Monmouth Medical Center
300 2nd Ave, Long Branch, NJ · RWJBarnabas Health · · NPI 1609983790
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 |
|---|---|---|---|---|
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $99.11 | $453.00 | $36.00 – $234.22 | 11 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $122.52 | $560.00 | $44.38 – $234.22 | 11 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $51.58 – $244.70 | 11 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | $330.00 | $26.86 – $193.95 | 11 |
| X-ray humerus >= 2 views left CPT 73060 | not published | $519.00 | $27.06 – $193.95 | 12 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $28.47 – $234.22 | 11 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | $1,072.00 | $27.06 – $193.95 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | $1,084.00 | $27.06 – $193.95 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $37.76 – $193.95 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | $1,184.00 | $32.80 – $193.95 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $106.11 | $485.00 | $32.80 – $234.22 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $172.41 | $788.00 | $45.10 – $234.22 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $186.41 | $852.00 | $45.92 – $244.70 | 12 |
| X-ray male genital tract CPT 74440 | not published | not published | $39.69 – $532.42 | 11 |
| X-ray mandible complete > 4 views CPT 70110 | $117.27 | $536.00 | $32.80 – $234.22 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $27.06 – $193.95 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | $95.83 | $438.00 | $27.06 – $193.95 | 12 |
| X-ray neck soft tissue CPT 70360 | $88.39 | $404.00 | $21.17 – $193.95 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $73.51 | $336.00 | $24.60 – $193.95 | 12 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $101.20 – $532.42 | 10 |
| X-ray optic foramina CPT 70190 | not published | $566.00 | $24.60 – $193.95 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $108.08 | $494.00 | $27.06 – $234.22 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | $119.90 | $548.00 | $32.80 – $234.22 | 12 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $132.86 – $132.86 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $151.75 – $151.75 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $309.60 | $1,415.00 | $80.36 – $786.63 | 12 |
| X-ray ribs 2 views left CPT 71100 | not published | $480.00 | $24.60 – $193.95 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $138.28 | $632.00 | $32.80 – $234.22 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | $552.00 | $45.10 – $234.22 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $182.26 | $833.00 | $57.40 – $234.22 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $105.02 | $480.00 | $32.80 – $234.22 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $117.49 | $537.00 | $27.06 – $193.95 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | not published | $1,008.00 | $24.60 – $234.22 | 12 |
| X-ray sella turcica CPT 70240 | not published | not published | $27.06 – $193.95 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | $708.00 | $24.60 – $193.95 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $98.89 | $452.00 | $45.10 – $193.95 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $251.18 | $1,148.00 | $34.44 – $1,207.71 | 11 |
| X-ray skull < 4 views CPT 70250 | $110.93 | $507.00 | $30.88 – $234.22 | 12 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $45.10 – $234.22 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $57.40 – $322.85 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $223.83 | $1,023.00 | $62.94 – $437.49 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $255.12 | $1,166.00 | $60.35 – $127.58 | 2 |
| X-ray spine single view CPT 72020 | $69.14 | $316.00 | $19.99 – $193.95 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $170.44 | $779.00 | $32.80 – $193.95 | 12 |
| X-ray sternum > 2 views CPT 71120 | $133.46 | $610.00 | $29.68 – $193.95 | 12 |
| X-ray surgical specimen CPT 76098 | $176.79 | $808.00 | $24.60 – $1,207.71 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $227.98 | $1,042.00 | $66.47 – $519.12 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $106.77 | $488.00 | $32.80 – $216.91 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $117.27 | $536.00 | $30.59 – $234.22 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $127.77 | $584.00 | $32.80 – $234.22 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $31.18 – $193.95 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $32.17 – $193.95 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $126.68 | $579.00 | $47.55 – $288.12 | 11 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | $1,072.00 | $27.06 – $193.95 | 12 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | $512.00 | $11.48 – $193.95 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $250.74 | $1,146.00 | $84.41 – $505.24 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $229.30 | $1,048.00 | $78.52 – $442.70 | 12 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | $874.00 | $22.65 – $193.95 | 12 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $45.92 – $392.11 | 12 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $284.00 – $284.00 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $382.00 – $803.60 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $2,838.60 – $3,592.44 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | $14.20 | not published | $6.07 – $52.08 | 11 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.29 – $3.30 | 11 |
| Yersinia antibody CPT 86793 | $14.51 | not published | $6.20 – $53.41 | 11 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $50,573.85 – $125,164.67 | 10 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $78.65 – $498.99 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $8.63 – $21.55 | 11 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $1.86 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.51 – $1.81 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | $56.44 | not published | $24.12 – $209.62 | 11 |
| Zika virus igm antibody CPT 86794 | $18.54 | $122.00 | $7.92 – $68.10 | 11 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.07 – $3.48 | 8 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $7.08 – $10.34 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.28 – $17.57 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $5.25 – $7.65 | 5 |
| Zoster vaccine-live inj CPT 90736 | $99.00 | $452.50 | $139.59 – $266.81 | 4 |
| Zrsr2 gene common variants CPT 81360 | $212.58 | not published | $90.83 – $787.79 | 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.