How many shoppable procedure prices are published for Cooperman Barnabas Medical Center?

Cooperman Barnabas Medical Center in Livingston, NJ currently has 132 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cooperman Barnabas Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cooperman Barnabas Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Cooperman Barnabas Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Cooperman Barnabas Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 597 Beds · urban Updated: 2026-03-04

Cooperman Barnabas Medical Center

94 Old Short Hills Road, Livingston, NJ 07039 · 132 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.10×vs. Fair Market Price

Typical commercial prices here are +10% above the fair benchmark (1.10×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 57% of the Time

File Completeness51

Price Logic96

Peer Alignment65

Clean Billing83

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.10× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Cooperman Barnabas Medical Center maintains elevated commercial insurance contracts (1.10× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 57% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#31 of 52 in NJ · 57th State Percentile#1,684 of 3,385 in U.S. · 49th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 70% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (16.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
Commercial insurance median sits at 1.06× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.41×) jump +33% above the median procedure ratio (Q50 1.06×)
Unnegotiated chargemaster list prices average 11.8× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.63× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+33% Upper Tail

Q25 0.97× · Q50 1.06× · Q75 1.41×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.4× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

57% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Cooperman Barnabas Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 132 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$3,319	$57,702	$30,775	1.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$3,319	$40,096	$19,087	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$3,319	$35,618	$17,936	2.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$3,319	$32,300	$19,432	1.7×
Total hip replacement CPT Code: `27130`	$6,839	$22,308	$13,413	unverified
Total knee replacement CPT Code: `27447`	$6,839	$22,308	$13,523	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,319	$15,916	$8,223	1.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,839	$7,853	$6,109	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$6,839	$5,130	$3,372	1.5×
Breast lump removal CPT Code: `19120`	$6,839	$4,296	$3,875	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$6,839	$4,220	$2,540	1.7×
Inguinal hernia repair CPT Code: `49505`	$6,839	$4,113	$3,629	1.1×
Vaginal delivery (full package) CPT Code: `59400`	$6,839	$3,780	$2,680	1.4×
C-section delivery (full package) CPT Code: `59510`	$6,839	$3,780	$2,975	1.3×
Bunion correction surgery CPT Code: `28296`	$6,839	$3,677	$3,446	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$6,839	$2,666	$1,256	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	$6,839	$2,395	$987	2.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$6,839	$2,366	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,649	$1,955	$1,021	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,554	$855	1.8×
Trauma team activation HCPCS Code: `G0390`	—	$1,484	$1,453	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,165	$1,165	$86	unverified
Blood transfusion CPT Code: `36430`	—	$979	$498	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,068	$603	$511	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$988	$615	$583	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$634	$541	$272	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$764	$494	$448	1.1×
Behavioral health day treatment HCPCS Code: `H0010`	—	$453	$343	1.3×
Psychological testing by technician CPT Code: `96138`	—	$448	$395	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$605	$391	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$695	$391	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	—	$406	$369	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$349	$231	1.5×
Rabies immune globulin HCPCS Code: `90375`	—	$315	$322	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$284	$25	11.4×
CT scan, head (with contrast) CPT Code: `70460`	$488	$284	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$622	$292	$258	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$644	$313	$303	1.0×
CT scan, pelvis CPT Code: `72192`	$428	$235	$163	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$621	$237	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$506	$237	$168	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$138	$230	$201	1.1×
CT scan, sinuses CPT Code: `70486`	$625	$238	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$576	$238	$169	unverified
CT scan, head (no contrast) CPT Code: `70450`	$442	$208	$160	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$231	$169	$134	1.3×
Ultrasound, pelvis CPT Code: `76856`	$238	$152	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$235	$149	$132	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$164	$151	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$110	$180	$166	1.1×
Family therapy session CPT Code: `90847`	$127	$180	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$120	$180	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$183	$180	$185	1.0×
Physical therapy (gait training) CPT Code: `97116`	—	$132	$33	4.0×
Physical therapy (manual therapy) CPT Code: `97140`	—	$132	$34	3.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$132	$35	3.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$132	$38	3.5×
Occupational therapy (self-care training) CPT Code: `97535`	—	$132	$38	3.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$132	$40	3.3×
Prosthetic fitting and training CPT Code: `97761`	—	$132	$45	2.9×
Orthotic fitting and training CPT Code: `97760`	—	$132	$51	2.6×
Speech therapy (language evaluation) CPT Code: `92507`	—	$132	$86	1.5×
Psychological testing evaluation CPT Code: `96136`	—	$145	$128	1.1×
X-ray, pelvis CPT Code: `72170`	$154	$119	$110	1.1×
X-ray, chest (single view) CPT Code: `71045`	$105	$99	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$108	$99	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$156	$99	$93	1.1×
X-ray, lower back CPT Code: `72110`	$167	$119	$112	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$200	$131	$126	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$152	$148	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	—	$126	$123	1.0×
X-ray, shoulder CPT Code: `73030`	—	$99	$92	1.1×
X-ray, foot CPT Code: `73630`	—	$99	$92	1.1×
X-ray, hand CPT Code: `73130`	—	$99	$93	1.1×
X-ray, hip CPT Code: `73502`	—	$99	$93	1.1×
X-ray, ankle CPT Code: `73610`	—	$99	$93	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$120	$120	$123	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$76	$85	$64	1.3×
Group therapy session CPT Code: `90853`	$88	$104	$100	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$109	$82	$87	0.9×
Residential mental health treatment HCPCS Code: `H2036`	—	$87	$406	0.2×
Typhoid vaccine HCPCS Code: `90675`	$168	$368	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$72	$208	$203	1.0×
Drug screening test HCPCS Code: `G0480`	$126	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$53	$133	$140	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$40	$35	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$59	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$59	$52	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$59	$52	$49	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$122	$64	$110	0.6×
Community mental health services HCPCS Code: `H0038`	—	$18	$16	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$29	$26	$27	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$20	$37	$39	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$8	$32	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$18	$41	$56	0.7×
Behavioral health assessment HCPCS Code: `H0001`	—	$49	$157	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$11	$11	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$33	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$6	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$15	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$8	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$9	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$21	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$20	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$18	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$17	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$16	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$8	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$11	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$9	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$9	$8	$9	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$17	$33	0.5×
Mental health services (therapy) HCPCS Code: `H0032`	—	$25	$65	0.4×
Care planning with family CPT Code: `90887`	—	$31	$107	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$3	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$11	$14	$46	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$19	$19	$111	0.2×
Speech therapy (group session) CPT Code: `92508`	—	—	$27	—
Physical therapy (functional capacity test) CPT Code: `97750`	—	—	$38	—
Blood test, amylase CPT Code: `82150`	$7	$6	$7	0.9×

Showing top 25 high-impact procedures of 132 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 16.4%

Audit a Bill or Quote at Cooperman Barnabas Medical Center (Zero PHI Required)

CMS CCN: 310076

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $3,319

Insurer Median $57,702

1. Amount on Your Bill or Quote ($) Pre-filled with Cooperman Barnabas Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $22,781 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,781

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (16.4% of gross = $22,781).

Step 2 · Cash vs. Insurance Arbitrage Save $135,166 Paying Cash

Self-Pay Cash Rate ($3,319) Beats Your Bill

Cooperman Barnabas Medical Center's published 45 CFR § 180 self-pay cash rate is $3,319 (vs. $57,702 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$107,710 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($138,485) is $107,710 above the denoised Fair BaseRate ($30,775) and 5.9× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (16.4% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait120 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cooperman Barnabas Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-21·administrative_or_closure
Met Requirements
Recorded
2023-05-01·administrative_or_closure
Met Requirements
Recorded
2022-07-18·administrative_or_closure
Closure Notice
Recorded
2021-09-30·cap_corrective_action
CAP Request
Recorded
2021-04-19·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (2,595 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cooperman Barnabas Medical Center.

Price Index: 0.91× regional baseline

Quality: 59/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

WellCare

+70.3%

Median Household Income$76,712U.S. Census ACS

Local Uninsured Share11.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 79/100 · Corroborated CMS CCN 310076

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 310076) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-04

Validated Rate Rows3,206 (CMS v3.0.0)

File Integrity DigestVerified · CCN 310076

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy