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 |
|---|---|---|---|---|
| Ghs phenylketonurid CPT 84030 | $41.50 | $83.00 | $4.40 – $4.53 | 2 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $64.50 | $129.00 | $12.71 – $13.09 | 2 |
| Ghs reticulocyte count CPT 85044 | $20.00 | $40.00 | $3.45 – $3.55 | 2 |
| Ghs sedimentation rate CPT 85651 | $21.50 | $43.00 | $3.42 – $3.52 | 2 |
| Ghs st - eval for alt comm CPT 92567 | $68.00 | $136.00 | $91.56 – $394.00 | 2 |
| Giardia lamblia antibody CPT 86674 | $95.50 | $191.00 | $11.78 – $12.13 | 2 |
| Gi inhouse confirmation CPT 87045 | $43.00 | $86.00 | $7.55 – $7.78 | 2 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $5.50 | $11.00 | $2.62 – $2.70 | 2 |
| Glucose blood quantitative CPT 82947 | $21.50 | $43.00 | $3.14 – $3.23 | 2 |
| Glucose body fluid CPT 82945 | $32.50 | $65.00 | $3.14 – $3.23 | 2 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $99.00 | $198.00 | $14.86 – $15.31 | 2 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $97.50 | $195.00 | $14.82 – $15.26 | 2 |
| Hand X-ray CPT 73130 | $365.00 | $730.00 | $16.50 – $655.00 | 2 |
| Haptoglobin quantitative CPT 83010 | $70.50 | $141.00 | $10.06 – $10.36 | 2 |
| Hc ea ha check monaural CPT 92594 | $12.00 | $24.00 | $32.70 – $394.00 | 2 |
| Hcg quantitative CPT 84702 | $74.50 | $149.00 | $12.04 – $12.40 | 2 |
| Hc hearing aid chck binaurl CPT 92593 | $119.50 | $239.00 | $65.40 – $394.00 | 2 |
| Hc hearing aid chck monarl CPT 92592 | $115.50 | $231.00 | $63.22 – $394.00 | 2 |
| Hc hearing aid exam both ears CPT 92591 | $184.00 | $368.00 | $69.76 – $394.00 | 2 |
| Hc hearing aid exam one ear CPT 92590 | $151.50 | $303.00 | $69.76 – $394.00 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $1,028.00 | $2,056.00 | $171.80 – $171.80 | 1 |
| Head CT scan (with contrast) CPT 70460 | $862.00 | $1,724.00 | $140.59 – $140.59 | 1 |
| Head CT scan (without contrast) CPT 70450 | $640.50 | $1,281.00 | $137.50 – $137.50 | 1 |
| Hematocrit CPT 85014 | $4.00 | $8.00 | $1.90 – $1.96 | 2 |
| Hemoglobin CPT 85018 | $15.50 | $31.00 | $1.90 – $1.96 | 2 |
| Hemophilus influenza antibdy CPT 86684 | $109.00 | $218.00 | $12.67 – $13.05 | 2 |
| Heparin assay CPT 85520 | $118.50 | $237.00 | $10.47 – $10.78 | 2 |
| Hepatitis a antibody igm CPT 86709 | $130.00 | $260.00 | $9.01 – $9.28 | 2 |
| Hepatitis b core antibody igm CPT 86705 | $57.00 | $114.00 | $9.42 – $9.70 | 2 |
| Hepatitis b core antibody total CPT 86704 | $61.00 | $122.00 | $9.64 – $9.93 | 2 |
| Hepatitis b surface antibody CPT 86706 | $53.50 | $107.00 | $8.59 – $8.85 | 2 |
| Hepatitis c antibody CPT 86803 | $71.00 | $142.00 | $11.42 – $11.76 | 2 |
| Heterophile antibodies screening CPT 86308 | $31.50 | $63.00 | $4.14 – $4.26 | 2 |
| Heterophile antibodies titer CPT 86309 | $30.50 | $61.00 | $5.18 – $5.34 | 2 |
| Hip X-ray CPT 73502 | $282.00 | $564.00 | $22.96 – $655.00 | 2 |
| Hlth bhv assmt/reassessment CPT 96156 | $165.50 | $331.00 | $133.67 – $133.67 | 1 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $152.50 | $305.00 | $84.04 – $84.04 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $152.50 | $305.00 | $13.40 – $13.40 | 1 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $152.50 | $305.00 | $91.53 – $91.53 | 1 |
| Homocysteine CPT 83090 | $90.00 | $180.00 | $14.34 – $14.77 | 2 |
| Igh gene rearrange amp meth CPT 81261 | $1,053.50 | $2,107.00 | $158.39 – $163.14 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | $261.50 | $523.00 | $104.28 – $107.41 | 2 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $677.50 | $1,355.00 | $205.96 – $212.14 | 2 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $696.00 | $1,392.00 | $333.42 – $343.42 | 2 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $65.00 | $130.00 | $33.10 – $34.09 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $100.00 | $200.00 | $10.74 – $11.06 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $51.50 | $103.00 | $9.58 – $9.87 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $47.50 | $95.00 | $11.50 – $11.85 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $61.00 | $122.00 | $8.26 – $8.51 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $88.00 | $176.00 | $19.26 – $19.84 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $66.50 | $133.00 | $9.58 – $9.87 | 2 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $268.50 | $537.00 | $28.07 – $28.91 | 2 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $76.50 | $153.00 | $28.07 – $28.91 | 2 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $142.00 | $284.00 | $29.82 – $30.71 | 2 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $191.50 | $383.00 | $28.07 – $28.91 | 2 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $76.50 | $153.00 | $28.07 – $28.91 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $80.50 | $161.00 | $41.05 – $42.28 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $189.50 | $379.00 | $114.10 – $117.52 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $223.00 | $446.00 | $114.10 – $117.52 | 2 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $297.50 | $595.00 | $34.27 – $35.30 | 2 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $162.00 | $324.00 | $34.27 – $35.30 | 2 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $223.00 | $446.00 | $34.27 – $35.30 | 2 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $179.00 | $358.00 | $68.08 – $70.12 | 2 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $277.00 | $554.00 | $114.10 – $117.52 | 2 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $143.00 | $286.00 | $214.63 – $214.63 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $165.50 | $331.00 | $274.17 – $274.17 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $103.50 | $207.00 | $150.03 – $150.03 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $137.00 | $274.00 | $394.00 – $394.00 | 1 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $25.00 | $50.00 | $21.80 – $21.80 | 1 |
| Insulin total CPT 83525 | $95.00 | $190.00 | $9.14 – $9.41 | 2 |
| Iron CPT 83540 | $24.00 | $48.00 | $5.18 – $5.34 | 2 |
| Iron binding capacity CPT 83550 | $49.00 | $98.00 | $6.99 – $7.20 | 2 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $274.50 | $549.00 | $46.27 – $655.00 | 2 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $67.50 | $135.00 | $6.54 – $6.74 | 2 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $363.00 | $726.00 | $66.00 – $66.00 | 1 |
| Knee X-ray CPT 73564 | $485.00 | $970.00 | $24.75 – $655.00 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $30.50 | $61.00 | $4.83 – $4.97 | 2 |
| Lactic acid CPT 83605 | $73.00 | $146.00 | $9.26 – $9.54 | 2 |
| Lead capillary CPT 83655 | $37.00 | $74.00 | $9.69 – $9.98 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $21.50 | $43.00 | $10.60 – $10.92 | 2 |
| Lipase CPT 83690 | $52.00 | $104.00 | $5.51 – $5.68 | 2 |
| Lithium therapeutic drug level CPT 80178 | $54.50 | $109.00 | $5.29 – $5.45 | 2 |
| Liver Function Test CPT 80076 | $27.00 | $54.00 | $6.54 – $19.14 | 3 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $145.50 | $291.00 | $22.00 – $655.00 | 2 |
| Lymphocyte transformation mitogen CPT 86353 | $319.50 | $639.00 | $39.22 – $40.40 | 2 |
| Magnesium CPT 83735 | $32.50 | $65.00 | $5.36 – $5.52 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $56.50 | $113.00 | $394.00 – $394.00 | 1 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $90.50 | $181.00 | $394.00 – $394.00 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $46.00 | $92.00 | $10.75 – $11.07 | 2 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $109.50 | $219.00 | $12.06 – $12.42 | 2 |
| Mayo androstenedione CPT 82157 | $266.00 | $532.00 | $23.42 – $24.12 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $66.50 | $133.00 | $13.50 – $13.91 | 2 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $56.50 | $113.00 | $21.42 – $22.06 | 2 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $275.50 | $551.00 | $97.78 – $100.71 | 2 |
| Mayo ceruloplasmin CPT 82390 | $56.50 | $113.00 | $8.59 – $8.85 | 2 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $116.50 | $233.00 | $11.30 – $11.64 | 2 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $67.00 | $134.00 | $10.30 – $10.61 | 2 |
| Mayo chromium CPT 82495 | $139.00 | $278.00 | $16.22 – $16.71 | 2 |
| Mayo cocou cortisone urine CPT 82542 | $140.50 | $281.00 | $19.27 – $19.85 | 2 |
| Mayo cortisol free CPT 82530 | $44.50 | $89.00 | $13.37 – $13.77 | 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.