Monmouth Medical Center Southern Campus
600 River Ave, Lakewood, NJ · RWJBarnabas Health · · NPI 1225133473
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 |
|---|---|---|---|---|
| Urine screen for bacteria CPT 81007 | $32.98 | not published | $7.73 – $122.84 | 11 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,519.44 – $2,519.44 | 1 |
| Urine specimen collect mult HCPCS P9615 | $9.71 | not published | $1.65 – $36.06 | 11 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $62.15 – $157.01 | 4 |
| Urography, antegrade CPT 74425 | $318.75 | $1,341.00 | $45.92 – $776.70 | 11 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $83.82 – $619.66 | 12 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $462.47 – $541.75 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $9.25 – $10.84 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $65.12 – $340.22 | 11 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,137.66 – $4,253.94 | 9 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.40 – $27.76 | 11 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $135.63 – $339.02 | 11 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $14,061.89 – $27,983.16 | 9 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $68.51 | $288.25 | $143.87 – $161.65 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $67.73 | $284.95 | $130.88 – $154.68 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $76.65 | $322.50 | $131.10 – $155.90 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $45.75 | $192.50 | $78.12 – $93.05 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $34.16 | $143.75 | $57.27 – $69.48 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $22.81 | $95.98 | $28.30 – $38.42 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $34.85 | $146.63 | $96.95 – $127.87 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $24.65 | $103.72 | $60.34 – $160.20 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $74.99 | $315.50 | $149.50 – $392.90 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | $38.05 | $160.10 | $113.44 – $149.63 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $14.42 | $60.70 | $30.33 – $39.46 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $6.02 | $25.35 | $12.00 – $21.18 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $35.59 | $149.74 | $71.61 – $92.74 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $54.06 | $227.45 | $125.45 – $158.02 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $14.92 | $62.79 | $37.73 – $48.65 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $30.57 – $44.21 | 3 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $66.88 – $92.43 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $23.72 | $99.80 | $62.64 – $86.57 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $158.03 – $207.01 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $8.73 | $36.74 | $28.19 – $37.85 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $128.95 | $542.50 | $306.25 – $387.43 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $137.18 | $577.15 | $110.39 – $520.41 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $39.29 | $165.33 | $73.40 – $102.69 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $74.31 – $102.69 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $19.46 – $27.62 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $8.49 | $35.75 | $12.77 – $28.07 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $9.97 | $41.97 | $18.24 – $26.71 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.59 – $95.15 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $18.91 – $27.42 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $10.22 | $43.01 | $19.53 – $28.07 | 5 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.12 – $17.03 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.28 – $33.08 | 5 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $32.46 | $136.60 | $64.13 – $80.77 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $32.80 – $45.33 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $9.73 – $17.48 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $87.43 | $367.82 | $222.73 – $280.56 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $189.37 – $239.57 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $64.03 | $269.40 | $171.15 – $216.52 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $28.55 | $120.13 | $156.60 – $197.26 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $21.79 | $91.69 | $91.75 – $119.65 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | $148.56 | $625.03 | $132.69 – $348.35 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $59.50 | $250.34 | $118.79 – $164.17 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $113.00 | $475.41 | $229.61 – $317.33 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $120.21 | $505.75 | $232.42 – $311.88 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $128.55 | $540.83 | $278.48 – $366.59 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $13.52 | $56.91 | $44.43 – $56.21 | 4 |
| Vaccine rabies im CPT 90675 | $188.94 | $794.89 | $282.73 – $712.86 | 11 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $293.82 – $371.70 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $517.67 – $1,309.77 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $517.67 – $654.89 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $292.82 – $370.44 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $55.77 | $234.65 | $116.43 – $173.91 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $50.45 | $212.26 | $98.30 – $124.35 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $20.15 | $84.79 | $38.63 – $58.54 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $17.96 | $75.59 | $32.16 – $41.18 | 5 |
| Vaccine typhoid vicps im CPT 90691 | $53.64 | $225.69 | $110.00 – $175.13 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | $80.45 | $338.47 | $182.14 – $230.42 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $155.04 – $257.78 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 9 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $36.64 – $114.84 | 9 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $257.99 – $1,097.70 | 9 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $101.18 – $430.91 | 9 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $2,302.01 – $9,794.24 | 9 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $4,350.00 | not published | $1,859.89 – $10,735.95 | 9 |
| Vag hyst incl t/o complex CPT 58291 | $4,350.00 | not published | $2,310.85 – $10,735.95 | 9 |
| Vag hyst including t/o CPT 58262 | $4,350.00 | not published | $1,701.40 – $10,735.95 | 9 |
| Vag hyst t/o & repair compl CPT 58292 | $4,350.00 | not published | $2,454.00 – $16,082.46 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $4,350.00 | not published | $2,253.59 – $10,735.95 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | $4,350.00 | not published | $1,545.20 – $10,735.95 | 9 |
| Vaginal bx CPT 58999 | $4,350.00 | not published | $219.85 – $437.50 | 9 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $4,350.00 | not published | $1,635.67 – $6,914.93 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,085.90 – $2,085.90 | 1 |
| Vaginal hysterectomy CPT 58260 | $4,350.00 | not published | $1,425.37 – $10,735.95 | 9 |
| Vaginectomy partial w/nodes CPT 57109 | $4,350.00 | not published | $3,474.84 – $6,914.93 | 9 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $99.88 – $3,200.20 | 9 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,197.63 – $1,197.63 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $507.16 – $507.16 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,793.14 – $1,793.14 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,769.46 – $1,769.46 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $14.89 | $197.00 | $6.36 – $54.74 | 11 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,285.65 – $3,028.50 | 11 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $949.90 – $12,399.85 | 9 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $4,479.00 – $4,479.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $5,307.35 – $5,307.35 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,108.64 – $24,663.82 | 9 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $721.60 – $24,663.82 | 9 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $4,188.16 – $4,188.16 | 1 |
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.