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 |
|---|---|---|---|---|
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,091.99 | $4,594.00 | $1,024.64 – $2,039.03 | 9 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $996.39 – $1,982.82 | 9 |
| Gi trc img intral esophagus CPT 91111 | $904.21 | $3,804.00 | $1,024.64 – $2,039.03 | 9 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,024.64 – $2,039.03 | 9 |
| Gjb2 gene full sequence CPT 81252 | $111.23 | not published | $47.53 – $412.59 | 11 |
| Gjb2 gene known fam variants CPT 81253 | $67.67 | not published | $28.91 – $251.03 | 10 |
| Gjb6 gene com variants CPT 81254 | $38.50 | not published | $16.45 – $142.88 | 11 |
| Glassia injection HCPCS J0257 | not published | not published | $4.85 – $11.98 | 11 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $26.76 – $53.25 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $42.90 – $85.37 | 9 |
| Glaucoma surgery CPT 66150 | $4,350.00 | not published | $1,251.46 – $8,749.04 | 9 |
| Glaucoma surgery CPT 66155 | $4,350.00 | not published | $1,227.00 – $8,749.04 | 9 |
| Glaucoma surgery CPT 66160 | $4,350.00 | not published | $1,432.28 – $4,960.19 | 9 |
| Glaucoma surgery CPT 66170 | $4,350.00 | not published | $1,533.75 – $4,960.19 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $104.55 – $208.05 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $169.78 – $400.57 | 11 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $111.91 – $243.38 | 11 |
| Glucagon plasma - sendout CPT 82943 | $15.72 | $104.00 | $6.72 – $58.76 | 11 |
| Glucagon tolerance panel CPT 80422 | $50.68 | not published | $21.65 – $188.27 | 11 |
| Glucagon tolerance panel CPT 80424 | $55.55 | not published | $23.74 – $205.63 | 11 |
| Glucagon tolerance test CPT 82946 | $19.55 | not published | $8.35 – $72.09 | 11 |
| Glucose 1 hr post dose CPT 82950 | $5.23 | $61.00 | $2.23 – $20.04 | 11 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $6.66 | not published | $2.84 – $24.03 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $3.61 | $76.00 | $1.54 – $13.36 | 11 |
| Glucose blood quantitative CPT 82947 | $4.32 | $46.00 | $1.85 – $16.02 | 11 |
| Glucose body fluid CPT 82945 | $4.32 | $51.00 | $1.85 – $16.02 | 11 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $64.92 – $129.19 | 9 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $14.16 | $130.00 | $6.05 – $52.08 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $4.31 | $61.00 | $1.64 – $16.02 | 11 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.45 – $1.25 | 11 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $13.92 – $18.30 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $9.59 – $22.92 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $20.44 | $307.00 | $8.73 – $76.11 | 11 |
| Gonadotropin hormone panel CPT 80426 | $163.25 | not published | $69.75 – $604.86 | 11 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $20.37 | $296.00 | $8.70 – $76.11 | 11 |
| Gonioscopy CPT 92020 | not published | not published | $60.45 – $280.33 | 9 |
| Goniotomy CPT 65820 | $4,350.00 | not published | $1,042.13 – $8,749.04 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $609.01 – $1,529.04 | 11 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $27.15 | $114.23 | $30.48 – $37.49 | 5 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,159.61 – $1,551.07 | 5 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $944.03 | $3,971.52 | $69.81 – $92.82 | 4 |
| Graft hand or finger tendon CPT 26416 | $4,350.00 | not published | $1,692.52 – $7,056.48 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $255.97 | $1,076.88 | $32.52 – $33.89 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $522.94 | $2,200.00 | $744.93 – $2,097.38 | 4 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $1,633.01 | $6,870.08 | $41.40 – $80.45 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $318.36 | $1,339.36 | $104.84 – $130.00 | 5 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,905.94 – $1,905.94 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $381.67 | $1,605.70 | $138.75 – $170.66 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $443.26 | $1,864.79 | $47.70 – $59.59 | 5 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $169.46 – $169.46 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $124.48 – $124.48 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $110.73 – $168.33 | 5 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.99 – $54.18 | 4 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.19 – $0.40 | 5 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $2,199.00 – $2,199.00 | 1 |
| Great toe with reduction 28495 CPT 28495 | $4,350.00 | not published | $247.73 – $521.70 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $4,350.00 | not published | $1,373.18 – $3,978.27 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $4,350.00 | not published | $1,361.07 – $7,961.99 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $424.05 – $424.05 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,350.00 | not published | $1,125.53 – $7,961.99 | 9 |
| Ground mileage HCPCS A0425 | not published | not published | $2.83 – $2.83 | 1 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $32.56 – $64.79 | 9 |
| Group health education CPT 99078 | $67.26 | $283.00 | $197.00 – $197.00 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.56 – $197.00 | 2 |
| Growth hormone antibody CPT 86277 | $17.31 | not published | $7.40 – $64.08 | 11 |
| Growth hormone panel CPT 80428 | $73.37 | not published | $31.35 – $272.38 | 11 |
| Growth hormone panel CPT 80430 | $142.26 | not published | $60.79 – $527.42 | 11 |
| Growth stimulation gene 2 CPT 83006 | $83.16 | not published | $19.63 – $308.43 | 10 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $5.60 – $64.79 | 9 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $4.80 – $64.79 | 9 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,302.83 – $2,302.83 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,977.72 – $1,977.72 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,484.35 – $2,484.35 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,756.70 – $2,756.70 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,977.72 – $1,977.72 | 1 |
| Gstrst open wo constj tube CPT 43830 | $4,350.00 | not published | $1,047.12 – $4,125.63 | 9 |
| G-tube reposition CPT 43761 | $4,350.00 | $1,366.00 | $34.36 – $528.94 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | $894.70 | $3,764.00 | $197.56 – $4,455.17 | 11 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,350.00 | $2,414.00 | $768.94 – $1,530.19 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $210.36 | $885.00 | $668.13 – $1,329.58 | 9 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $135.73 | $571.05 | $1,104.30 – $1,104.30 | 1 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $45.53 – $2,568.00 | 3 |
| Gum graft CPT 41870 | $4,350.00 | not published | $242.50 – $3,221.53 | 9 |
| Gynecomastia (males) 19300 CPT 19300 | $4,350.00 | not published | $4,184.94 – $8,328.03 | 9 |
| Hair analysis HCPCS P2031 | $5.45 | not published | $2.33 – $9.85 | 9 |
| Hair removal by electrolysis 17380 CPT 17380 | $4,350.00 | not published | $59.39 – $1,331.27 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $4,350.00 | not published | $436.64 – $868.91 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | $4,350.00 | not published | $436.64 – $868.91 | 9 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $50.84 – $101.17 | 9 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,433.53 – $4,842.72 | 9 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $2,951.03 – $5,872.55 | 9 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,532.74 – $7,030.15 | 9 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.57 – $9.30 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.83 – $1.50 | 5 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $253.46 – $504.39 | 9 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $19.96 – $66.13 | 9 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $2.55 – $3.90 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $113.11 – $225.09 | 9 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,104.99 – $4,188.93 | 9 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,188.67 – $4,355.45 | 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.