Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
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 |
|---|---|---|---|---|
| Sbsq psyc collab care mgmt CPT 99493 | $102.47 | not published | $102.47 – $172.82 | 8 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $267.78 | $1,925.00 | $267.78 – $810.00 | 9 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $117.81 | $1,914.00 | $117.81 – $1,190.00 | 10 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $267.78 | $1,235.00 | $267.78 – $1,000.00 | 9 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $117.81 | $877.00 | $117.81 – $1,190.00 | 10 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $117.81 | $1,129.00 | $117.81 – $1,190.00 | 10 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $117.81 | $1,708.00 | $117.81 – $1,190.00 | 10 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $267.78 | $1,813.00 | $267.78 – $1,190.00 | 10 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $117.81 | $1,133.00 | $117.81 – $1,190.00 | 10 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $117.81 | $923.00 | $117.81 – $1,190.00 | 10 |
| Scan proc cranial extra CPT 61782 | not published | $536.00 | $361.30 – $361.30 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | $746.00 | $495.04 – $495.04 | 1 |
| Scan proc spinal CPT 61783 | not published | $612.00 | $485.42 – $485.42 | 1 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $4,426.31 – $9,097.53 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,794.93 | $2,793.00 | $244.95 – $2,153.92 | 8 |
| Scope plantar fasciotomy CPT 29893 | $3,594.44 | $7,311.00 | $468.08 – $15,984.00 | 11 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | $16,147.82 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | $18.19 | not published | $18.19 – $69.42 | 12 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $22.50 – $45.11 | 4 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $31.94 | not published | $26.35 – $146.36 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $43.97 | not published | $43.97 – $201.49 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $26.49 | not published | $26.49 – $121.39 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $27.05 | $237.00 | $27.05 – $123.95 | 11 |
| Screen cerv/vag thin layer HCPCS G0123 | $20.26 | $144.00 | $20.26 – $92.84 | 11 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.69 – $45.11 | 4 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,010.01 | $4,023.00 | $325.92 – $1,212.01 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,010.01 | $4,455.00 | $325.36 – $1,212.01 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $18.05 | $99.00 | $18.05 – $82.71 | 11 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $28.27 | $78.00 | $28.27 – $129.54 | 11 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $46.35 | $372.00 | $30.54 – $212.39 | 11 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $24.08 | $312.00 | $24.08 – $110.34 | 11 |
| Screening Mammogram CPT 77067 | $169.06 | $748.00 | $119.35 – $341.87 | 10 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $14.85 – $45.11 | 4 |
| Screening prostate cancer PSA HCPCS G0103 | $19.31 | $325.00 | $19.31 – $88.49 | 11 |
| Screen pap by tech w md supv HCPCS P3000 | $18.19 | $301.00 | $18.19 – $69.42 | 11 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | $40.00 | $6.00 – $6.00 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | not published | $65,538.96 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $78.84 | $194.00 | $78.84 – $599.00 | 10 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | $4,111.00 | $1,764.93 – $1,764.93 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | $7,082.00 | $493.18 – $2,293.80 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $10.03 – $86.65 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $2.70 | $81.00 | $2.70 – $12.37 | 11 |
| Segmentectomy 32484 CPT 32484 | not published | $4,346.00 | $2,967.21 – $2,967.21 | 1 |
| Select picture audiometry CPT 92583 | $65.80 | $230.00 | $65.80 – $120.00 | 9 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.86 – $1.42 | 2 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $14.72 – $14.72 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | $27.13 | not published | $26.05 – $32.56 | 8 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | $245.00 | $19.63 – $313.00 | 5 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | $245.00 | $14.58 – $313.00 | 5 |
| Semen analysis HCPCS G0027 | $6.50 | not published | $5.40 – $29.79 | 12 |
| Semen analysis presence/motility CPT 89321 | $12.05 | not published | $12.05 – $55.22 | 12 |
| Semen analysis w/count CPT 89310 | $8.61 | not published | $8.08 – $39.45 | 12 |
| Sensorimotor examination CPT 92060 | $65.80 | $239.00 | $65.80 – $112.04 | 8 |
| Sensorineural acuity lvl tst CPT 92575 | $43.48 | not published | $14.03 – $134.74 | 9 |
| Separate eyelid adhesions CPT 68340 | $2,584.50 | $4,454.00 | $856.02 – $3,101.40 | 8 |
| Sept9 promoter methylation analysis CPT 81327 | $192.00 | $651.00 | $131.45 – $879.81 | 11 |
| Sequestrectomy olecrn proces CPT 24138 | $7,913.97 | $13,938.00 | $1,513.63 – $9,496.76 | 8 |
| Sequestrectomy radial h/n CPT 24136 | $3,594.44 | not published | $1,385.28 – $4,313.33 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | $7,913.97 | $13,938.00 | $1,629.06 – $9,496.76 | 8 |
| Serial casting application 97139app CPT 97139 | not published | $165.00 | $38.06 – $374.00 | 7 |
| Serial tonometry CPT 92100 | not published | not published | $40.00 – $84.98 | 3 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.41 – $2.41 | 1 |
| Serpina1 gene CPT 81332 | $43.65 | $1,175.00 | $43.65 – $200.02 | 11 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $38.38 – $65.23 | 2 |
| Set radiation therapy field CPT 77280 | $147.09 | $2,136.00 | $147.09 – $2,746.00 | 10 |
| Set radiation therapy field CPT 77285 | $405.54 | $3,334.00 | $301.50 – $2,746.00 | 10 |
| Set radiation therapy field CPT 77290 | $405.54 | $4,824.00 | $380.25 – $2,746.00 | 10 |
| Set-up cardiovert-defibrill CPT 93745 | $332.25 | not published | $207.76 – $398.70 | 8 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $5.69 – $70.70 | 5 |
| Sever cranial nerve CPT 64771 | $2,163.32 | $4,205.00 | $1,252.53 – $2,595.98 | 8 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,422.75 – $2,850.11 | 2 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,679.78 – $3,365.03 | 2 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,594.52 – $3,194.18 | 2 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,422.75 – $2,850.11 | 2 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,679.78 – $3,365.03 | 2 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,679.78 – $3,365.03 | 2 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,422.75 – $2,850.11 | 2 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,594.52 – $3,194.18 | 2 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $625.86 – $1,369.81 | 2 |
| Sex chromatin identification CPT 88130 | $17.98 | not published | $17.98 – $82.39 | 12 |
| Sex chromatin identification CPT 88140 | $7.99 | not published | $7.99 – $36.61 | 12 |
| Sex transformation f to m CPT 55980 | $3,820.84 | not published | $3,820.84 – $7,280.40 | 8 |
| Sex transformation m to f CPT 55970 | $5,468.70 | $11,747.00 | $5,468.70 – $6,562.44 | 7 |
| Sf3b1 gene common variants CPT 81347 | $193.25 | not published | $173.93 – $885.54 | 12 |
| Sgmdsc w/band ligation CPT 45350 | $1,306.21 | $2,782.00 | $212.94 – $1,567.45 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $220.12 | $481.00 | $95.64 – $264.15 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $220.12 | $512.00 | $131.82 – $264.15 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $442.61 | $560.00 | $155.94 – $531.13 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $442.61 | $751.00 | $201.97 – $531.13 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $220.12 | $481.00 | $77.68 – $795.00 | 10 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $220.12 | $512.00 | $102.08 – $264.15 | 8 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $220.12 | $560.00 | $130.37 – $264.15 | 8 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $442.61 | $751.00 | $145.09 – $531.13 | 8 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $442.61 | $481.00 | $71.52 – $531.13 | 8 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $220.12 | $512.00 | $107.70 – $264.15 | 8 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $220.12 | $560.00 | $125.46 – $264.15 | 8 |
| Sheath above knee HCPCS L8410 | not published | $41.00 | $24.14 – $43.05 | 2 |
| Sheath below knee HCPCS L8400 | not published | $34.00 | $19.93 – $32.72 | 2 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | not published | $8,122.00 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | not published | $14,391.30 | not published | 0 |
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.