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 |
|---|---|---|---|---|
| Special radiation dosimetry CPT 77331 | $147.09 | $1,146.00 | $63.00 – $2,746.00 | 10 |
| Special radiation treatment CPT 77470 | $640.84 | $5,830.00 | $266.81 – $2,746.00 | 10 |
| Special supplies phys/qhp CPT 99070 | not published | not published | $270.00 – $270.00 | 1 |
| Special teletx port plan CPT 77321 | $405.54 | $2,954.00 | $179.84 – $2,746.00 | 10 |
| Specific gravity body fluid CPT 84315 | $3.28 | $50.00 | $3.28 – $15.03 | 11 |
| Specimen fat stain CPT 89125 | $5.88 | $1,079.00 | $5.88 – $26.94 | 11 |
| Speech audiometry complete CPT 92556 | $65.80 | $345.00 | $65.80 – $150.00 | 9 |
| Speech evaluation complex CPT 70371 | $267.78 | $1,092.00 | $94.50 – $623.08 | 12 |
| Speech recep thresh CPT 92555 | $65.80 | $251.00 | $52.79 – $78.97 | 9 |
| Sperm antibody test CPT 89325 | $10.67 | $107.00 | $10.67 – $48.89 | 11 |
| Sperm evaluation test CPT 89329 | $19.59 | not published | $19.59 – $89.77 | 12 |
| Sperm identification CPT 89257 | $59.19 | not published | $59.19 – $944.05 | 9 |
| Sperm isolation complex CPT 89261 | $59.19 | not published | $59.19 – $447.82 | 9 |
| Sperm isolation simple CPT 89260 | $59.19 | not published | $59.19 – $393.49 | 9 |
| Sperm washing 58323 CPT 58323 | $222.86 | not published | $25.24 – $267.43 | 8 |
| Sphenoid sinus surgery CPT 31051 | $6,553.49 | $12,555.00 | $1,525.37 – $7,864.18 | 8 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $3,038.07 | $7,685.00 | $1,596.96 – $3,645.69 | 8 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | $880.00 | $231.46 – $231.46 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | $3,884.00 | $497.43 – $497.43 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $767.19 | $2,543.00 | $176.86 – $920.63 | 8 |
| Spine device implant surgery HCPCS C9757 | $14,254.12 | $43,050.00 | $8,736.48 – $17,104.94 | 8 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $344.98 | not published | $231.71 – $376.02 | 8 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $344.98 | $1,540.00 | $69.71 – $542.50 | 10 |
| Spirometry up to 2 yrs old CPT 94011 | $173.33 | not published | $141.84 – $188.93 | 8 |
| Spleen imaging CPT 78185 | $445.16 | not published | $123.75 – $1,021.05 | 12 |
| Splenectomy total open 38100 CPT 38100 | not published | $3,576.00 | $2,424.90 – $2,424.90 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,692.50 – $4,865.37 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $1,225.00 – $2,419.47 | 2 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | not published | not published | $27.25 – $27.25 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | $573.00 | $356.16 – $754.38 | 2 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | $72.00 | $43.06 – $94.24 | 2 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $29.06 – $29.06 | 1 |
| Splint finger fold over sm HCPCS L3924 | not published | $138.00 | $75.88 – $166.06 | 2 |
| Splint finger frog med HCPCS L3927 | not published | $49.00 | $29.58 – $59.33 | 2 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.42 – $3.42 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | $124.00 | $75.88 – $166.06 | 2 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,055.70 | $6,050.00 | $1,480.86 – $4,866.83 | 8 |
| Split blood or products CPT 86985 | $189.84 | $196.00 | $26.19 – $306.15 | 9 |
| Split flat caliper stirr & p HCPCS L2230 | not published | $113.00 | $68.39 – $149.69 | 2 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | $4,908.00 | $278.71 – $278.71 | 1 |
| Spontaneous nystagmus study CPT 92531 | not published | $264.00 | $56.45 – $322.00 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | $367.45 | not published | $167.01 – $440.94 | 9 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | $979.00 | $609.18 – $1,333.31 | 2 |
| Sputum specimen collection CPT 89220 | $189.84 | $223.00 | $38.04 – $396.00 | 9 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $4,146.34 | $3,795.00 | $1,399.05 – $8,536.31 | 9 |
| Srs cranial lesion complex CPT 61798 | not published | $4,142.00 | $2,970.61 – $2,970.61 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | $2,629.00 | $2,205.26 – $2,205.26 | 1 |
| Srs cran les complex addl CPT 61799 | not published | $778.00 | $637.67 – $637.67 | 1 |
| Srs cran les simple addl CPT 61797 | not published | $564.00 | $461.45 – $461.45 | 1 |
| Srsf2 gene common variants CPT 81348 | $175.40 | not published | $157.86 – $803.74 | 12 |
| Srs linear based CPT 77372 | $8,468.72 | $34,552.00 | $880.97 – $10,162.46 | 9 |
| Srs multisource CPT 77371 | $8,468.72 | $56,977.00 | $1,160.84 – $10,162.46 | 9 |
| Srs spinal lesion CPT 63620 | not published | $2,896.00 | $2,433.98 – $2,433.98 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | $648.00 | $530.00 – $530.00 | 1 |
| Staggered spondaic word test CPT 92572 | $173.33 | $411.00 | $97.14 – $208.00 | 9 |
| Stainless steel any wrist HCPCS L6630 | not published | $331.00 | $204.67 – $447.97 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $140.62 | $622.00 | $90.00 – $355.00 | 11 |
| Stance phase only HCPCS L5858 | not published | $29,265.00 | $17,326.84 – $34,709.82 | 2 |
| Standard control cable extra HCPCS L6655 | not published | $124.00 | $75.92 – $156.14 | 2 |
| Staph a dna amp probe CPT 87640 | $35.09 | $254.00 | $35.09 – $160.79 | 11 |
| Static or dynami afo pre ots HCPCS L4397 | not published | $252.00 | $156.13 – $312.24 | 2 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $74.87 – $224.61 | 3 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $74.87 – $224.61 | 3 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $129.95 | $532.00 | $90.00 – $265.00 | 10 |
| Stem cells total count CPT 86367 | $77.78 | $1,870.00 | $77.78 – $356.42 | 11 |
| Stenger test pure tone CPT 92565 | $65.80 | $300.00 | $38.21 – $127.50 | 9 |
| Stenger test speech CPT 92577 | $587.81 | $1,320.00 | $17.50 – $640.71 | 9 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $19,892.81 | $28,987.00 | $1,447.23 – $23,871.38 | 10 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | not published | $59,520.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | not published | $16,740.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | not published | $42,145.12 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | not published | $10,547.44 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $12,563.31 | $20,018.00 | $995.86 – $15,075.97 | 10 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | $15,655.00 | $427.08 – $7,765.76 | 3 |
| Stent placemt retro carotid CPT 37217 | not published | $3,233.00 | $2,199.70 – $2,199.70 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $19,892.81 | $31,268.00 | $1,402.46 – $23,871.38 | 10 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $101.53 – $141.67 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | $4,465.00 | $3,034.57 – $3,034.57 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $731.03 – $1,082.65 | 4 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.13 – $0.20 | 2 |
| Sterile needle HCPCS A4215 | not published | not published | $1.26 – $1.26 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.49 – $0.81 | 2 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.47 – $5.69 | 2 |
| Sternal debridement CPT 21627 | not published | $1,646.00 | $1,183.88 – $1,183.88 | 1 |
| Sternal pad HCPCS L1050 | not published | not published | $74.22 – $162.45 | 2 |
| St evaluate speech sound production CPT 92522 | $142.56 | $356.00 | $90.00 – $517.00 | 11 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $292.08 | $825.00 | $90.00 – $517.00 | 11 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $113.53 | $869.00 | $90.00 – $265.00 | 10 |
| St evaluation swallow function CPT 92610 | $91.47 | $646.00 | $90.00 – $265.00 | 10 |
| Stimulants synthetic CPT 80371 | not published | not published | $38.38 – $53.23 | 2 |
| Stimulation of spinal cord CPT 63610 | $2,163.32 | not published | $1,230.63 – $2,595.98 | 8 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $14.51 – $31.77 | 2 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.71 – $1.17 | 2 |
| Storage/year embryo(s) CPT 89342 | $189.84 | not published | $71.12 – $306.15 | 8 |
| Storage/year oocyte(s) CPT 89346 | $189.84 | not published | $71.12 – $597.81 | 8 |
| Storage/year reprod tissue CPT 89344 | $189.84 | not published | $71.12 – $306.15 | 8 |
| Storage/year sperm/semen CPT 89343 | $189.84 | not published | $71.12 – $306.15 | 8 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $905.00 – $1,008.21 | 2 |
| Straight knee joint heavy du HCPCS L2385 | not published | $195.00 | $119.40 – $261.32 | 2 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $13.77 – $54.33 | 4 |
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.