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 |
|---|---|---|---|---|
| Diab manage trn ind/group HCPCS G0109 | $56.57 | $238.00 | $155.42 – $197.00 | 2 |
| Diag bronchoscope/catheter CPT 31643 | $4,350.00 | not published | $1,884.64 – $3,750.43 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | $4,350.00 | not published | $744.38 – $12,688.76 | 9 |
| Diagnostic anoscopy CPT 46601 | $4,350.00 | not published | $320.08 – $867.84 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | $4,350.00 | not published | $448.26 – $2,564.29 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $4,350.00 | not published | $65.44 – $280.33 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $63.72 – $583.18 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $63.72 – $454.85 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $4,350.00 | not published | $65.44 – $422.22 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $4,350.00 | not published | $212.17 – $422.22 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $186.11 | $783.00 | $110.48 – $583.18 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | $619.00 | $86.71 – $454.85 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $96.23 – $430.42 | 10 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,350.00 | $8,278.00 | $1,679.06 – $1,679.06 | 1 |
| Dialysis one evaluation CPT 90945 | $356.78 | $1,501.00 | $465.37 – $926.09 | 9 |
| Diathermy eg microwave CPT 97024 | not published | not published | $36.09 – $357.00 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.09 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $5.79 – $10.52 | 5 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $11.79 – $26.46 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $0.28 | 10 |
| Diffusing capacity CPT 94729 | $218.44 | $919.00 | $127.73 – $507.00 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $1,241.00 – $2,139.93 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $8.82 – $10.85 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,422.04 – $11,026.35 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $14.61 | $144.00 | $6.24 – $54.74 | 11 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $41.04 – $50.48 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $4,350.00 | $2,843.00 | $477.58 – $477.58 | 1 |
| Dilate esophagus CPT 43453 | $4,350.00 | $2,458.00 | $200.41 – $4,125.63 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | $4,350.00 | not published | $169.16 – $2,039.03 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $1,056.86 – $1,056.86 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $1,056.86 – $1,056.86 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $2,111.87 – $2,111.87 | 1 |
| Dilate tear duct opening CPT 68801 | $4,350.00 | not published | $93.05 – $867.84 | 9 |
| Dilate urethra stricture CPT 53600 | $4,350.00 | not published | $91.62 – $528.94 | 9 |
| Dilate urethra stricture CPT 53601 | $4,350.00 | not published | $91.41 – $280.33 | 9 |
| Dilate urethra stricture CPT 53605 | $4,350.00 | not published | $147.24 – $7,500.93 | 9 |
| Dilate urethra stricture CPT 53621 | $4,350.00 | not published | $91.62 – $528.94 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | $4,350.00 | not published | $65.44 – $340.27 | 9 |
| Dilation of anal sphincter CPT 45905 | $4,350.00 | not published | $181.72 – $2,564.29 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | $4,350.00 | not published | $122.70 – $6,914.93 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | $4,350.00 | not published | $224.95 – $2,564.29 | 9 |
| Dilation of salivary duct CPT 42660 | $4,350.00 | not published | $89.08 – $1,107.53 | 9 |
| Dilation of urethra CPT 53661 | $4,350.00 | not published | $65.44 – $280.33 | 9 |
| Dilation of urethra CPT 53665 | $4,350.00 | not published | $143.15 – $4,455.17 | 9 |
| Dilation of vagina CPT 57400 | $4,350.00 | not published | $143.15 – $6,914.93 | 9 |
| Dilation salivary duct 42650 CPT 42650 | $4,350.00 | not published | $79.18 – $3,221.53 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $4,350.00 | not published | $91.62 – $1,451.63 | 9 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,350.00 | $11,694.00 | $108.34 – $7,500.93 | 9 |
| Dilat xst trc new access rcs CPT 50437 | $4,350.00 | $12,800.00 | $180.24 – $7,500.93 | 9 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $53.27 – $67.10 | 4 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $6.37 – $10.66 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $636.10 – $1,555.86 | 11 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $1.37 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.73 – $0.90 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $33.50 | $140.97 | $17.66 – $82.61 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $9.90 – $85.37 | 9 |
| Disability dlco CPT 94727 | $149.98 | $631.00 | $99.59 – $340.27 | 9 |
| Disaccharidases CPT 82657 | $24.39 | $335.00 | $10.42 – $90.80 | 11 |
| Disarticulation sho sec clsr CPT 23921 | $4,350.00 | not published | $772.03 – $3,978.27 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,175.88 – $2,175.88 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $433.54 – $433.54 | 1 |
| Discography cerv/thor spine CPT 72285 | $2,105.54 | $8,858.00 | $82.00 – $4,246.94 | 11 |
| Dise eval slp do brth flx dx CPT 42975 | $4,350.00 | not published | $257.30 – $3,750.43 | 9 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $744.38 – $946.00 | 2 |
| Dist revas ligation hemo CPT 36838 | $4,350.00 | not published | $2,924.35 – $11,756.48 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $4,350.00 | not published | $1,247.12 – $12,865.57 | 9 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $17.30 – $28.40 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $664.13 – $664.13 | 1 |
| Dmd dup/delet analysis CPT 81161 | $306.90 | not published | $115.73 – $1,137.60 | 11 |
| Dmpk gene detc abnor allele CPT 81234 | $150.70 | not published | $64.39 – $558.13 | 11 |
| Dna antibody native/double stranded CPT 86225 | $15.11 | $191.00 | $6.46 – $56.07 | 11 |
| Dna gardnerella CPT 87510 | $22.06 | not published | $9.42 – $81.46 | 11 |
| Dna probe chlamydia CPT 87490 | $25.03 | not published | $10.69 – $92.13 | 11 |
| Dna probe gc CPT 87590 | $29.57 | not published | $12.63 – $109.48 | 11 |
| Dna trichomonas CPT 87660 | $22.06 | $166.00 | $9.42 – $81.46 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.35 – $10.44 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.65 – $1.05 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $0.83 – $113.55 | 10 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $3.74 – $7.36 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $58.89 – $150.96 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.77 – $0.95 | 5 |
| Doppler echo complete CPT 93320 | $306.15 | $1,288.00 | $115.14 – $719.00 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $647.65 – $647.65 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $415.97 | $1,750.00 | $170.99 – $567.34 | 10 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $214.16 | $901.00 | $140.87 – $367.82 | 10 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.68 – $1.00 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $53.59 – $65.92 | 5 |
| Dornhoffer fixed part w/window HCPCS L8614 | $11,621.86 | $48,892.99 | $23,000.09 – $45,770.18 | 9 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $213.72 – $522.10 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.13 – $4.08 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $85.48 – $295.89 | 11 |
| Dpyd gene common variants CPT 81232 | $192.29 | not published | $82.16 – $713.01 | 11 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $4,350.00 | not published | $89.08 – $1,530.19 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $4,350.00 | not published | $103.07 – $1,530.19 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $4,350.00 | not published | $249.49 – $3,523.75 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $4,350.00 | not published | $126.22 – $1,530.19 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | $4,350.00 | not published | $154.44 – $6,224.48 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | $4,350.00 | not published | $301.88 – $6,224.48 | 9 |
| Drainage mouth roof lesion CPT 42000 | $4,350.00 | not published | $89.08 – $505.04 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $4,350.00 | not published | $96.52 – $3,523.75 | 9 |
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.