	$3,184.48
Max. Negotiated Rate	$3,184.48
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,184.48

LEVEL II SPINE PROCEDURES

Facility

$4,943.34

Service Code	EAPG 00029
Min. Negotiated Rate	$4,943.34
Max. Negotiated Rate	$4,943.34
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$4,943.34

LEVEL II SURGICAL PATHOLOGY TESTS

Facility

$101.83

Service Code	EAPG 00306
Min. Negotiated Rate	$101.83
Max. Negotiated Rate	$101.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$101.83

LEVEL II THORACIC AND CHEST PROCEDURES

Facility

$2,943.79

Service Code	EAPG 00070
Min. Negotiated Rate	$2,943.79
Max. Negotiated Rate	$2,943.79
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,943.79

LEVEL II UPPER GI ENDOSCOPY

Facility

$1,602.81

Service Code	EAPG 00135
Min. Negotiated Rate	$1,164.09
Max. Negotiated Rate	$1,602.81
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,164.09
Rate for Payer: Healthfirst Commercial	$1,602.81

LEVEL II URETHRAL PROCEDURES

Facility

$4,404.06

Service Code	EAPG 00167
Min. Negotiated Rate	$3,196.05
Max. Negotiated Rate	$4,404.06
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,196.05
Rate for Payer: Healthfirst Commercial	$4,404.06

LEVEL II VARICOSE VEIN AND RELATED PROCEDURES

Facility

$3,027.10

Service Code	EAPG 00103
Min. Negotiated Rate	$3,027.10
Max. Negotiated Rate	$3,027.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$3,027.10

LEVEL II VASCULAR RADIOLOGICAL PROCEDURES

Facility

$446.66

Service Code	EAPG 00279
Min. Negotiated Rate	$446.66
Max. Negotiated Rate	$446.66
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$446.66

LEVEL I JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES

Facility

$509.96

Service Code	EAPG 00049
Min. Negotiated Rate	$370.29
Max. Negotiated Rate	$509.96
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$370.29
Rate for Payer: Healthfirst Commercial	$509.96

LEVEL I KIDNEY AND URETERAL PROCEDURES

Facility

$1,383.95

Service Code	EAPG 00170
Min. Negotiated Rate	$1,383.95
Max. Negotiated Rate	$1,383.95
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,383.95

LEVEL I KNEE AND LOWER LEG PROCEDURES

Facility

$2,217.10

Service Code	EAPG 00026
Min. Negotiated Rate	$2,217.10
Max. Negotiated Rate	$2,217.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,217.10

LEVEL I LAPAROSCOPY

Facility

$3,233.50

Service Code	EAPG 00145
Min. Negotiated Rate	$2,346.70
Max. Negotiated Rate	$3,233.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$2,346.70
Rate for Payer: Healthfirst Commercial	$3,233.50

LEVEL I LOWER AIRWAY ENDOSCOPY

Facility

$2,038.67

Service Code	EAPG 00064
Min. Negotiated Rate	$1,478.84
Max. Negotiated Rate	$2,038.67
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,478.84
Rate for Payer: Healthfirst Commercial	$2,038.67

LEVEL I LOWER GI ENDOSCOPY

Facility

$1,346.17

Service Code	EAPG 00136
Min. Negotiated Rate	$976.63
Max. Negotiated Rate	$1,346.17
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$976.63
Rate for Payer: Healthfirst Commercial	$1,346.17

LEVEL I MAXILLOFACIAL PROSTHETICS

Facility

$81.68

Service Code	EAPG 00359
Min. Negotiated Rate	$60.17
Max. Negotiated Rate	$81.68
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$60.17
Rate for Payer: Healthfirst Commercial	$81.68

LEVEL I MICROBIOLOGY TESTS

Facility

$19.27

Service Code	EAPG 00396
Min. Negotiated Rate	$13.89
Max. Negotiated Rate	$19.27
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$13.89
Rate for Payer: Healthfirst Commercial	$19.27

LEVEL I NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility

$2,308.72

Service Code	EAPG 00217
Min. Negotiated Rate	$1,675.55
Max. Negotiated Rate	$2,308.72
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,675.55
Rate for Payer: Healthfirst Commercial	$2,308.72

LEVEL I NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP

Facility

$805.73

Service Code	EAPG 00214
Min. Negotiated Rate	$585.52
Max. Negotiated Rate	$805.73
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$585.52
Rate for Payer: Healthfirst Commercial	$805.73

LEVEL I ORAL AND MAXILLOFACIAL PROCEDURES

Facility

$238.83

Service Code	EAPG 00367
Min. Negotiated Rate	$173.57
Max. Negotiated Rate	$238.83
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$173.57
Rate for Payer: Healthfirst Commercial	$238.83

LEVEL I OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES

Facility

$1,763.50

Service Code	EAPG 00207
Min. Negotiated Rate	$1,763.50
Max. Negotiated Rate	$1,763.50
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,763.50

LEVEL I PATHOLOGY TESTS

Facility

$74.10

Service Code	EAPG 00390
Min. Negotiated Rate	$53.23
Max. Negotiated Rate	$74.10
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$53.23
Rate for Payer: Healthfirst Commercial	$74.10

LEVEL I PENILE PROCEDURES

Facility

$1,645.62

Service Code	EAPG 00183
Min. Negotiated Rate	$1,194.18
Max. Negotiated Rate	$1,645.62
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,194.18
Rate for Payer: Healthfirst Commercial	$1,645.62

LEVEL I PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES

Facility

$4,644.11

Service Code	EAPG 00099
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 I PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES

Facility

$1,636.21

Service Code	EAPG 00188
Min. Negotiated Rate	$1,636.21
Max. Negotiated Rate	$1,636.21
Rate for Payer: Healthfirst CHP/FHP/Medicaid	$1,636.21

Know your out-of-pocket cost for care.

All Charges