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 |
|---|---|---|---|---|
| Sheath upper limb HCPCS L8415 | not published | $38.00 | $22.83 – $44.56 | 2 |
| Shigella antibody CPT 86771 | $24.48 | not published | $16.81 – $112.18 | 12 |
| Shlder disart int lock elbow HCPCS L6300 | not published | $6,892.00 | $4,294.40 – $7,743.89 | 2 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $3,621.34 – $7,926.00 | 2 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $13,459.36 – $29,458.41 | 2 |
| Sho arthrs dx +- synovial bx CPT 29805 | $3,594.44 | $7,805.00 | $1,025.02 – $15,984.00 | 9 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $7,913.97 | $10,603.00 | $1,979.09 – $15,984.00 | 10 |
| Sho arthrs srg capsulorraphy CPT 29806 | $7,913.97 | $12,526.00 | $2,287.14 – $15,984.00 | 9 |
| Sho arthrs srg compl synvct CPT 29821 | $3,594.44 | $7,797.00 | $1,293.55 – $15,984.00 | 9 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $3,594.44 | $7,508.00 | $1,185.35 – $15,984.00 | 9 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $3,594.44 | $7,480.00 | $1,279.49 – $15,984.00 | 9 |
| Sho arthrs srg prtl synvct CPT 29820 | $7,913.97 | $12,524.00 | $1,163.78 – $15,984.00 | 9 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $3,594.44 | $7,668.00 | $1,282.33 – $15,984.00 | 9 |
| Sho arthrs srg rpr slap les CPT 29807 | $7,913.97 | $13,089.00 | $2,234.54 – $15,984.00 | 9 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $3,594.44 | $6,457.00 | $1,293.58 – $15,984.00 | 9 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $46.12 – $92.44 | 2 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $40.23 – $80.58 | 2 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $37.87 – $75.86 | 2 |
| Shoe heel new rubber standar HCPCS L3460 | not published | $54.00 | $31.93 – $63.99 | 2 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $40.00 – $116.15 | 3 |
| Shoe heel sach cushion type HCPCS L3450 | not published | $160.00 | $98.23 – $196.75 | 2 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $57.98 – $116.15 | 2 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $54.44 – $109.05 | 2 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | $117.00 | $75.74 – $151.73 | 2 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $86.38 – $173.06 | 2 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | $65.00 | $37.87 – $75.86 | 2 |
| Shoe outflare wedge HCPCS L3390 | not published | $65.00 | $46.12 – $92.44 | 2 |
| Shoe post-op mens m HCPCS L3260 | not published | $206.00 | $45.72 – $45.72 | 1 |
| Shoe sole wedge between sole HCPCS L3370 | not published | $75.00 | $46.12 – $92.44 | 2 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | $55.00 | $33.13 – $66.38 | 2 |
| Shoe wedge sach HCPCS L3340 | not published | $129.00 | $79.31 – $158.87 | 2 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $149.11 – $298.70 | 2 |
| Sho insert w arch toe filler HCPCS L5000 | not published | $772.00 | $479.83 – $1,050.19 | 2 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | $80.00 | $48.51 – $97.20 | 2 |
| Shortening of hand tendon CPT 26479 | $3,594.44 | not published | $1,503.78 – $4,313.33 | 8 |
| Shortening of thigh bone CPT 27465 | not published | $20,813.00 | $2,676.58 – $2,676.58 | 1 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,510.00 – $2,875.36 | 2 |
| Shorten radius or ulna CPT 25390 | $7,913.97 | $12,716.00 | $1,672.54 – $9,496.76 | 8 |
| Shorten radius & ulna CPT 25392 | $7,913.97 | $21,824.00 | $2,188.53 – $9,496.76 | 8 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $354.68 – $582.22 | 2 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $7,913.97 | $9,870.00 | $2,301.69 – $15,984.00 | 9 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $306.48 – $663.54 | 2 |
| Shoulder harness HCPCS L5699 | not published | not published | $180.63 – $387.55 | 2 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $484.07 – $969.74 | 2 |
| Shoulder MRI (with and without contrast) CPT 73223 | $395.64 | $4,827.00 | $395.64 – $4,332.00 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $875.24 | $4,498.00 | $624.84 – $4,332.00 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $267.78 | $4,113.00 | $267.78 – $4,332.00 | 15 |
| Shoulder prosthesis removal CPT 23334 | $3,170.64 | $6,377.00 | $2,281.21 – $3,804.76 | 8 |
| Shoulder prosthesis removal CPT 23335 | not published | $7,150.00 | $2,718.35 – $2,718.35 | 1 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $368.15 – $703.56 | 2 |
| Shoulder X-ray CPT 73030 | $97.54 | $688.00 | $37.13 – $219.04 | 12 |
| Shrinker prosth above knee HCPCS L8460 | not published | $102.00 | $63.29 – $138.53 | 2 |
| Shrinker prosth below knee HCPCS L8440 | not published | $83.00 | $51.38 – $86.92 | 2 |
| Shrinker upper limb HCPCS L8465 | not published | $75.00 | $46.32 – $101.39 | 2 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,537.50 – $2,744.77 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $2,050.00 – $2,744.77 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $2,050.00 – $2,655.60 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | not published | $6,944.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $117.81 | $475.00 | $58.94 – $295.04 | 11 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,537.50 – $2,614.56 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $2,050.00 – $2,757.10 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $2,130.00 – $2,940.68 | 2 |
| Sialidase enzyme assay CPT 87905 | $12.22 | not published | $12.22 – $56.00 | 12 |
| Sialography s&i CPT 70390 | $267.78 | $921.00 | $47.25 – $623.08 | 11 |
| Sialolithotomy 42330 CPT 42330 | $3,592.74 | $5,304.00 | $359.99 – $4,311.29 | 8 |
| Sickling rbc CPT 85660 | $5.51 | $330.00 | $5.51 – $25.25 | 11 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,010.01 | $2,566.00 | $153.19 – $1,212.01 | 8 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $1,010.01 | $2,662.00 | $238.37 – $1,212.01 | 8 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,306.21 | $3,441.00 | $246.90 – $1,567.45 | 8 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,010.01 | $2,308.00 | $141.88 – $1,212.01 | 8 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,306.21 | $3,270.00 | $335.49 – $1,567.45 | 8 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,306.21 | $2,409.00 | $222.12 – $1,567.45 | 8 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $6,594.64 | $6,790.00 | $321.93 – $7,913.57 | 8 |
| Sigmoidoscopy w/resection CPT 45349 | $3,038.07 | $6,337.00 | $413.13 – $3,645.69 | 8 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,306.21 | $3,042.00 | $252.42 – $1,567.45 | 8 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,010.01 | $3,655.00 | $260.33 – $1,212.01 | 8 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,306.21 | $5,139.00 | $356.52 – $1,567.45 | 8 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $1,010.01 | $2,357.00 | $198.64 – $1,212.01 | 8 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $65.80 | not published | $56.18 – $297.50 | 9 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,306.21 | $2,995.00 | $165.75 – $1,567.45 | 8 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $69.97 – $69.97 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $538.67 – $1,162.38 | 2 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $12,563.31 | not published | $12,563.31 – $15,075.97 | 7 |
| Simple cystometrogram 51725 CPT 51725 | $269.43 | $989.00 | $269.43 – $795.00 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $115.57 – $255.72 | 4 |
| Single energy x-ray study HCPCS G0130 | $117.81 | not published | $60.39 – $295.04 | 10 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $234.52 – $384.97 | 2 |
| Single transfer toe-hand CPT 26553 | not published | not published | $6,993.32 – $6,993.32 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $197.21 | $3,376.00 | $197.21 – $1,752.00 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $197.21 | $2,906.00 | $197.21 – $1,752.00 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $117.81 | $2,420.00 | $117.81 – $1,752.00 | 14 |
| Sinus/juglr venogram s&i CPT 75860 | $3,486.86 | $4,765.00 | $239.34 – $7,747.94 | 11 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $3,592.74 | $7,037.00 | $754.61 – $4,311.29 | 8 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $6,553.49 | $12,894.00 | $1,302.48 – $7,864.18 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $6,553.49 | $12,555.00 | $1,137.52 – $7,864.18 | 8 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $194.48 – $504.02 | 3 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $170.81 – $512.43 | 3 |
| Sipuleucel-t - su HCPCS Q2043 | $55,945.97 | not published | $47,554.07 – $112,575.34 | 10 |
| Sirolimus, oral HCPCS J7520 | not published | $39.58 | $0.82 – $8.59 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $84.53 | not published | $71.85 – $145.35 | 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.