Childrens Specialized Hospital
150 New Providence Rd, Mountainside, NJ · RWJBarnabas Health · · NPI 1396886297
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Abdominal Ultrasound (complete) CPT 76700 | $363.00 | $726.00 | $66.00 – $66.00 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $354.00 | $708.00 | $44.00 – $44.00 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $37.50 | $75.00 | $394.00 – $394.00 | 1 |
| Acoustic refl threshold tst CPT 92568 | $73.00 | $146.00 | $102.46 – $394.00 | 2 |
| Acute hepatitis panel CPT 80074 | $209.00 | $418.00 | $38.10 – $39.24 | 2 |
| #acylcarnitineprfl CPT 82017 | $92.00 | $184.00 | $13.50 – $13.91 | 2 |
| Adapt behavior tx phys/qhp CPT 97155 | $104.50 | $209.00 | $58.93 – $58.93 | 1 |
| Adh-sendout CPT 84588 | $233.50 | $467.00 | $27.15 – $27.96 | 2 |
| Aep hearing status deter i&r CPT 92651 | $143.00 | $286.00 | $106.10 – $394.00 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | $183.00 | $366.00 | $102.70 – $394.00 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | $280.00 | $560.00 | $139.11 – $394.00 | 2 |
| Air conduction bilat CPT 92552 | $114.50 | $229.00 | $128.62 – $394.00 | 2 |
| Albumin body fluid quantitative each specimen CPT 82042 | $36.50 | $73.00 | $6.22 – $6.41 | 2 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $40.00 | $80.00 | $4.62 – $4.76 | 2 |
| Albumin serum plasma or whole blood CPT 82040 | $36.50 | $73.00 | $3.96 – $4.08 | 2 |
| Alkaline phosphatase CPT 84075 | $18.50 | $37.00 | $4.14 – $4.26 | 2 |
| Allergen egg white ige CPT 86003 | $202.00 | $404.00 | $4.18 – $4.31 | 2 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $20.00 | $40.00 | $6.38 – $6.57 | 2 |
| Alpha-fetoprotein tumor marker CPT 82105 | $99.00 | $198.00 | $13.42 – $13.82 | 2 |
| Aluminum - quest CPT 82108 | $140.00 | $280.00 | $20.38 – $20.99 | 2 |
| Amantadine (symmetrel)-sendout CPT 80375 | $72.00 | $144.00 | $16.48 – $16.97 | 2 |
| Amino acid screen, urine CPT 82128 | $50.50 | $101.00 | $11.10 – $11.43 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $107.50 | $215.00 | $16.66 – $17.16 | 2 |
| Ammonia CPT 82140 | $113.50 | $227.00 | $11.66 – $12.01 | 2 |
| Amylase CPT 82150 | $34.00 | $68.00 | $5.18 – $5.34 | 2 |
| Analysis gene f2 20210g>a variant CPT 81240 | $221.50 | $443.00 | $52.55 – $54.13 | 2 |
| Analysis gene f5 leiden variant CPT 81241 | $95.50 | $191.00 | $58.70 – $60.46 | 2 |
| Ankle X-ray CPT 73610 | $253.00 | $506.00 | $15.20 – $655.00 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | $135.00 | $270.00 | $15.48 – $15.94 | 2 |
| Antibody influenza virus CPT 86710 | $91.00 | $182.00 | $10.84 – $11.17 | 2 |
| Antibody screen rbc CPT 86850 | $15.50 | $31.00 | $7.82 – $8.05 | 2 |
| Antibody tetanus CPT 86774 | $43.00 | $86.00 | $11.84 – $12.20 | 2 |
| Antiphosphatidylserine antibody CPT 86148 | $109.50 | $219.00 | $12.86 – $13.25 | 2 |
| Antistreptolysin o titer CPT 86060 | $50.50 | $101.00 | $5.84 – $6.02 | 2 |
| Antithrombin iii activity CPT 85300 | $107.00 | $214.00 | $9.48 – $9.76 | 2 |
| Application short leg cast 29405 CPT 29405 | $331.00 | $662.00 | $42.00 – $42.00 | 1 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $57.00 | $114.00 | $237.00 – $394.00 | 2 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $47.50 | $95.00 | $237.00 – $394.00 | 2 |
| Aquatic exercise - group charge CPT 97150 | $126.50 | $253.00 | $237.00 – $394.00 | 2 |
| Assay of corticosterone CPT 82528 | $77.00 | $154.00 | $18.02 – $18.56 | 2 |
| Assay of urine sulfate CPT 84392 | $29.50 | $59.00 | $4.39 – $4.52 | 2 |
| Assay toxin or antitoxin CPT 87230 | $63.50 | $127.00 | $15.79 – $16.26 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $28.00 | $56.00 | $3.42 – $3.52 | 2 |
| Assistive tech assessment, ot CPT 97755 | $65.50 | $131.00 | $237.00 – $394.00 | 2 |
| Ast/sgot CPT 84450 | $20.50 | $41.00 | $4.14 – $4.26 | 2 |
| Audiometry air + bone CPT 92553 | $170.00 | $340.00 | $106.82 – $394.00 | 2 |
| Baclofen eval charges CPT 97750 | $59.00 | $118.00 | $237.00 – $394.00 | 2 |
| Bacterial vaginosis pcr CPT 87801 | $179.00 | $358.00 | $56.16 – $57.84 | 2 |
| B cells total count CPT 86355 | $53.50 | $107.00 | $30.18 – $31.09 | 2 |
| #_benzodiazconfur CPT 80346 | $42.50 | $85.00 | $20.96 – $21.59 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $65.50 | $131.00 | $20.36 – $20.97 | 2 |
| Beta-2 microglobulin CPT 82232 | $67.00 | $134.00 | $12.94 – $13.33 | 2 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $272.00 – $272.00 | 1 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $272.00 – $272.00 | 1 |
| Bilirubin direct CPT 82248 | $19.00 | $38.00 | $4.02 – $4.14 | 2 |
| Bilirubin total CPT 82247 | $20.50 | $41.00 | $4.02 – $4.14 | 2 |
| Biofeedback, pt CPT 90901 | not published | not published | $195.00 – $195.00 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $21.50 | $43.00 | $3.43 – $3.53 | 2 |
| Blood Clotting (PTT) Test CPT 85730 | $27.00 | $54.00 | $4.81 – $4.95 | 2 |
| Blood Count (CBC) Test CPT 85025 | $25.00 | $50.00 | $6.22 – $6.41 | 2 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $17.00 | $34.00 | $5.18 – $5.34 | 2 |
| Blood count spun microhematocrit CPT 85013 | $12.50 | $25.00 | $5.60 – $5.77 | 2 |
| Blood Culture Test CPT 87040 | $124.50 | $249.00 | $8.26 – $8.51 | 2 |
| Blood draw capillary 36416 CPT 36416 | $22.00 | $44.00 | $1.80 – $1.85 | 2 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $20.00 | $40.00 | $12.74 – $13.12 | 2 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $24.00 | $48.00 | $4.26 – $4.39 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $31.50 | $63.00 | $3.04 – $3.13 | 2 |
| Blood typing abo CPT 86900 | $21.50 | $43.00 | $2.39 – $2.46 | 2 |
| Blood typing ag donor ea ag CPT 86902 | $74.50 | $149.00 | $5.08 – $5.23 | 2 |
| Blood typing rh (d) CPT 86901 | $28.00 | $56.00 | $2.39 – $2.46 | 2 |
| Bone Density Scan (DEXA) CPT 77080 | $268.50 | $537.00 | $65.00 – $655.00 | 2 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $68.50 | $137.00 | $13.62 – $14.03 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $2,209.00 | $4,418.00 | $544.09 – $544.09 | 1 |
| Brain MRI (with contrast) CPT 70552 | $1,728.00 | $3,456.00 | $352.00 – $352.00 | 1 |
| Brain MRI (without contrast) CPT 70551 | $1,577.00 | $3,154.00 | $330.00 – $330.00 | 1 |
| Calcium 24 hour urine CPT 82340 | $50.00 | $100.00 | $4.82 – $4.96 | 2 |
| Calcium ionized CPT 82330 | $47.50 | $95.00 | $10.94 – $11.27 | 2 |
| Calcium total CPT 82310 | $21.50 | $43.00 | $4.13 – $4.25 | 2 |
| Calprotectin fecal CPT 83993 | $245.50 | $491.00 | $15.70 – $16.17 | 2 |
| Carbamazepine total therapeutic drug level CPT 80156 | $85.50 | $171.00 | $11.66 – $12.01 | 2 |
| Carbohydrate deficient transf - sendout CPT 82373 | $140.00 | $280.00 | $14.45 – $14.88 | 2 |
| Cardiolipin antibody iga CPT 86147 | $133.50 | $267.00 | $20.36 – $20.97 | 2 |
| Carotene CPT 82380 | $28.00 | $56.00 | $7.38 – $7.60 | 2 |
| Cell count body fluid CPT 89050 | $47.00 | $94.00 | $3.78 – $3.89 | 2 |
| #cf-97variants CPT 81220 | $870.00 | $1,740.00 | $445.28 – $458.64 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,165.50 | $2,331.00 | $175.00 – $175.00 | 1 |
| Chest CT scan (with contrast) CPT 71260 | $977.00 | $1,954.00 | $170.90 – $170.90 | 1 |
| Chest CT scan (without contrast) CPT 71250 | $744.50 | $1,489.00 | $145.97 – $145.97 | 1 |
| Chest X-ray (single view) CPT 71045 | $105.00 | $210.00 | $12.25 – $655.00 | 2 |
| Chlamydia culture CPT 87110 | $128.00 | $256.00 | $15.68 – $16.15 | 2 |
| Cholesterol CPT 82465 | $20.50 | $41.00 | $3.48 – $3.58 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $65.00 | $130.00 | $10.71 – $11.03 | 2 |
| Chromogenic substrate assay CPT 85130 | $15.00 | $30.00 | $9.51 – $9.80 | 2 |
| Chromo high res and frag x - sendout CPT 81243 | $312.00 | $624.00 | $45.63 – $47.00 | 2 |
| Chromosome analysis 50-100 CPT 88248 | $523.50 | $1,047.00 | $138.54 – $142.70 | 2 |
| Chromosome karyotype study CPT 88280 | $798.00 | $1,596.00 | $26.78 – $27.58 | 2 |
| Clot factor xii hageman CPT 85280 | $158.00 | $316.00 | $15.48 – $15.94 | 2 |
| Clot factor xiii fibrin stab CPT 85290 | $125.50 | $251.00 | $13.07 – $13.46 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | $59.50 | $119.00 | $6.46 – $6.65 | 2 |
| Collection of venous blood by venipuncture CPT 36415 | $29.00 | $58.00 | $4.42 – $4.55 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.