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 |
|---|---|---|---|---|
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | $466.00 | $287.93 – $472.66 | 2 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $37.83 – $63.42 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $18.52 – $18.52 | 1 |
| Skin and muscle repair face CPT 15845 | $4,055.70 | $7,404.00 | $2,290.14 – $4,866.83 | 8 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $6.93 – $11.37 | 2 |
| Skin Biopsy CPT 11102 | $220.12 | $825.00 | $79.41 – $264.15 | 8 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,026.46 | $5,092.00 | $472.50 – $2,431.75 | 10 |
| Skin full graft add-on 15241 CPT 15241 | not published | $4,068.00 | $224.57 – $224.57 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | $4,055.70 | $7,150.00 | $795.00 – $4,866.83 | 10 |
| Skin pedicle flap trunk CPT 15570 | $2,026.46 | $4,212.00 | $1,565.97 – $2,431.75 | 8 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | $3,071.00 | $233.98 – $233.98 | 1 |
| Skin test unlisted antigen ea CPT 86486 | $27.13 | not published | $5.94 – $50.64 | 10 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,434.78 – $5,360.50 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,620.93 – $8,968.46 | 2 |
| Slco1b1 gene com variants CPT 81328 | $174.81 | not published | $157.32 – $801.04 | 12 |
| Sleep study attended CPT 95807 | $587.81 | $4,124.00 | $587.81 – $1,818.00 | 9 |
| Sleep Study (Polysomnography) CPT 95810 | $1,127.09 | $9,011.00 | $1,121.68 – $1,818.00 | 9 |
| Sleep study unattended CPT 95806 | $173.33 | $1,925.00 | $166.38 – $1,818.00 | 9 |
| Sleeve fing rolyan med HCPCS L3933 | not published | $290.00 | $180.67 – $361.92 | 2 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $5.29 – $5.29 | 1 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,930.48 – $6,269.14 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | $21.18 | $8.51 – $13.98 | 2 |
| Sling pelv split sam med HCPCS L0621 | not published | $145.00 | $86.22 – $275.19 | 3 |
| Sling suprapubic suburetheral HCPCS C1771 | not published | $20,634.10 | not published | 0 |
| Slitting of prepuce CPT 54000 | $3,820.84 | $4,942.00 | $63.00 – $4,585.01 | 10 |
| Slitting of prepuce CPT 54001 | $2,269.38 | $4,952.00 | $301.64 – $2,723.26 | 8 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | $206.00 | $53.18 – $374.00 | 6 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | $648.00 | $90.00 – $374.00 | 6 |
| Slp pure tone screening CPT 92551 | not published | $138.00 | $23.02 – $322.00 | 3 |
| Slp stdy unatnd w/anal CPT 95801 | $65.80 | $241.00 | $65.80 – $172.30 | 8 |
| Slp ther svc non-spch gen CPT 92606 | not published | $386.00 | $90.00 – $374.00 | 6 |
| Sm-153 lexidron ther HCPCS A9604 | $4,314.91 | $31,600.80 | $4,314.91 – $37,065.53 | 9 |
| Small animal inoculation CPT 87003 | $16.84 | not published | $16.84 – $77.17 | 12 |
| Small bowel endoscopy CPT 44360 | $2,101.52 | $6,257.00 | $301.13 – $2,521.83 | 8 |
| Small bowel endoscopy CPT 44364 | $2,101.52 | $4,360.00 | $425.88 – $2,521.83 | 8 |
| Small bowel endoscopy CPT 44366 | $2,101.52 | $5,034.00 | $499.17 – $2,521.83 | 8 |
| Small bowel endoscopy CPT 44369 | $2,101.52 | $3,979.00 | $511.07 – $2,521.83 | 8 |
| Small bowel endoscopy CPT 44376 | $2,101.52 | $3,777.00 | $589.93 – $2,521.83 | 8 |
| Small bowel endoscopy CPT 44378 | $2,101.52 | $4,718.00 | $798.44 – $2,521.83 | 8 |
| Small bowel endoscopy CPT 44382 | $1,038.65 | $2,842.00 | $156.76 – $1,246.38 | 8 |
| Small bowel endoscopy CPT 44384 | $2,101.52 | $7,676.00 | $317.07 – $2,521.83 | 8 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $2,101.52 | $4,063.00 | $399.77 – $2,521.83 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | $2,101.52 | $3,399.00 | $380.71 – $2,521.83 | 8 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,101.52 | $4,758.00 | $331.41 – $2,521.83 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | $2,101.52 | $4,777.00 | $622.09 – $2,521.83 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | $1,038.65 | $2,842.00 | $122.18 – $1,246.38 | 8 |
| Small bowel endoscopy br/wa CPT 44381 | $2,101.52 | $3,191.00 | $179.21 – $2,521.83 | 8 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $6,594.64 | $14,480.00 | $557.13 – $7,913.57 | 8 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | not published | $0.01 – $0.01 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $5.39 | $94.00 | $5.39 – $24.70 | 11 |
| Smear gram stain CPT 87205 | $4.27 | $94.00 | $4.27 – $19.57 | 11 |
| Smear nasal eosinophil CPT 89190 | $5.79 | $64.00 | $5.79 – $26.53 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $5.99 | $101.00 | $5.99 – $27.45 | 11 |
| Smear wet mount CPT 87210 | $5.82 | $62.00 | $5.82 – $26.67 | 10 |
| Smn1 gene full gene sequence CPT 81336 | $301.35 | not published | $271.22 – $1,380.89 | 12 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $185.20 | not published | $166.68 – $848.65 | 12 |
| Smpd1 gene common variants CPT 81330 | $47.00 | $2,783.00 | $47.00 – $215.37 | 11 |
| Snrpn/ube3a gene CPT 81331 | $51.07 | $495.00 | $51.07 – $234.02 | 11 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,000.97 – $2,005.19 | 2 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $763.06 – $1,528.54 | 2 |
| Socket insert above knee HCPCS L5658 | not published | not published | $371.75 – $755.75 | 2 |
| Socket insert below knee HCPCS L5655 | not published | $520.00 | $324.07 – $551.31 | 2 |
| Socket insert knee articulat HCPCS L5656 | not published | $740.00 | $460.40 – $771.03 | 2 |
| Socket insert symes HCPCS L5654 | not published | $537.00 | $333.55 – $689.34 | 2 |
| Socket insert without lock mech HCPCS L5679 | not published | $989.00 | $528.81 – $1,157.39 | 2 |
| Socket insert w lock mech HCPCS L5673 | not published | $1,190.00 | $634.59 – $1,388.92 | 2 |
| Sock fracture or equal each HCPCS L3995 | not published | $64.00 | $38.03 – $62.43 | 2 |
| Sock wool above knee HCPCS L8430 | not published | $42.00 | $24.74 – $46.02 | 2 |
| Sodium 24 hour urine CPT 84300 | $5.06 | $72.00 | $5.06 – $23.19 | 11 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | $40.00 | $1.94 – $5.50 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | $32.00 | $1.17 – $2.75 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | $46.00 | $0.60 – $1.37 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | $0.10 | $0.85 – $0.85 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | $31.75 | $1.85 – $4.42 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $62.38 – $160.87 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $4.81 | $55.00 | $4.81 – $22.04 | 11 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | $6.21 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | not published | $146.00 | $88.91 – $169.43 | 2 |
| Software meas of cardiac vol HCPCS G0183 | $97.54 | not published | $97.54 – $117.05 | 7 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $1,345.31 | not published | $1,345.31 – $1,614.37 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | $1,195.83 | not published | $1,195.83 – $1,435.00 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | $3,288.51 | not published | $3,288.51 – $3,946.21 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $1,046.35 | not published | $1,046.35 – $1,255.62 | 8 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.83 – $6.30 | 2 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $7.23 – $13.53 | 2 |
| Somatosensory testing CPT 95927 | $344.98 | $727.00 | $137.50 – $1,225.00 | 10 |
| Somatropin injection HCPCS J2941 | $48.92 | not published | $48.92 – $879.61 | 8 |
| So neo gsap dna/dna&rna CPT 81459 | $2,989.55 | not published | $2,989.55 – $3,587.46 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | $896.87 | not published | $896.87 – $1,076.24 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | $25.05 | not published | $25.05 – $37.75 | 8 |
| So vest canvas/web pre ots HCPCS L3675 | not published | $245.00 | $148.61 – $297.69 | 2 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $44.95 – $44.95 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | $464.00 | $349.70 – $349.70 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | $778.00 | $385.02 – $385.02 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | $2,640.00 | $423.35 – $423.35 | 1 |
| Special casting material HCPCS A4590 | not published | not published | $72.78 – $72.78 | 1 |
| Special physics consult CPT 77370 | $147.09 | $1,705.00 | $132.30 – $2,746.00 | 10 |
| Special pump services CPT 99190 | not published | not published | $409.44 – $409.44 | 1 |
| Special pump services CPT 99191 | not published | not published | $341.49 – $341.49 | 1 |
| Special pump services CPT 99192 | not published | not published | $226.37 – $226.37 | 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.