▸ Hospital · · CCN 319804

Saint Barnabas Medical Center

Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
14
with negotiated rates
Rates published
30,540
last crawl 2026-05-22

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88512$3,319$60$6,966$34,448
Psychiatric diagnostic evaluationCPT9079112$862$182.65$139.12$491.34$732.7
Psychiatric eval with medical servicesCPT9079212$725$153.62$117.01$416.8$616.25
Psychotherapy 30 minutesCPT9083212$461$97.68$74.4$269.91$391.85
Psychotherapy 45 minutesCPT9083412$518$109.76$83.6$303.28$440.3
Psychotherapy 60 minutesCPT9083712$567$120.14$90.26$331.97$481.95
Crisis psychotherapy 60 minutesCPT9083914$15.83$70.87$360.52
emergency
ED visit level 1CPT9928113$1,052$222.91$98.79$605$2,912
ED visit level 2CPT9928213$1,531$324.41$140$605$2,912
ED visit level 3CPT9928313$2,321$491.81$310.65$1,346$3,298
ED visit level 4CPT9928413$3,133$663.88$477.74$1,485$3,298
ED visit level 5CPT9928513$4,564$967.11$620$1,485$3,879.4
Critical care, first hourCPT9929113$5,775$1,223.72$914.18$1,890.68$4,908.75
imaging
CT head without contrastCPT7045013$2,085$441.81$57$257.2$1,797
CT head with contrastCPT7046013$2,305$488.42$57$326.44$1,959.25
CT head with and without contrastCPT7047013$2,934$621.71$57$361.35$2,493.9
CT neck with contrastCPT7049113$3,077$652.01$57$366.35$2,615.45
MRI brain without contrastCPT7055113$3,279$694.82$57$524.15$3,317
MRI brain with contrastCPT7055213$3,615$766.01$57$593.39$3,317
MRI brain with and without contrastCPT7055313$5,038$1,067.55$57$797.42$4,282.3
Chest X-ray single viewCPT7104513$494$104.67$18.99$98.79$419.9
Chest X-ray 2 viewsCPT7104613$510$108.06$30.85$98.79$433.5
Chest X-ray 3 viewsCPT7104713$534$113.15$39.46$98.79$453.9
CT chest without contrastCPT7125013$2,929$620.65$57$260.2$2,489.65
CT chest with contrastCPT7126013$4,055$859.25$57$359.02$3,446.75
CT chest with and without contrastCPT7127013$4,509$955.45$57$394.92$3,832.65
MRI chest without contrastCPT7155013$2,977$630.82$57$504.11$3,317
MRI chest with contrastCPT7155114$15.83$886.38$3,317
MRI chest with and without contrastCPT7155213$4,374$926.85$57$776.41$3,717.9
Lumbosacral spine X-rayCPT7210013$533$112.94$36.08$119.31$453.05
CT cervical spine without contrastCPT7212513$2,717$575.73$57$259.81$2,309.45
CT thoracic spine without contrastCPT7212813$2,415$511.73$57$259.81$2,052.75
CT lumbar spine without contrastCPT7213113$2,388$506.01$57$260.2$2,029.8
MRI cervical spine without contrastCPT7214113$2,756$583.99$57$440.54$3,317
MRI thoracic spine without contrastCPT7214613$2,996$634.85$57$478.91$3,317
MRI lumbar spine without contrastCPT7214813$2,854$604.76$57$456.21$3,317
MRI lumbar spine with and without contrastCPT7214913$3,356$711.13$57$561.79$3,317
MRI cervical spine with and without contrastCPT7215613$4,909$1,040.21$57$781.57$4,172.65
MRI lumbar spine with contrastCPT7215813$4,859$1,029.62$57$776.71$4,130.15
CT pelvis without contrastCPT7219213$2,020$428.03$57$259.81$1,797
CT pelvis with contrastCPT7219313$2,563$543.09$57$402.58$2,178.55
Shoulder X-rayCPT7303014$1,638$15.83$83.45$197.58
Humerus X-rayCPT7306014$738$15.83$83.45$197.58
Hand X-ray 3 viewsCPT7313014$1,520$15.83$83.45$197.58
MRI upper extremity joint without contrastCPT7322114$3,754$15.83$340.56$3,317
MRI upper extremity joint with and without contrastCPT7322314$5,170$15.83$464.85$3,317
Knee X-ray 1-2 viewsCPT7356014$1,366$15.83$83.45$197.58
Ankle X-ray 3 viewsCPT7361014$1,438$15.83$83.45$197.58
MRI lower extremity joint without contrastCPT7372114$2,458$15.83$340.56$3,317
MRI lower extremity joint with and without contrastCPT7372314$4,353$15.83$464.85$3,317
CT abdomen without contrastCPT7415013$2,001$424.01$57$259.81$1,797
CT abdomen with contrastCPT7416013$2,845$602.85$57$421.39$2,418.25
CT abdomen with and without contrastCPT7417013$3,176$672.99$57$451.1$2,699.6
CT abdomen and pelvis without contrastCPT7417613$3,040$644.17$57$372.21$2,584
CT abdomen and pelvis with contrastCPT7417713$3,605$763.89$57$592.58$3,064.25
CT abdomen and pelvis with and without contrastCPT7417813$4,549$963.93$57$649.35$3,866.65
MRI abdomen without contrastCPT7418113$3,138$664.94$57$501.61$3,317
MRI abdomen with and without contrastCPT7418313$4,542$962.44$57$726.03$3,860.7
Abdominal ultrasound completeCPT7670013$1,091$231.18$57$171.07$927.35
Abdominal ultrasound limitedCPT7670513$942$199.6$57$146.17$800.7
Retroperitoneal ultrasound completeCPT7677013$994$210.62$57$164.12$844.9
Obstetric ultrasound first trimesterCPT7680113$743$157.44$57$139.69$631.55
Obstetric ultrasound after first trimesterCPT7680513$931$197.27$57$169.43$791.35
Obstetric ultrasound with fetal anatomyCPT7681113$923$195.58$57$271.19$784.55
Transvaginal ultrasoundCPT7683013$1,069$226.52$57$159.08$908.65
Pelvic ultrasound completeCPT7685613$1,121$237.53$57$159.08$952.85
Scrotal ultrasoundCPT7687013$908$192.4$57$154.14$771.8
Diagnostic mammography unilateralCPT7706510$15.83$102.24$454.85
Diagnostic mammography bilateralCPT7706610$15.83$128.16$583.18
Screening mammography bilateralCPT7706710$15.83$94.26$480.91
EKG completeCPT9300010$15.83$69.03$334
EKG tracing onlyCPT9300513$359$76.07$56.82$206.38$334
EKG interpretation onlyCPT9301010$9.13$57.49$85
Transthoracic echocardiogram completeCPT9330613$4,883$1,034.7$310.35$1,880.27$4,150.55
Transthoracic echocardiogramCPT9330713$2,080$440.75$194.03$961.94$1,768
Stress echocardiogramCPT9335013$2,547$539.7$231.24$1,274.93$2,164.95
inpatient
Respiratory infections & inflammations w MCCMS-DRG17713$3,319$60$26,649$51,383
COPD w MCCMS-DRG19013$3,319$60$17,976$31,295
COPD w CCMS-DRG19113$3,319$60$15,438$24,590
COPD w/o CC/MCCMS-DRG19213$3,319$60$11,952$19,350
Simple pneumonia & pleurisy w CCMS-DRG19413$3,319$60$15,081$24,031
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19513$3,319$60$11,500$18,517
AMI discharged alive w MCCMS-DRG28013$3,319$60$26,104$45,282
AMI discharged alive w CCMS-DRG28113$3,319$60$17,023$25,955
AMI discharged alive w/o CC/MCCMS-DRG28213$3,319$60$13,391$20,202
Heart failure & shock w MCCMS-DRG29113$3,319$60$21,651$37,338
Heart failure & shock w CCMS-DRG29213$3,319$60$15,904$24,924
Heart failure & shock w/o CC/MCCMS-DRG29313$3,319$60$10,133$19,505
Cardiac arrhythmia w MCCMS-DRG30813$3,319$60$20,749$33,395
Cardiac arrhythmia w CCMS-DRG30913$3,319$60$13,653$20,867
Cardiac arrhythmia w/o CC/MCCMS-DRG31013$3,319$60$10,333$19,505
GI hemorrhage w CCMS-DRG37813$3,319$60$16,594$27,656
GI hemorrhage w/o CC/MCCMS-DRG37913$3,319$60$11,758$17,740
Esophagitis/gastroenteritis w/o MCCMS-DRG39213$3,319$60$14,410$21,285
Fractures of femur w/o MCCMS-DRG53313$3,319$60$25,357$41,326
Kidney/UTI w MCCMS-DRG68913$3,319$60$18,916$31,716
Kidney/UTI w/o MCCMS-DRG69013$3,319$60$14,822$22,059
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87113$3,319$60$31,809$53,174
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87213$3,319$60$17,005$28,447
Initial hospital care, low complexityCPT9922110$15.83$85$11,654
Initial hospital care, moderate complexityCPT9922211$15.83$2,808.5$11,654
Initial hospital care, high complexityCPT9922311$15.83$2,808.5$11,654
Hospital discharge, <30 minCPT9923811$15.83$2,808.5$11,654
Hospital discharge, >30 minCPT9923911$15.83$2,808.5$11,654
lab
Basic metabolic panel (BMP)CPT8004813$164$9.31$3.98$9.52$139.4
General health panelCPT800509$623$132.01$19.11$63.8$529.55
Electrolyte panelCPT8005113$133$7.71$3.29$7.89$113.05
Comprehensive metabolic panelCPT8005313$328$11.62$4.96$11.88$278.8
Lipid panelCPT8006113$247$14.73$6.29$15.07$209.95
Renal function panelCPT8006913$210$9.55$4.08$8.77$178.5
Hepatic function panelCPT8007613$180$8.99$3.84$9.19$153
Urinalysis non-automatedCPT8100213$43$3.83$1.64$3.52$57
Urinalysis automatedCPT8100313$77$2.48$1.06$2.38$65.45
Glucose quantitativeCPT8294713$44$4.32$1.85$3.93$57
Hemoglobin A1cCPT8303613$149$10.68$4.56$10.36$126.65
Thyroid stimulating hormone (TSH)CPT8444313$275$18.48$7.9$18.9$233.75
Complete blood count with automated differentialCPT8502513$146$8.55$3.65$8.07$124.1
Complete blood count without differentialCPT8502713$102$7.12$3.04$7.24$86.7
Urine culture bacterialCPT8708613$143$8.88$3.79$9.04$121.55
Urine culture identificationCPT8708813$78$8.9$3.8$8.17$66.3
Tissue exam by pathologist level IVCPT8830513$827$175.24$23.57$61.59$702.95
maternity
Fetal non-stress testCPT5902513$1,583$6,839$33.15$449.14$4,294
Routine obstetric care including vaginal deliveryCPT594009$6,839$15.83$59.95$4,294
Vaginal delivery onlyCPT5940913$6,839$15.83$693.83$7,134.36
Vaginal delivery with postpartumCPT594109$6,839$15.83$59.95$4,294
Routine obstetric care with C-sectionCPT595109$6,839$15.83$59.95$4,294
C-section delivery onlyCPT595149$6,839$15.83$59.95$4,294
C-section with postpartumCPT595159$6,839$15.83$59.95$8,466
office
Office visit, new patient, 15-29 minCPT992029$391$82.85$42.02$226.86$332.35
Office visit, new patient, 30-44 minutesCPT992039$578$122.47$64.24$335.35$491.3
Office visit, new patient, 45-59 minCPT992049$697$147.69$95.55$404.4$592.45
Office visit, new patient, 60-74 minCPT992059$809$171.42$126.02$469.38$687.65
Office visit, established patient, 5 minCPT992119$305$64.62$16$176.96$259.25
Office visit, established patient, 10-19 minCPT992129$465$98.53$49.06$269.79$395.25
Office visit, established patient, 20-29 minutesCPT992139$513$108.7$81.2$297.64$436.05
Office visit, established patient, 30-39 minutesCPT992149$564$119.51$89.28$327.23$479.4
Office visit, established patient, 40-54 minCPT992159$665$140.91$105.26$385.83$565.25
preventive
Upper GI endoscopy diagnosticCPT4323513$6,839$15.83$1,051.87$4,584
Upper GI endoscopy with biopsyCPT4323913$6,839$15.83$1,051.87$5,521
Sigmoidoscopy diagnosticCPT4533013$6,839$15.83$1,022.87$4,294
Sigmoidoscopy with biopsyCPT4533113$6,839$15.83$1,022.87$4,294
Colonoscopy diagnosticCPT4537813$6,839$15.83$1,022.87$5,521
Colonoscopy with biopsyCPT4538013$6,839$15.83$1,322.83$5,521
Colonoscopy with polyp removalCPT4538513$6,839$15.83$1,322.83$5,521
surgery
Total shoulder arthroplastyCPT2347213$6,839$15.83$20,632$41,264
PCI w drug-eluting stent w MCCMS-DRG2463$6,640$49,781$87,036
PCI w drug-eluting stent w/o MCCMS-DRG2473$6,640$21,312$55,362
Hip hemiarthroplastyCPT271259$6,839$15.83$2,982.5$26,990
Total hip replacementCPT2713013$6,839$15.83$14,436$28,871
Total knee replacementCPT2744713$6,839$15.83$14,436$28,871
Knee revision arthroplasty single componentCPT274869$6,839$15.83$2,982.5$26,990
Knee revision arthroplasty all componentsCPT274879$6,839$15.83$2,982.5$26,990
Shoulder arthroscopy with decompressionCPT298269$6,839$15.83$86$23,489
Shoulder arthroscopy with rotator cuff repairCPT2982713$6,839$15.83$7,624$23,489
Knee arthroscopy with meniscectomyCPT2988113$6,839$15.83$3,640.19$23,489
ACL reconstructionCPT2988813$6,839$15.83$6,748$23,489
Major small/large bowel procedures w MCCMS-DRG32913$3,319$60$77,906$135,059
Major small/large bowel procedures w CCMS-DRG33013$3,319$60$40,478$70,700
Major small/large bowel procedures w/o CC/MCCMS-DRG33113$3,319$60$28,394$47,618
CABG single arterial graftCPT335339$6,839$15.83$74.04$4,294
CABG 2 arterial graftsCPT335349$6,839$15.83$74.04$4,294
CABG 3 arterial graftsCPT335359$6,839$15.83$74.04$4,294
CABG 4+ arterial graftsCPT335369$6,839$15.83$74.04$4,294
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41813$3,319$60$28,164$47,006
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41913$3,319$60$22,491$36,622
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42013$3,319$60$57,719$97,852
Open appendectomyCPT4495013$6,839$15.83$2,699$14,001
Laparoscopic appendectomyCPT4497013$6,839$15.83$4,187$13,091
Spinal fusion (non-cervical) w MCCMS-DRG4593$6,640$155,483$187,450
Spinal fusion (non-cervical) w/o MCCMS-DRG4603$6,640$87,135$109,508
Major joint replacement w MCCMS-DRG46913$3,319$60$56,371$88,583
Major joint replacement w/o MCCMS-DRG47013$3,319$60$31,170$71,649
Laparoscopic cholecystectomyCPT4756213$6,839$15.83$6,545.69$13,091
Lap cholecystectomy with cholangiographyCPT4756313$6,839$15.83$6,545.69$13,091
Hip & femur procedures except major joint w MCCMS-DRG48013$3,319$60$50,344$84,219
Hip & femur procedures except major joint w CCMS-DRG48113$3,319$60$35,474$58,350
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48213$3,319$60$27,138$45,856
Lap inguinal hernia repairCPT4965013$6,839$15.83$4,187$13,091
Total abdominal hysterectomyCPT581509$6,839$15.83$84.63$10,182
Vaginal hysterectomyCPT5826013$6,839$15.83$5,463$11,077
Lap-assisted vaginal hysterectomyCPT5855013$6,839$15.83$6,545.69$13,091
Lap-assisted vaginal hysterectomy >250gCPT5855213$6,839$15.83$5,659$23,361
Lap salpingo-oophorectomyCPT5866113$6,839$15.83$5,659$13,091
OR procedure for obesity w MCCMS-DRG61913$3,319$60$35,086$103,607
OR procedure for obesity w CCMS-DRG62013$3,319$60$29,492$60,686
OR procedure for obesity w/o CC/MCCMS-DRG62113$3,319$60$28,044$55,548
Complex cataract surgeryCPT6698213$6,839$15.83$2,558.8$9,054
Cataract surgery with lens implantCPT6698413$6,839$15.83$2,558.8$9,054
Intravitreal injectionCPT6702813$6,839$15.83$372.13$4,294
Vitrectomy mechanicalCPT6704213$6,839$15.83$4,513.33$10,188
Uterine & adnexa procedures w CC/MCCMS-DRG74313$3,319$60$20,201$32,485
Uterine & adnexa procedures w/o CC/MCCMS-DRG74413$3,319$60$32,835$52,954
PCI single major coronary arteryCPT9292014$18,550$15.83$9,626.96$52,449
PCI with drug-eluting stentCPT9292814$29,649$15.83$13,045$52,449
PCI bypass graftCPT9293714$20,317$15.83$13,045$52,449
Left heart catheterizationCPT9345213$14,112$2,990.33$2,233.92$7,217.1$22,479
Coronary angiography with cathCPT9345513$28,972$6,139.16$3,180$7,217.1$22,479
Coronary angiography with bypass cathCPT9345813$29,629$6,278.38$3,180$7,217.1$22,479

Payer mix (top 14)

PayerCodes coveredMedian rate
amerihealth198$443.34
qualcare inc198$1,797
Blue Cross Blue Shield198$398.24
wellpoint194$620
Cigna194$459.35
fidelis care194$180.26
First Health194$60
Aetna194$487.52
UnitedHealthcare188$493.7
Emblem Health164$1,052.65
Humana160$400.67
clover health160$400.67
WellCare160$797.33
Self-Pay (Cash)24$21.19