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 |
|---|---|---|---|---|
| X-ray humerus >= 2 views left CPT 73060 | not published | $519.00 | $27.06 – $191.50 | 12 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $28.47 – $231.28 | 11 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | $1,072.00 | $27.06 – $191.50 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | $1,084.00 | $27.06 – $191.50 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $106.01 | $446.00 | $37.76 – $191.50 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | $1,184.00 | $32.80 – $191.50 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $115.28 | $485.00 | $32.80 – $231.28 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $187.30 | $788.00 | $45.10 – $231.28 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $202.52 | $852.00 | $45.92 – $244.70 | 12 |
| X-ray male genital tract CPT 74440 | not published | not published | $39.69 – $525.70 | 11 |
| X-ray mandible complete > 4 views CPT 70110 | $127.40 | $536.00 | $32.80 – $231.28 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $101.97 | $429.00 | $27.06 – $191.50 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | $104.11 | $438.00 | $27.06 – $191.50 | 12 |
| X-ray neck soft tissue CPT 70360 | $96.03 | $404.00 | $21.17 – $191.50 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $79.86 | $336.00 | $24.60 – $191.50 | 12 |
| X-ray of mammary ducts CPT 77054 | not published | $1,229.00 | $101.20 – $525.70 | 10 |
| X-ray optic foramina CPT 70190 | not published | $566.00 | $24.60 – $191.50 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $117.42 | $494.00 | $27.06 – $231.28 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | $130.25 | $548.00 | $32.80 – $231.28 | 12 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $132.86 – $132.86 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $151.75 – $151.75 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $336.34 | $1,415.00 | $80.36 – $776.70 | 12 |
| X-ray ribs 2 views left CPT 71100 | not published | $480.00 | $24.60 – $191.50 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $150.22 | $632.00 | $32.80 – $231.28 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | $552.00 | $45.10 – $231.28 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $198.00 | $833.00 | $57.40 – $231.28 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $114.09 | $480.00 | $32.80 – $231.28 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $127.64 | $537.00 | $27.06 – $191.50 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | not published | $1,008.00 | $24.60 – $231.28 | 12 |
| X-ray sella turcica CPT 70240 | not published | not published | $27.06 – $191.50 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | $708.00 | $24.60 – $191.50 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $107.44 | $452.00 | $45.10 – $191.50 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $272.87 | $1,148.00 | $34.44 – $1,192.47 | 11 |
| X-ray skull < 4 views CPT 70250 | $120.51 | $507.00 | $30.88 – $231.28 | 12 |
| X-ray skull > 4 views complete CPT 70260 | $149.03 | $627.00 | $45.10 – $231.28 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $57.40 – $322.85 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $243.16 | $1,023.00 | $62.94 – $437.49 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $277.15 | $1,166.00 | $60.35 – $127.58 | 2 |
| X-ray spine single view CPT 72020 | not published | not published | $19.99 – $191.50 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $185.16 | $779.00 | $32.80 – $191.50 | 12 |
| X-ray sternum > 2 views CPT 71120 | $144.99 | $610.00 | $29.68 – $191.50 | 12 |
| X-ray surgical specimen CPT 76098 | not published | not published | $24.60 – $1,192.47 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $247.68 | $1,042.00 | $66.47 – $519.12 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $115.99 | $488.00 | $32.80 – $216.91 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $127.40 | $536.00 | $30.59 – $231.28 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $138.81 | $584.00 | $32.80 – $231.28 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $113.38 | $477.00 | $31.18 – $191.50 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $96.74 | $407.00 | $32.17 – $191.50 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $137.62 | $579.00 | $47.55 – $288.12 | 11 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | $1,072.00 | $27.06 – $191.50 | 12 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | $512.00 | $11.48 – $191.50 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $272.40 | $1,146.00 | $84.41 – $505.24 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $249.10 | $1,048.00 | $78.52 – $442.70 | 12 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | $874.00 | $22.65 – $191.50 | 12 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $45.92 – $387.15 | 12 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $284.00 – $284.00 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $382.00 – $1,002.05 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $2,838.60 – $3,592.44 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | $14.20 | not published | $6.07 – $52.08 | 11 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.29 – $3.26 | 11 |
| Yersinia antibody CPT 86793 | $14.51 | not published | $6.20 – $53.41 | 11 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $50,573.85 – $123,583.80 | 10 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $78.65 – $498.99 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $8.63 – $21.27 | 11 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $1.86 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.51 – $1.81 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | $56.44 | not published | $24.12 – $209.62 | 11 |
| Zika virus igm antibody CPT 86794 | $18.54 | $122.00 | $7.92 – $68.10 | 11 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.07 – $3.48 | 9 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $7.08 – $10.34 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.28 – $17.35 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $5.25 – $7.65 | 5 |
| Zoster vaccine-live inj CPT 90736 | $107.55 | $452.50 | $139.59 – $266.81 | 4 |
| Zrsr2 gene common variants CPT 81360 | $212.58 | not published | $90.83 – $787.79 | 11 |
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.