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 |
|---|---|---|---|---|
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $118.08 – $118.08 | 1 |
| Laryngoscop w/arytenoidectom CPT 31560 | $4,350.00 | not published | $748.47 – $15,055.21 | 9 |
| Laryngoscop w/vc inj + scope CPT 31571 | $4,350.00 | not published | $494.89 – $8,018.49 | 9 |
| Laryngoscopy and dilation CPT 31528 | $4,350.00 | not published | $327.20 – $8,018.49 | 9 |
| Laryngoscopy and dilation CPT 31529 | $4,350.00 | not published | $327.20 – $8,018.49 | 9 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $4,350.00 | not published | $274.85 – $3,750.43 | 9 |
| Laryngoscopy for treatment CPT 31527 | $4,350.00 | not published | $364.99 – $8,018.49 | 9 |
| Laryngoscopy telescopic CPT 31579 | $4,350.00 | not published | $345.97 – $844.52 | 9 |
| Laryngoscopy w/biopsy CPT 31535 | $4,350.00 | not published | $349.29 – $8,018.49 | 9 |
| Laryngoscopy w/bx & op scope CPT 31536 | $4,350.00 | not published | $349.29 – $8,018.49 | 9 |
| Laryngoscopy w/exc of tumor CPT 31540 | $4,350.00 | not published | $494.89 – $8,018.49 | 9 |
| Laryngoscopy w/fb & op scope CPT 31531 | $4,350.00 | not published | $494.89 – $8,018.49 | 9 |
| Laryngoscopy w/fb removal CPT 31530 | $4,350.00 | not published | $494.89 – $3,750.43 | 9 |
| Laryngoscopy with biopsy CPT 31576 | $4,350.00 | not published | $378.41 – $3,750.43 | 9 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $4,350.00 | not published | $181.76 – $8,018.49 | 9 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $4,350.00 | not published | $374.24 – $844.52 | 9 |
| Larynscop remve cart + scop CPT 31561 | $4,350.00 | not published | $748.47 – $15,055.21 | 9 |
| Larynscop w/tumr exc + scope CPT 31541 | $4,350.00 | not published | $519.02 – $8,018.49 | 9 |
| Laser surgery eye strands CPT 67031 | $4,350.00 | not published | $599.55 – $1,193.10 | 9 |
| Laser surgery of cervix 57513 CPT 57513 | $4,350.00 | not published | $137.42 – $6,914.93 | 9 |
| Laser surgery of prostate CPT 52647 | $4,350.00 | not published | $5,555.79 – $11,056.02 | 9 |
| Laser surgery of prostate CPT 52648 | $4,350.00 | not published | $5,555.79 – $11,056.02 | 9 |
| Laser surg penis lesion(s) CPT 54057 | $4,350.00 | not published | $183.23 – $3,978.27 | 9 |
| Laser treatment of retina CPT 67039 | $4,350.00 | not published | $1,079.76 – $8,749.04 | 9 |
| Laser treatment of retina CPT 67040 | $4,350.00 | not published | $2,112.89 – $8,749.04 | 9 |
| Lateral canthopexy CPT 21282 | $4,350.00 | not published | $613.50 – $7,053.14 | 9 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $393.04 – $782.15 | 9 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $88.55 – $176.21 | 9 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $77.98 – $155.18 | 9 |
| Lat retinacular release open CPT 27425 | $4,350.00 | not published | $1,026.59 – $7,056.48 | 9 |
| Lavage cannulation maxillary sinus CPT 31000 | $4,350.00 | not published | $103.07 – $505.04 | 9 |
| Lavh >250 gms 58553 CPT 58553 | $4,350.00 | not published | $1,879.56 – $22,642.64 | 9 |
| Lb with mastopexy 15839 CPT 15839 | $4,350.00 | not published | $1,076.32 – $6,224.48 | 9 |
| Lead capillary CPT 83655 | $13.32 | $263.00 | $5.69 – $49.40 | 11 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $188.12 – $800.40 | 9 |
| Lefort i-1 piece without graft CPT 21141 | $4,350.00 | not published | $6,465.11 – $12,865.57 | 9 |
| Lefort i-2 piece without graft CPT 21142 | $4,350.00 | not published | $6,465.11 – $12,865.57 | 9 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,899.81 – $2,899.81 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | $4,350.00 | not published | $6,465.11 – $12,865.57 | 9 |
| Lefort ii anterior intrusion CPT 21150 | $4,350.00 | not published | $1,284.26 – $12,865.57 | 9 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.48 – $4.88 | 9 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $0.97 – $3.20 | 9 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.45 – $4.88 | 9 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $2,013.95 – $4,007.76 | 9 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,484.52 – $2,954.19 | 9 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,309.22 – $2,605.35 | 9 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,835.91 – $3,653.46 | 9 |
| Legion pneumo dna dir prob CPT 87540 | $22.06 | not published | $9.42 – $81.46 | 11 |
| Legion pneumo dna quant CPT 87542 | $45.94 | not published | $19.63 – $170.90 | 11 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,720.43 – $3,423.66 | 9 |
| Leg vein fusion 34530 CPT 34530 | $4,350.00 | not published | $712.64 – $6,845.28 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $479.67 | $2,018.00 | $264.17 – $805.30 | 10 |
| Leishmania antibody CPT 86717 | $13.48 | not published | $5.76 – $49.40 | 11 |
| Lengthening of hand tendon CPT 26478 | $4,350.00 | not published | $1,269.41 – $7,056.48 | 9 |
| Lengthening of palate CPT 42227 | $4,350.00 | not published | $1,808.93 – $12,865.57 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $4,350.00 | not published | $1,780.38 – $12,865.57 | 9 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $2,089.38 – $2,089.38 | 1 |
| Lengthening of thigh tendon CPT 27393 | $4,350.00 | not published | $906.06 – $15,536.41 | 9 |
| Lengthening of thigh tendons CPT 27394 | $4,350.00 | not published | $1,166.63 – $15,536.41 | 9 |
| Lengthening of thigh tendons CPT 27395 | $4,350.00 | not published | $1,563.73 – $7,056.48 | 9 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,331.30 – $2,331.30 | 1 |
| Lengthen metacarpal/finger CPT 26568 | $4,350.00 | not published | $1,802.34 – $15,536.41 | 9 |
| Lengthen radius or ulna CPT 25391 | $4,350.00 | not published | $2,224.71 – $27,983.16 | 9 |
| Lengthen radius & ulna CPT 25393 | $4,350.00 | not published | $2,477.15 – $15,536.41 | 9 |
| Lens, intraocular (new tech) HCPCS C1780 | $103.96 | $437.39 | $1,137.84 – $1,137.84 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $81.77 | $344.02 | $142.87 – $284.31 | 9 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $55.44 | $233.25 | $142.87 – $284.31 | 9 |
| Lepirudin HCPCS J1945 | not published | not published | $152.50 – $675.28 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.34 – $5.12 | 5 |
| Leukacyte transfusion CPT 86950 | not published | not published | $17.17 – $372.69 | 11 |
| Leukocyte phagocytosis CPT 86344 | $11.43 | not published | $4.88 – $42.74 | 11 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $153.34 – $393.18 | 11 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,486.57 – $3,624.96 | 11 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,039.13 – $5,490.50 | 2 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $8.91 – $14.57 | 5 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $196.46 – $511.69 | 11 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $46.62 – $121.59 | 11 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $91.88 – $182.84 | 9 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $120.94 – $240.67 | 9 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $203.92 – $405.80 | 9 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $312.07 – $621.02 | 9 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $441.40 – $878.39 | 9 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.51 – $2.04 | 3 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.28 – $0.36 | 5 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.05 – $0.11 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.04 – $0.07 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $14.58 | $133.00 | $6.23 – $53.41 | 11 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $0.96 – $2.32 | 5 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $394.66 – $530.60 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $5.39 – $6.63 | 4 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $605.16 – $6,995.15 | 9 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.03 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.06 | 4 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $16.16 | $106.00 | $6.90 – $60.09 | 11 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $242.54 – $482.65 | 9 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $86.72 – $172.57 | 9 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $44.88 – $89.31 | 9 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $665.55 – $1,324.44 | 9 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,494.57 – $1,494.57 | 1 |
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.