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 |
|---|---|---|---|---|
| Tee w or without fol w/cont, mon HCPCS C8927 | $875.24 | not published | $875.24 – $1,050.29 | 7 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $50.65 – $95.72 | 2 |
| Telavancin injection HCPCS J3095 | $7.47 | $32.56 | $6.35 – $13.74 | 9 |
| Telehealth original site facility fee HCPCS Q3014 | not published | $110.00 | $50.81 – $50.81 | 1 |
| Telethx isodose plan cplx CPT 77307 | $405.54 | $4,830.00 | $405.54 – $2,746.00 | 9 |
| Telethx isodose plan simple CPT 77306 | $405.54 | $1,605.00 | $283.35 – $2,746.00 | 9 |
| Temozolomide HCPCS J8700 | not published | not published | $0.31 – $0.67 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $10.39 | not published | $8.83 – $22.36 | 10 |
| Temperature gradient studies CPT 93740 | $173.33 | not published | $9.52 – $188.93 | 9 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $32.29 | $280.90 | $27.45 – $74.63 | 9 |
| Tendon lengthening CPT 26476 | $3,594.44 | $9,403.00 | $1,436.12 – $4,313.33 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $3,594.44 | $7,609.00 | $1,272.99 – $4,313.33 | 8 |
| Tendon shortening CPT 26477 | $3,594.44 | $6,225.00 | $1,402.56 – $4,313.33 | 8 |
| Tendon transfer with graft CPT 26492 | $3,594.44 | $7,582.00 | $2,042.78 – $4,313.33 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $171.94 | $764.58 | $146.15 – $289.10 | 9 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $450.58 – $5,681.66 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | $7,913.97 | $11,161.00 | $1,308.15 – $9,496.76 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $3,594.44 | $6,023.00 | $1,350.54 – $4,313.33 | 8 |
| Tenolysis triceps CPT 24332 | $3,594.44 | not published | $588.38 – $4,313.33 | 9 |
| Tenoplasty elbow to sho 1 CPT 24320 | $7,913.97 | $12,596.00 | $1,696.07 – $9,496.76 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,772.97 | $3,522.00 | $1,139.26 – $2,127.56 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | $20,813.00 | $1,565.35 – $1,565.35 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $3,594.44 | $6,529.00 | $637.43 – $4,313.33 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,772.97 | $4,003.00 | $525.86 – $2,127.56 | 8 |
| Tension based scoliosis orth HCPCS L1005 | not published | $4,764.00 | $2,978.12 – $5,965.91 | 2 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $21.09 – $80.88 | 4 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | $128.83 | $2.33 – $10.37 | 4 |
| Teriparatide injection HCPCS J3110 | not published | not published | $20.87 – $20.87 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | $6,535.00 | $3,811.44 – $7,635.22 | 2 |
| Term device, multi art digit HCPCS L6715 | not published | $4,832.00 | $2,943.37 – $5,897.77 | 2 |
| Term dev mech hand vol close HCPCS L6709 | not published | $1,869.00 | $1,167.94 – $2,518.24 | 2 |
| Term dev mech hand vol open HCPCS L6708 | not published | $1,397.00 | $872.41 – $1,738.63 | 2 |
| Term dev mech hook vol close HCPCS L6707 | not published | $2,084.00 | $1,301.86 – $2,673.15 | 2 |
| Term dev mech hook vol open HCPCS L6706 | not published | $533.00 | $331.36 – $725.24 | 2 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $379.28 – $707.19 | 2 |
| Term dev, passive hand mitt HCPCS L6703 | not published | $661.00 | $411.64 – $675.71 | 2 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $177.15 – $387.72 | 2 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | $894.00 | $557.22 – $1,217.27 | 2 |
| Tert gene targeted seq alys CPT 81345 | $185.20 | $509.00 | $185.20 – $848.65 | 11 |
| Test for chlorohydrocarbons CPT 82441 | $6.01 | not published | $6.01 – $27.54 | 12 |
| Test for porphobilinogen CPT 84106 | $5.82 | $1,395.00 | $5.82 – $26.67 | 11 |
| Test for urine cystines CPT 82615 | $9.55 | not published | $9.55 – $43.76 | 12 |
| Testicular imaging w/vasc flow CPT 78761 | $445.16 | $1,352.00 | $126.00 – $1,021.05 | 12 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $156.46 – $156.46 | 1 |
| Testosterone response panel CPT 80414 | $51.64 | not published | $51.64 – $236.63 | 12 |
| Testosterone undecanoate 1mg HCPCS J3145 | $1.99 | not published | $1.69 – $3.46 | 10 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $65.80 | not published | $40.06 – $71.73 | 8 |
| Test sock elbw disart/above HCPCS L6682 | not published | $478.00 | $297.79 – $533.17 | 2 |
| Test socket above knee HCPCS L5624 | not published | $642.00 | $398.90 – $755.67 | 2 |
| Test socket below knee HCPCS L5620 | not published | $503.00 | $312.37 – $577.87 | 2 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $473.43 – $1,003.55 | 2 |
| Test socket hip disarticulat HCPCS L5626 | not published | $728.00 | $452.79 – $991.02 | 2 |
| Test socket knee disarticula HCPCS L5622 | not published | $738.00 | $459.04 – $753.52 | 2 |
| Test socket shldr disart/tho HCPCS L6684 | not published | $681.00 | $422.72 – $724.52 | 2 |
| Test socket symes HCPCS L5618 | not published | $453.00 | $281.48 – $584.56 | 2 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | $449.00 | $277.67 – $482.23 | 2 |
| Test stress cardiovascular tracing only CPT 93017 | $344.98 | $2,057.00 | $68.51 – $1,106.00 | 10 |
| Test urine for lactose CPT 83633 | $11.25 | not published | $11.25 – $51.55 | 12 |
| Test urine for porphyrins CPT 84119 | $13.36 | not published | $7.43 – $61.22 | 12 |
| Test urine urobilinogen CPT 84578 | $4.47 | not published | $0.99 – $20.48 | 12 |
| Tetanus ig im CPT 90389 | not published | not published | $177.26 – $177.26 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $577.05 | $2,882.99 | $490.49 – $1,035.27 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $18.30 | not published | $15.56 – $24.72 | 9 |
| Tgfbi gene common variants CPT 81333 | $137.00 | not published | $123.30 – $627.78 | 12 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $759.53 | not published | $683.57 – $1,558.94 | 10 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,919.60 | not published | $2,627.64 – $5,992.48 | 10 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $597.91 | not published | $538.11 – $1,227.21 | 10 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | $189.84 | not published | $71.12 – $306.15 | 8 |
| Thawing cryopresrved embryo CPT 89352 | $189.84 | not published | $71.12 – $306.15 | 8 |
| Thawing cryopresrved oocyte CPT 89356 | $189.84 | not published | $71.12 – $306.15 | 8 |
| Thawing cryopresrved sperm CPT 89353 | $59.19 | not published | $59.19 – $102.13 | 8 |
| Thaw preserved stem cells CPT 38208 | $484.32 | $3,850.00 | $59.04 – $1,456.08 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $14.14 | $164.00 | $14.14 – $64.79 | 11 |
| Therapeutic procd strg endur HCPCS G0237 | $27.13 | $163.00 | $19.73 – $396.00 | 10 |
| Therapeutic pulpotomy HCPCS D3220 | $1,841.89 | $1,155.00 | $279.01 – $2,210.27 | 8 |
| Therapy activation ipnss CPT 93150 | $101.69 | $280.00 | $77.20 – $141.64 | 9 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | $334.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $40.94 | $110.00 | $40.94 – $308.00 | 10 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $34.61 | $88.00 | $34.61 – $308.00 | 10 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $220.12 | not published | $97.50 – $264.15 | 9 |
| Ther fx nasal inf turbinate CPT 30930 | $3,592.74 | $6,138.00 | $260.47 – $4,311.29 | 8 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $197.21 | $656.00 | $78.75 – $590.06 | 12 |
| Ther/proph/diag inj ia CPT 96373 | $233.41 | $410.00 | $26.35 – $599.00 | 10 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $141.75 – $429.63 | 4 |
| Ther radiology tx plng intrm CPT 77262 | not published | $659.00 | $107.10 – $2,818.00 | 4 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $69.30 – $197.84 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | $21.70 | $1.52 – $5.45 | 4 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $16.81 – $16.81 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | $501.00 | $311.12 – $560.34 | 2 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | $619.00 | $384.99 – $824.85 | 2 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $272.92 – $458.40 | 2 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $281.21 – $615.50 | 2 |
| Thiotepa injection HCPCS J9340 | not published | $1,878.39 | $334.10 – $655.95 | 3 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,632.68 – $3,000.28 | 2 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,783.98 – $3,194.26 | 2 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $174.57 – $305.30 | 2 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $187.81 – $332.81 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $684.92 | $2,805.00 | $224.04 – $2,669.48 | 11 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,875.00 – $5,622.82 | 2 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $166.14 – $363.62 | 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.