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 |
|---|---|---|---|---|
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $58.00 | $116.00 | $33.70 – $34.71 | 2 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $40.00 | $80.00 | $20.22 – $20.83 | 2 |
| Mayo efpo chloride stool CPT 82438 | $25.50 | $51.00 | $4.00 – $4.12 | 2 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $55.50 | $111.00 | $13.07 – $13.46 | 2 |
| Mayo everolimus therapeutic drug level CPT 80169 | $22.00 | $44.00 | $10.98 – $11.31 | 2 |
| Mayo factor vii CPT 85230 | $37.50 | $75.00 | $14.32 – $14.75 | 2 |
| Mayo factor viii vw factor antigen CPT 85246 | $106.50 | $213.00 | $18.35 – $18.90 | 2 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $98.50 | $197.00 | $18.35 – $18.90 | 2 |
| Mayo factor x CPT 85260 | $132.00 | $264.00 | $14.32 – $14.75 | 2 |
| Mayo factor xi CPT 85270 | $131.00 | $262.00 | $14.32 – $14.75 | 2 |
| Mayo fbl culture fungi blood CPT 87103 | $61.50 | $123.00 | $16.37 – $16.86 | 2 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $34.00 | $68.00 | $17.34 – $17.86 | 2 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $65.50 | $131.00 | $7.11 – $7.32 | 2 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $148.00 | $296.00 | $21.74 – $22.39 | 2 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $67.00 | $134.00 | $13.82 – $14.23 | 2 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $78.00 | $156.00 | $11.99 – $12.35 | 2 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $150.00 | $300.00 | $28.07 – $28.91 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $201.50 | $403.00 | $34.27 – $35.30 | 2 |
| Mayo insulin antibodies CPT 86337 | $117.50 | $235.00 | $17.13 – $17.64 | 2 |
| Mayo iodine CPT 83789 | $84.00 | $168.00 | $19.29 – $19.87 | 2 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $42.50 | $85.00 | $21.69 – $22.34 | 2 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $33.50 | $67.00 | $10.23 – $10.54 | 2 |
| Mayo lipoprotein electrophoresis CPT 83700 | $54.50 | $109.00 | $9.01 – $9.28 | 2 |
| Mayo manganese CPT 83785 | $169.00 | $338.00 | $21.32 – $21.96 | 2 |
| Mayo metanephrines plasma CPT 83835 | $89.50 | $179.00 | $13.55 – $13.96 | 2 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $74.50 | $149.00 | $11.64 – $11.99 | 2 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $175.50 | $351.00 | $14.91 – $15.36 | 2 |
| Mayo myoglobin CPT 83874 | $60.00 | $120.00 | $10.34 – $10.65 | 2 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $89.50 | $179.00 | $16.97 – $17.48 | 2 |
| Mayo oxalate 24 hour urine CPT 83945 | $28.50 | $57.00 | $11.56 – $11.91 | 2 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $72.50 | $145.00 | $9.22 – $9.50 | 2 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $82.00 | $164.00 | $12.02 – $12.38 | 2 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $75.00 | $150.00 | $9.64 – $9.93 | 2 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $108.00 | $216.00 | $11.01 – $11.34 | 2 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $120.00 | $240.00 | $13.27 – $13.67 | 2 |
| Mayo renin CPT 84244 | $67.00 | $134.00 | $17.59 – $18.12 | 2 |
| Mayo selenium CPT 84255 | $133.50 | $267.00 | $20.42 – $21.03 | 2 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $29.00 | $58.00 | $10.98 – $11.31 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $21.50 | $43.00 | $3.42 – $3.52 | 2 |
| Mayo tgrp testosterone free CPT 84402 | $40.00 | $80.00 | $20.38 – $20.99 | 2 |
| Mayo tgrp testosterone total CPT 84403 | $133.50 | $267.00 | $20.65 – $21.27 | 2 |
| Mayo vitamin b3 (niacin) CPT 84591 | $99.50 | $199.00 | $13.65 – $14.06 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $27.00 | $54.00 | $6.77 – $6.97 | 2 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $32.00 | $64.00 | $8.45 – $8.70 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | $48.50 | $97.00 | $30.86 – $31.79 | 2 |
| Mopath procedure level 3 CPT 81402 | $603.00 | $1,206.00 | $120.26 – $123.87 | 2 |
| Mopath procedure level 6 CPT 81405 | $283.00 | $566.00 | $241.08 – $248.31 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,209.00 | $4,418.00 | $489.41 – $489.41 | 1 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,382.50 | $2,765.00 | $341.00 – $341.00 | 1 |
| Mucopolysaccharides CPT 83864 | $129.50 | $259.00 | $22.80 – $23.48 | 2 |
| Multi family grp psychotherapy CPT 90849 | $137.50 | $275.00 | $109.39 – $131.00 | 2 |
| Mumps antibody igg CPT 86735 | $70.00 | $140.00 | $10.44 – $10.75 | 2 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $56.50 | $113.00 | $9.22 – $9.50 | 2 |
| Natriuretic peptide CPT 83880 | $183.50 | $367.00 | $31.41 – $32.35 | 2 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $820.50 | $1,641.00 | $125.00 – $125.00 | 1 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,103.00 | $4,206.00 | $479.30 – $479.30 | 1 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,646.50 | $3,293.00 | $353.00 – $353.00 | 1 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,200.50 | $2,401.00 | $330.00 – $330.00 | 1 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $444.50 | $889.00 | $174.00 – $430.00 | 2 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $200.00 | $400.00 | $117.89 – $117.89 | 1 |
| New Patient Office Visit (level 2) CPT 99202 | $255.50 | $511.00 | $114.91 – $114.91 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | $300.50 | $601.00 | $175.68 – $175.68 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | $413.50 | $827.00 | $261.30 – $261.30 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | $488.50 | $977.00 | $344.63 – $344.63 | 1 |
| Nm imaging gastric emptying study CPT 78264 | $1,007.50 | $2,015.00 | $34.00 – $34.00 | 1 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $76.50 | $153.00 | $29.81 – $29.81 | 1 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $61.50 | $123.00 | $5.41 – $5.41 | 1 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $64.00 | $128.00 | $31.61 – $31.61 | 1 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $270.50 | $541.00 | $258.00 – $258.00 | 1 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $260.00 | $520.00 | $256.00 – $256.00 | 1 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $115.50 | $231.00 | $161.18 – $161.18 | 1 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $75.00 | $150.00 | $111.82 – $111.82 | 1 |
| Organic acids total quant ea spec CPT 83918 | $87.50 | $175.00 | $18.88 – $19.45 | 2 |
| Oscillation chest wall mechanical per session CPT 94669 | $199.00 | $398.00 | $394.00 – $394.00 | 1 |
| Osmolality blood CPT 83930 | $55.50 | $111.00 | $5.29 – $5.45 | 2 |
| Osmolality urine CPT 83935 | $63.00 | $126.00 | $5.46 – $5.62 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $412.50 | $825.00 | $237.00 – $394.00 | 2 |
| Ot evaluation low complexity patient/family CPT 97165 | $299.00 | $598.00 | $237.00 – $394.00 | 2 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $396.00 | $792.00 | $237.00 – $394.00 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $90.00 | $180.00 | $237.00 – $394.00 | 2 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $68.50 | $137.00 | $237.00 – $394.00 | 2 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $68.50 | $137.00 | $237.00 – $394.00 | 2 |
| Ot re-evaluation patient/family CPT 97168 | $295.50 | $591.00 | $237.00 – $394.00 | 2 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $76.50 | $153.00 | $237.00 – $394.00 | 2 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $40.50 | $81.00 | $237.00 – $394.00 | 2 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $71.00 | $142.00 | $237.00 – $394.00 | 2 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $68.50 | $137.00 | $237.00 – $394.00 | 2 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $70.00 | $140.00 | $237.00 – $394.00 | 2 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $68.50 | $137.00 | $237.00 – $394.00 | 2 |
| Parathormone (pth) intact CPT 83970 | $215.50 | $431.00 | $33.02 – $34.01 | 2 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,208.50 | $2,417.00 | $175.00 – $175.00 | 1 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,077.50 | $2,155.00 | $164.09 – $164.09 | 1 |
| Pelvic CT scan (without contrast) CPT 72192 | $820.50 | $1,641.00 | $143.64 – $143.64 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $363.00 | $726.00 | $66.00 – $66.00 | 1 |
| Ph body fluid CPT 83986 | $28.50 | $57.00 | $2.86 – $2.95 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $75.50 | $151.00 | $12.24 – $12.61 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $79.50 | $159.00 | $10.60 – $10.92 | 2 |
| Phosphorus CPT 84100 | $21.50 | $43.00 | $3.79 – $3.90 | 2 |
| Phosphorus 24 hour urine CPT 84105 | $41.00 | $82.00 | $4.62 – $4.76 | 2 |
| Pinworm exam CPT 87172 | $29.50 | $59.00 | $3.42 – $3.52 | 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.