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 |
|---|---|---|---|---|
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $3.64 – $5.99 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $174.80 | $611.00 | $35.56 – $795.00 | 10 |
| Strapping of chest CPT 29200 | $174.80 | $367.00 | $37.91 – $795.00 | 10 |
| Strapping of elbow or wrist 29260 CPT 29260 | $65.80 | $303.00 | $39.33 – $795.00 | 10 |
| Strapping of hand or finger CPT 29280 | $65.80 | $283.00 | $42.18 – $795.00 | 10 |
| Strapping of hip CPT 29520 | $142.80 | $325.00 | $37.91 – $795.00 | 10 |
| Strapping of knee CPT 29530 | $142.80 | $432.00 | $37.16 – $795.00 | 10 |
| Strapping of toes 29550 CPT 29550 | $65.80 | $292.00 | $23.02 – $795.00 | 10 |
| Strep a ag ia CPT 87430 | $16.81 | $114.00 | $16.81 – $77.03 | 11 |
| Strep a dna dir probe CPT 87650 | $20.05 | not published | $20.05 – $91.88 | 12 |
| Strep a dna quant CPT 87652 | $41.76 | not published | $41.76 – $191.36 | 12 |
| Strep b assay w/optic CPT 87802 | $12.73 | $53.00 | $12.73 – $58.33 | 11 |
| Strep b dna amp probe CPT 87653 | $35.09 | $220.00 | $35.09 – $160.79 | 11 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $103.78 – $103.78 | 1 |
| Streptokinase antibody CPT 86590 | $12.66 | not published | $12.66 – $58.01 | 12 |
| Streptomycin injection HCPCS J3000 | not published | $214.80 | $26.65 – $71.66 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $539.50 – $747.07 | 3 |
| Stress test pulmonary CPT 94618 | $142.80 | $935.00 | $39.93 – $464.00 | 10 |
| Stress tte complete CPT 93351 | $607.42 | $2,995.00 | $348.75 – $2,209.00 | 10 |
| Str markers spec anal addl CPT 81266 | $304.81 | $2,432.00 | $304.81 – $1,396.75 | 11 |
| Str markers specimen anal CPT 81265 | $233.07 | $2,100.00 | $233.07 – $1,068.01 | 11 |
| St treatment speech individual CPT 92507 | $98.27 | $413.00 | $90.00 – $265.00 | 10 |
| St treatment swallow dysfunction/oral CPT 92526 | $107.20 | $462.00 | $90.00 – $265.00 | 10 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $767.19 | $1,561.00 | $109.80 – $920.63 | 10 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $647.04 – $647.04 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | $220.12 | $935.00 | $109.84 – $264.15 | 8 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $678.13 | $1,210.00 | $215.93 – $813.76 | 8 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $202.90 – $202.90 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $194.95 – $194.95 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | $8,076.00 | $240.99 – $240.99 | 1 |
| Subtalar arthro w/deb CPT 29906 | $3,594.44 | $7,527.00 | $1,414.84 – $15,984.00 | 10 |
| Subtalar arthro w/exc CPT 29905 | $7,913.97 | $12,716.00 | $1,102.37 – $15,984.00 | 10 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,594.44 | $6,622.00 | $1,395.18 – $15,984.00 | 10 |
| Subtalar arthro w/fusion CPT 29907 | $14,254.12 | $16,361.00 | $1,903.51 – $17,104.94 | 10 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,413.98 – $3,107.41 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | $15.12 | $1.61 – $1.61 | 1 |
| Suction lipectomy head&neck CPT 15876 | $4,055.70 | $7,150.00 | $4,055.70 – $4,866.83 | 7 |
| Suction lipectomy lwr extrem CPT 15879 | $4,055.70 | $7,150.00 | $4,055.70 – $4,866.83 | 7 |
| Suction lipectomy trunk CPT 15877 | $4,055.70 | $7,150.00 | $4,055.70 – $4,866.83 | 7 |
| Suction lipectomy upr extrem CPT 15878 | $2,026.46 | $3,494.00 | $2,026.46 – $2,431.75 | 7 |
| Suction socket HCPCS L6686 | not published | $914.00 | $568.86 – $1,227.10 | 2 |
| Suction susp ak/knee disart HCPCS L5652 | not published | $666.00 | $414.04 – $906.21 | 2 |
| Sugars multiple quant CPT 84379 | $11.53 | not published | $11.53 – $52.83 | 12 |
| Sugars single quant CPT 84378 | $11.53 | $267.00 | $11.53 – $52.83 | 11 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | not published | $9,920.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.04 – $0.04 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $38.84 – $58.24 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | $67.69 | $91.96 – $91.96 | 1 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.54 – $10.62 | 3 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $51.11 | not published | $5.67 – $61.34 | 8 |
| Supply of digital device HCPCS G0552 | $142.76 | not published | $142.76 – $171.32 | 7 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $22.21 – $85.23 | 4 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | $121.67 | $59.41 – $113.22 | 2 |
| Supprelin la implant HCPCS J9226 | $45,560.39 | not published | $38,726.33 – $93,292.40 | 10 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $122.80 – $122.80 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $106.37 – $106.37 | 1 |
| Surg dx exam anorectal CPT 45990 | $3,038.07 | $5,298.00 | $223.39 – $3,645.69 | 8 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | $5,455.00 | $1,747.92 – $1,747.92 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | $2,263.00 | $1,748.01 – $1,748.01 | 1 |
| Surgery for urethra pouch CPT 53240 | $3,820.84 | $9,728.00 | $908.66 – $4,585.01 | 8 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $913.55 – $2,443.26 | 2 |
| Surgery to stop leg growth CPT 27475 | $7,913.97 | $11,161.00 | $714.15 – $9,496.76 | 10 |
| Surgery to stop leg growth CPT 27477 | $7,913.97 | $12,716.00 | $1,596.54 – $9,496.76 | 8 |
| Surgery to stop leg growth CPT 27479 | $7,913.97 | $12,716.00 | $1,985.56 – $9,496.76 | 8 |
| Surgery to stop leg growth CPT 27485 | $7,913.97 | $13,160.00 | $736.83 – $9,496.76 | 10 |
| Surgical exposure prostate 55860 CPT 55860 | $5,631.74 | $10,936.00 | $1,842.54 – $6,758.08 | 8 |
| Surgical opening esophagus CPT 43351 | not published | not published | $732.05 – $2,764.98 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $732.05 – $2,238.04 | 2 |
| Surgical opening of stomach CPT 43510 | $1,038.65 | not published | $867.03 – $2,022.34 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | $2,048.00 | $1,671.69 – $1,671.69 | 1 |
| Surgical opening of throat CPT 42955 | $1,640.99 | not published | $1,640.99 – $1,969.19 | 8 |
| Surgical pathology level 1 gross examination only CPT 88300 | $27.13 | $154.00 | $27.13 – $50.64 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $43.48 | $193.00 | $43.48 – $64.78 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $59.19 | $363.00 | $59.19 – $102.13 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $59.19 | $1,519.00 | $59.19 – $136.60 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $398.51 | $1,100.00 | $180.98 – $597.81 | 8 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $904.98 | $1,111.00 | $249.24 – $1,346.75 | 8 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $847.00 – $2,858.07 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $3,220.29 – $3,220.29 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $972.00 – $2,275.06 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $3,038.07 | $7,404.00 | $923.00 – $3,645.69 | 8 |
| Susceptibility agar dilution per agent CPT 87181 | $4.75 | $83.00 | $4.75 – $21.77 | 11 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $4.75 | $102.00 | $4.75 – $21.77 | 11 |
| Susceptibility mic per plate CPT 87186 | $8.65 | $367.00 | $8.65 – $39.64 | 11 |
| Suscept studies macrobroth dilution ea CPT 87188 | $6.64 | $105.00 | $6.64 – $30.43 | 11 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,111.33 – $2,111.33 | 1 |
| Suspension of testis CPT 54620 | $3,820.84 | $8,224.00 | $632.89 – $4,585.01 | 8 |
| Suspension of uterus CPT 58410 | not published | $2,490.00 | $1,741.95 – $1,741.95 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | $2,822.00 | $1,000.45 – $1,000.45 | 1 |
| Suspension sleeve lower ext HCPCS L2397 | not published | $169.00 | $105.22 – $219.25 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | $2,746.00 | $2,218.42 – $2,218.42 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,920.35 – $2,920.35 | 1 |
| Svc venogram s&i CPT 75827 | $1,720.93 | $4,958.00 | $225.96 – $3,807.12 | 11 |
| Sweat collection by iontophoresis CPT 89230 | $59.19 | $187.00 | $5.84 – $102.13 | 9 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | $3,559.00 | $2,209.01 – $4,348.04 | 2 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,497.34 – $5,740.96 | 2 |
| Symes type medial opening so HCPCS L5636 | not published | $518.00 | $322.64 – $529.61 | 2 |
| Symes type poster opening so HCPCS L5634 | not published | $545.00 | $338.65 – $632.27 | 2 |
| Symes type ptb brim design s HCPCS L5632 | not published | $370.00 | $229.70 – $461.52 | 2 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | $693.00 | $430.54 – $932.84 | 2 |
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.