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 |
|---|---|---|---|---|
| Sympathectomy cervical CPT 64802 | $2,163.32 | not published | $1,853.01 – $2,595.98 | 8 |
| Sympathectomy digital artery CPT 64820 | $2,163.32 | $4,934.00 | $1,662.70 – $2,595.98 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $693.20 – $1,677.46 | 2 |
| Sympathectomy supfc palmar CPT 64823 | $3,594.44 | $5,223.00 | $1,718.76 – $4,313.33 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,057.50 – $2,363.41 | 2 |
| Synch audio-only est high 40 CPT 98015 | not published | $95.00 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | not published | $65.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | not published | $80.00 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | not published | $50.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | not published | $150.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | not published | $100.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | not published | $125.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | not published | $75.00 | not published | 0 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $4.77 – $38.70 | 4 |
| Synthetic sentence id test CPT 92576 | $43.48 | $107.00 | $43.48 – $92.50 | 9 |
| Synvisc or synvisc-one HCPCS J7325 | $9.09 | not published | $7.73 – $22.40 | 10 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $4.40 | $100.00 | $4.40 – $20.16 | 11 |
| System cardiomems hosp electronics HCPCS C2624 | not published | $60,638.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | not published | $32,720.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | not published | $39,630.40 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | not published | $868.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $16.94 | $550.00 | $16.94 – $77.63 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $14.18 | $228.00 | $14.18 – $64.98 | 11 |
| T4 (thyroxine) free CPT 84439 | $9.02 | $162.00 | $9.02 – $41.33 | 11 |
| T4 (thyroxine) total CPT 84436 | $6.87 | $128.00 | $6.87 – $31.48 | 11 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.50 – $1.07 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.56 – $3.26 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | $8.77 | $0.13 – $0.97 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $262.23 | $905.43 | $222.90 – $471.74 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $13.73 | $339.00 | $13.73 – $62.92 | 11 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $14.08 | not published | $11.97 – $27.49 | 10 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | $7,902.00 | $4,613.61 – $4,613.61 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | $6,219.00 | $4,265.57 – $4,265.57 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | $3,808.00 | $2,628.69 – $2,628.69 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $73.55 | not published | $62.52 – $122.88 | 10 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $72.40 | not published | $61.54 – $90.07 | 9 |
| Talymed HCPCS Q4127 | not published | not published | $58.22 – $91.09 | 2 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $3.86 – $3.86 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | $914.00 | $158.42 – $158.42 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | $177.00 | $129.93 – $129.93 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.40 – $0.64 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $759.53 | $6,807.00 | $141.12 – $3,480.43 | 10 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,919.60 | $8,029.00 | $2,919.60 – $13,378.63 | 11 |
| Target gsa panel organ neop CPT 81445 | $597.91 | $8,699.00 | $141.12 – $2,739.83 | 10 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $1,567.49 | not published | $1,332.37 – $1,880.99 | 8 |
| Tas congenital car anomal CPT 33741 | not published | not published | $971.45 – $1,535.19 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $678.13 | $1,387.00 | $278.89 – $813.76 | 8 |
| Tavr perq femoral CPT 33361 | not published | $14,714.00 | $2,473.00 – $2,473.00 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $0.30 | $3.47 | $0.26 – $0.97 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | $137.00 | not published | $123.30 – $627.78 | 12 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $60.63 – $149.18 | 5 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $14.16 – $149.18 | 5 |
| Tbs techl calculation only CPT 77091 | $97.54 | $259.00 | $29.43 – $223.67 | 10 |
| Tbs techl prep&transmis data CPT 77090 | $97.54 | not published | $2.43 – $223.67 | 10 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $100.00 | $304.00 | $100.00 – $458.24 | 11 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $61.98 | $385.00 | $61.98 – $284.01 | 11 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $809.73 – $809.73 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | $809.51 | not published | $809.51 – $1,298.48 | 8 |
| Tc-99m bicisate HCPCS A9557 | $683.80 | $7,296.30 | $663.64 – $820.56 | 7 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,273.64 – $1,273.64 | 1 |
| Tc-99m diag per dose HCPCS A4641 | not published | $10,210.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | not published | $109.00 | $141.85 – $141.85 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,040.32 | $5,126.19 | $1,040.32 – $2,863.68 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | $802.34 | $9,448.00 | $802.34 – $2,869.69 | 8 |
| Tc-99m gluceptate HCPCS A9550 | not published | $277.00 | not published | 0 |
| Tc-99m graphite crucible HCPCS A9506 | $328.60 | not published | $328.60 – $394.32 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | not published | $3,269.78 | $220.56 – $220.56 | 1 |
| Tc-99m maa HCPCS A9540 | not published | $471.11 | $38.02 – $38.02 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | not published | $712.00 | $111.84 – $111.84 | 1 |
| Tc-99m medronate HCPCS A9503 | not published | $277.00 | $28.16 – $28.16 | 1 |
| Tc-99m mertiatide HCPCS A9562 | not published | $943.00 | $1,313.73 – $1,313.73 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $10.00 | not published | $10.00 – $21.48 | 8 |
| Tc-99m oxidronate HCPCS A9561 | not published | $118.80 | $97.12 – $97.12 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | $377.03 | $39.71 – $39.71 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | $428.18 | $179.56 – $179.56 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | $2.02 | $27.37 – $27.37 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | $152.00 | $101.59 – $101.59 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | $666.00 | $240.81 – $240.81 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | $267.00 | $933.10 – $933.10 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | $294.00 | $251.67 – $251.67 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | $289.00 | $108.08 – $108.08 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | $1,640.10 | $945.35 – $945.35 | 1 |
| Tca peel dermal 15789 CPT 15789 | $678.13 | $1,244.00 | $678.13 – $894.74 | 8 |
| Tcd emboli detect w/inj CPT 93893 | $117.81 | $1,180.00 | $117.81 – $727.27 | 9 |
| Tcd emboli detect without inj CPT 93892 | $117.81 | $816.00 | $117.81 – $589.49 | 9 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $362.50 – $511.49 | 2 |
| T-cell depletion of harvest CPT 38210 | $484.32 | $46,393.00 | $164.46 – $1,456.08 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $46.98 | $1,604.00 | $46.98 – $215.28 | 11 |
| T cells absolute cd 4 count CPT 86361 | $26.78 | $503.00 | $26.78 – $122.72 | 11 |
| T cells total count CPT 86359 | $37.73 | $503.00 | $37.73 – $172.89 | 11 |
| Tcranial magn stim tx deli CPT 90868 | $344.98 | not published | $344.98 – $429.11 | 8 |
| Tcranial magn stim tx plan CPT 90867 | $344.98 | not published | $344.98 – $662.54 | 8 |
| Tcran magn stim redetemine CPT 90869 | $344.98 | not published | $344.98 – $606.61 | 8 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $427.53 – $1,021.67 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | $6,130.00 | $2,092.86 – $2,092.86 | 1 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $58.87 – $58.87 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $90.55 – $90.55 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $67.35 – $67.35 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $217.09 | not published | $184.53 – $277.87 | 9 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $875.24 | not published | $875.24 – $1,050.29 | 7 |
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.