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 |
|---|---|---|---|---|
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.39 – $0.61 | 4 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,339.48 – $2,339.48 | 1 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,494.57 – $1,494.57 | 1 |
| Fusion/graft of finger joint CPT 26862 | $4,350.00 | not published | $1,269.41 – $7,056.48 | 9 |
| Fusion/graft of hand joint CPT 26844 | $4,350.00 | not published | $1,619.80 – $15,536.41 | 9 |
| Fusion of ankle joint open CPT 27870 | $4,350.00 | not published | $1,812.03 – $27,983.16 | 9 |
| Fusion of big toe joint CPT 28750 | $4,350.00 | not published | $773.01 – $15,536.41 | 9 |
| Fusion of big toe joint CPT 28755 | $4,350.00 | not published | $773.01 – $15,536.41 | 9 |
| Fusion of finger joint CPT 26860 | $4,350.00 | not published | $1,019.02 – $7,056.48 | 9 |
| Fusion of finger tendons CPT 26471 | $4,350.00 | not published | $1,242.83 – $7,056.48 | 9 |
| Fusion of finger tendons CPT 26474 | $4,350.00 | not published | $1,061.56 – $3,480.63 | 9 |
| Fusion of foot bones CPT 28730 | $4,350.00 | not published | $1,418.41 – $27,983.16 | 9 |
| Fusion of foot bones CPT 28735 | $4,350.00 | not published | $1,375.18 – $27,983.16 | 9 |
| Fusion of foot bones CPT 28740 | $4,350.00 | not published | $1,120.25 – $15,536.41 | 9 |
| Fusion of hand joint CPT 26843 | $4,350.00 | not published | $1,462.75 – $15,536.41 | 9 |
| Fusion of knuckle CPT 26850 | $4,350.00 | not published | $1,153.99 – $15,536.41 | 9 |
| Fusion of knuckle joint CPT 26516 | $4,350.00 | not published | $1,079.76 – $7,056.48 | 9 |
| Fusion of knuckle joints CPT 26517 | $4,350.00 | not published | $1,641.28 – $7,056.48 | 9 |
| Fusion of knuckle joints CPT 26518 | $4,350.00 | not published | $1,642.09 – $15,536.41 | 9 |
| Fusion of knuckle with graft CPT 26852 | $4,350.00 | not published | $1,561.52 – $15,536.41 | 9 |
| Fusion of spermatic ducts CPT 54900 | $4,350.00 | not published | $900.70 – $4,455.17 | 9 |
| Fusion of spermatic ducts CPT 54901 | $4,350.00 | not published | $1,197.63 – $7,500.93 | 9 |
| Fusion of tendons at wrist CPT 25300 | $4,350.00 | not published | $1,262.66 – $7,056.48 | 9 |
| Fusion of tendons at wrist CPT 25301 | $4,350.00 | not published | $1,210.15 – $7,056.48 | 9 |
| Fusion of thumb CPT 26841 | $4,350.00 | not published | $1,120.95 – $15,536.41 | 9 |
| Fusion of tibiofibular joint CPT 27871 | $4,350.00 | not published | $1,243.61 – $27,983.16 | 9 |
| Fusion of toes CPT 28280 | $4,350.00 | not published | $452.84 – $7,056.48 | 9 |
| G6pc gene CPT 81250 | $64.34 | not published | $27.49 – $239.00 | 10 |
| G6pd full gene sequence CPT 81249 | $660.00 | not published | $282.00 – $2,446.13 | 11 |
| G6pd gene alys cmn variant CPT 81247 | $192.29 | not published | $82.16 – $713.01 | 11 |
| G6pd known familial variant CPT 81248 | $412.78 | not published | $98.06 – $1,530.15 | 11 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $23.10 – $23.10 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $45.47 – $111.12 | 10 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.29 – $0.36 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.53 – $1.61 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.14 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $15.29 – $15.63 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $23.18 | not published | $6.96 – $85.45 | 11 |
| Galactokinase - sendout CPT 82759 | $23.63 | not published | $10.10 – $88.12 | 11 |
| Galactose transferase test CPT 82776 | $12.91 | not published | $5.52 – $48.06 | 11 |
| Galectin-3 CPT 82777 | $48.68 | not published | $20.80 – $180.25 | 10 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $4,350.00 | not published | $495.28 – $12,688.76 | 9 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.60 – $3,246.84 | 10 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $331.23 – $809.41 | 9 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $476.07 – $1,163.33 | 9 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $917.59 – $2,256.18 | 10 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $775.42 – $1,899.59 | 10 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $176.91 – $1,074.72 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $43.51 – $107.48 | 11 |
| Gammaglobulin iga CPT 82784 | $10.23 | $141.00 | $4.37 – $37.39 | 11 |
| Gammaglobulin ige CPT 82785 | $18.11 | $142.00 | $7.74 – $66.77 | 11 |
| Gamma glutamyltransferase CPT 82977 | $7.92 | $119.00 | $3.29 – $29.38 | 11 |
| Gammaplex injection HCPCS J1557 | not published | not published | $51.16 – $123.46 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $43.03 – $106.58 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $28.74 – $47.62 | 5 |
| Gardner vag dna quant CPT 87512 | $45.94 | $183.00 | $19.63 – $170.90 | 11 |
| Gastric analy w/ph ea spec CPT 82930 | $7.38 | not published | $3.15 – $26.70 | 11 |
| Gastric emptying imag study CPT 78265 | not published | not published | $296.49 – $1,636.64 | 12 |
| Gastric emptying imag study CPT 78266 | not published | not published | $296.49 – $1,876.13 | 12 |
| Gastric motility studies CPT 91020 | $438.31 | $1,844.00 | $579.88 – $1,153.96 | 9 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $68.88 – $873.91 | 12 |
| Gastrin test CPT 82938 | $19.46 | not published | $8.31 – $72.09 | 11 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $52.48 – $1,013.31 | 12 |
| Gastroesophageal reflux test CPT 91034 | $543.61 | $2,287.00 | $579.88 – $1,153.96 | 9 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,557.47 – $1,557.47 | 1 |
| Gastrostomy open neonatal CPT 43831 | $4,350.00 | not published | $899.84 – $2,039.03 | 9 |
| Gated heart multiple CPT 78473 | not published | not published | $213.20 – $1,046.31 | 12 |
| Gba gene CPT 81251 | $51.98 | not published | $22.21 – $192.27 | 10 |
| Gel-one HCPCS J7326 | not published | not published | $479.25 – $1,144.79 | 11 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.49 – $0.69 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.87 – $3.87 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $207.48 – $506.99 | 11 |
| General health panel CPT 80050 | not published | not published | $19.11 – $161.56 | 5 |
| Genetic tstg severe inh cond CPT 81443 | $2,693.42 | not published | $1,150.82 – $9,984.76 | 11 |
| Genioplasty augmentation CPT 21120 | $4,350.00 | not published | $1,125.98 – $12,865.57 | 9 |
| Geniop sldg augmentation CPT 21123 | $4,350.00 | not published | $1,595.30 – $7,053.14 | 9 |
| Geniop sldg osteot 1 CPT 21121 | $4,350.00 | not published | $1,258.94 – $7,053.14 | 9 |
| Geniop sldg osteot 2/> CPT 21122 | $4,350.00 | not published | $1,378.33 – $12,865.57 | 9 |
| Genome sequence analysis CPT 81425 | $5,534.32 | $16,000.00 | $2,364.66 – $20,515.63 | 10 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.29 – $3.04 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $18.02 | $149.00 | $7.70 – $66.77 | 11 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.62 – $13.41 | 11 |
| G-esoph reflx tst w/electrod CPT 91035 | $393.63 | $1,656.00 | $579.88 – $1,153.96 | 9 |
| Ghs abscess perianal iandd CPT 46050 | $4,350.00 | not published | $122.70 – $1,982.82 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,350.00 | $4,854.00 | $562.82 – $6,224.48 | 9 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $10.79 | not published | $4.61 – $40.05 | 11 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $18.82 | not published | $8.04 – $69.43 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $112.49 | $924.00 | $48.06 – $416.58 | 11 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $140.87 – $280.33 | 9 |
| Ghs antibodies (torch) igm CPT 86694 | $15.83 | $104.00 | $6.76 – $58.76 | 11 |
| Ghs aspiration bladder - needle CPT 51100 | $4,350.00 | $664.00 | $59.37 – $528.94 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | $4,350.00 | not published | $170.99 – $340.27 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | $5.30 | $90.00 | $1.97 – $20.04 | 11 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $4,350.00 | not published | $241.47 – $1,506.11 | 9 |
| Ghs central line insert < age 5, failed CPT 36555 | $4,350.00 | not published | $703.48 – $6,845.28 | 9 |
| Ghs change cysto/gastrost CPT 43762 | $4,350.00 | $940.00 | $265.80 – $528.94 | 9 |
| Ghs chemo >8 hrs CPT 96416 | $470.88 | $1,981.00 | $135.04 – $1,387.00 | 10 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $31.75 – $1,387.00 | 10 |
| Ghs chemo IV push, ea addtl CPT 96411 | $317.09 | $1,334.00 | $51.05 – $1,387.00 | 10 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $38.60 | $253.00 | $16.49 – $142.88 | 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.