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 |
|---|---|---|---|---|
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $10.23 – $13.74 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $250.06 | $1,052.00 | $96.23 – $1,387.00 | 11 |
| ER Visit (level 2) CPT 99282 | $339.19 | $1,427.00 | $173.07 – $1,387.00 | 11 |
| ER Visit (level 3) CPT 99283 | $537.43 | $2,261.00 | $302.61 – $1,387.00 | 11 |
| ER Visit (level 4) CPT 99284 | $736.63 | $3,099.00 | $465.37 – $1,572.00 | 11 |
| ER Visit (level 5, high severity) CPT 99285 | $1,035.65 | $4,357.00 | $670.04 – $1,572.00 | 11 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $62.14 – $85.62 | 5 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $4,157.89 – $8,274.20 | 9 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.23 – $0.48 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.21 – $0.28 | 5 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $114.80 – $343.00 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $237.87 – $237.87 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $68.88 – $873.91 | 12 |
| Esophageal recording CPT 93615 | not published | not published | $155.17 – $2,640.23 | 9 |
| Esophageal recording CPT 93616 | not published | not published | $306.83 – $2,640.23 | 9 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $4,157.89 – $8,274.20 | 9 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,063.69 – $2,063.69 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,197.19 – $2,197.19 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | $4,350.00 | not published | $352.80 – $4,125.63 | 9 |
| Esophagosc flex trnsn biopsy CPT 43198 | $4,350.00 | not published | $170.10 – $2,039.03 | 9 |
| Esophagoscop mucosal resect CPT 43211 | $4,350.00 | not published | $438.53 – $4,125.63 | 9 |
| Esophagoscop stent placement CPT 43212 | $4,350.00 | not published | $345.28 – $12,946.36 | 9 |
| Esophagoscop ultrasound exam CPT 43231 | $4,350.00 | not published | $613.50 – $4,125.63 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | $4,350.00 | not published | $347.65 – $4,125.63 | 9 |
| Esophagoscopy control bleed CPT 43227 | $4,350.00 | not published | $584.87 – $4,125.63 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | $4,350.00 | not published | $396.73 – $4,125.63 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $4,350.00 | not published | $347.65 – $2,039.03 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | $4,350.00 | not published | $142.99 – $2,039.03 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | $4,350.00 | not published | $494.89 – $4,125.63 | 9 |
| Esophagoscopy lesion ablate CPT 43229 | $4,350.00 | not published | $372.76 – $8,274.20 | 9 |
| Esophagoscopy lesion removal CPT 43216 | $4,350.00 | not published | $495.09 – $4,125.63 | 9 |
| Esophagoscopy retro balloon CPT 43213 | $4,350.00 | not published | $487.20 – $4,125.63 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | $4,350.00 | not published | $322.62 – $8,274.20 | 9 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $4,350.00 | not published | $227.40 – $4,125.63 | 9 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $4,350.00 | not published | $1,294.12 – $12,865.57 | 9 |
| Esophagoscopy snare les remv CPT 43217 | $4,350.00 | not published | $598.82 – $4,125.63 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | $4,350.00 | not published | $920.25 – $4,125.63 | 9 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $4,350.00 | not published | $353.46 – $4,125.63 | 9 |
| Esophagoscp rig trnso biopsy CPT 43193 | $4,350.00 | not published | $321.96 – $4,125.63 | 9 |
| Esophagoscp rig trnso inject CPT 43192 | $4,350.00 | not published | $270.72 – $4,125.63 | 9 |
| Esophagoscp rig trnso rem fb CPT 43194 | $4,350.00 | not published | $290.31 – $4,125.63 | 9 |
| Esophagus endoscopy/ligation CPT 43205 | $4,350.00 | not published | $494.89 – $4,125.63 | 9 |
| Esophagus motility study CPT 91010 | $707.39 | $2,976.00 | $579.88 – $1,153.96 | 9 |
| Esoph balloon distension tst CPT 91040 | $482.29 | $2,029.00 | $579.88 – $1,153.96 | 9 |
| Esoph egd dilation <30 mm CPT 43249 | $4,350.00 | not published | $539.88 – $4,125.63 | 9 |
| Esoph endoscopy dilation CPT 43226 | $4,350.00 | not published | $409.00 – $4,125.63 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,442.87 – $1,442.87 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,115.76 – $2,115.76 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | $34.94 | $147.00 | $51.90 – $51.90 | 1 |
| Esoph imped function test CPT 91037 | $300.92 | $1,266.00 | $340.12 – $677.24 | 9 |
| Esoph imped funct test > 1hr CPT 91038 | $540.29 | $2,273.00 | $579.88 – $1,153.96 | 9 |
| Esoph optical endomicroscopy CPT 43206 | $4,350.00 | not published | $2,073.18 – $4,125.63 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | $4,350.00 | not published | $494.89 – $4,125.63 | 9 |
| Esoph scope w/submucous inj CPT 43201 | $4,350.00 | not published | $556.24 – $4,125.63 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $6,182.85 – $6,182.85 | 1 |
| Essure 58565 CPT 58565 | $4,350.00 | not published | $4,936.02 – $10,735.95 | 9 |
| Establish access to aorta CPT 36160 | not published | not published | $150.75 – $150.75 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $168.92 – $168.92 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $2,593.06 – $2,593.06 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $72.49 | $305.00 | $16.00 – $16.00 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $110.53 | $465.00 | $49.06 – $49.06 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $121.94 | $513.00 | $81.60 – $81.60 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $134.06 | $564.00 | $119.85 – $119.85 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $158.07 | $665.00 | $161.06 – $161.06 | 1 |
| Estradiol total CPT 82670 | $30.73 | $272.00 | $13.13 – $113.50 | 11 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.52 – $9.79 | 5 |
| Estrogens total-sendout CPT 82672 | $23.87 | $157.00 | $10.20 – $88.12 | 11 |
| Etanercept injection HCPCS J1438 | not published | not published | $703.79 – $1,719.82 | 10 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $442.95 – $1,069.25 | 11 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $4,350.00 | not published | $692.85 – $7,053.14 | 9 |
| Ethylene glycol -sendout CPT 82693 | $16.39 | $225.00 | $7.00 – $61.42 | 11 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,151.66 – $1,530.44 | 4 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.98 – $1.21 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.52 – $94.12 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $114.55 – $262.46 | 11 |
| Euglobulin lysis CPT 85360 | $9.25 | not published | $3.95 – $34.72 | 11 |
| Evacuate mole of uterus CPT 59870 | $4,350.00 | not published | $452.35 – $6,914.93 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $170.99 – $340.27 | 9 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $123.74 – $123.74 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $107.92 | not published | $46.11 – $400.56 | 11 |
| Evaluation heart device CPT 93640 | not published | not published | $527.08 – $527.08 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | $1,033.00 | $66.00 – $357.00 | 6 |
| Evaluation psychiatric diagnostic CPT 90791 | $203.94 | $858.00 | $175.59 – $349.42 | 8 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $1,163.48 – $1,163.48 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $494.11 – $494.11 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $2,812.86 – $2,812.86 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $3,256.70 – $3,256.70 | 1 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $4,864.97 – $4,864.97 | 1 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $6,084.86 – $6,084.86 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $1,003.15 – $1,003.15 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $3,669.71 – $3,669.71 | 1 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $6,104.00 – $6,104.00 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $3,036.95 – $3,036.95 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $4,887.75 – $4,887.75 | 1 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $2,161.01 – $2,161.01 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,719.33 – $1,719.33 | 1 |
| Event monitor CPT 93270 | not published | not published | $40.75 – $81.09 | 9 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $282.00 – $677.24 | 9 |
| Evoked oa emissions ltd CPT 92587 | $168.76 | $710.00 | $282.00 – $677.24 | 9 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $61.32 | $258.00 | $63.48 – $282.00 | 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.