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 |
|---|---|---|---|---|
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $226.32 – $226.32 | 1 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $290.01 – $290.01 | 1 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $188.65 | $694.17 | $160.35 – $226.38 | 8 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $28.65 – $68.10 | 3 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $16.56 – $40.69 | 2 |
| Tissue culture placenta CPT 88235 | $150.30 | $1,375.00 | $150.30 – $688.73 | 11 |
| Tissue culture skin/biopsy CPT 88233 | $140.73 | $648.00 | $140.73 – $644.87 | 11 |
| Tissue culture tumor CPT 88239 | $147.52 | $1,265.00 | $147.52 – $675.99 | 11 |
| Tissue exam koh skin/hair/nails CPT 87220 | $4.27 | $62.00 | $4.27 – $19.57 | 11 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | $11,662.55 | not published | 0 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | $16,188.52 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $11.53 | $158.00 | $11.53 – $23.67 | 10 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | $203.55 | $247.14 – $247.14 | 1 |
| Tlh uterus 250 g or less CPT 58570 | $11,533.76 | $16,680.00 | $1,727.69 – $13,840.51 | 9 |
| Tlh uterus over 250 g CPT 58572 | $11,533.76 | $17,617.00 | $2,159.26 – $13,840.51 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | $11,533.76 | $15,125.00 | $1,945.57 – $13,840.51 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $11,533.76 | $16,777.00 | $2,598.38 – $13,840.51 | 9 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $829.83 – $1,662.35 | 2 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $603.48 – $1,431.52 | 3 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | $1,496.00 | $934.02 – $1,871.11 | 2 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | $1,860.00 | $1,161.79 – $2,327.34 | 2 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $396.43 – $929.54 | 3 |
| Tlso corset front HCPCS L0970 | not published | not published | $105.44 – $222.99 | 2 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $322.71 – $1,005.21 | 4 |
| Tlso full corset HCPCS L0974 | not published | not published | $159.59 – $349.30 | 2 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $333.04 – $728.92 | 2 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $333.04 – $1,072.59 | 4 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $408.60 – $894.31 | 2 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $408.60 – $1,336.80 | 4 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $662.61 – $1,243.86 | 2 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | $2,741.00 | $1,707.88 – $3,025.46 | 2 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | $1,496.00 | $934.02 – $1,871.11 | 2 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,696.74 – $3,467.18 | 2 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,532.51 – $2,778.09 | 2 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | $422.00 | $263.23 – $527.28 | 2 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | $481.00 | $322.71 – $646.46 | 2 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,562.50 – $4,900.75 | 2 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,674.60 – $5,008.91 | 2 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $3,594.44 | $7,609.00 | $1,044.71 – $4,313.33 | 8 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $117.43 – $117.43 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | $65.13 | $2.09 – $4.70 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $12.29 – $51.05 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $16.13 | $168.00 | $16.13 – $73.91 | 11 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5.79 | $31.73 | $4.39 – $12.31 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $13.11 – $16.43 | 4 |
| Toe joint transfer CPT 26556 | not published | not published | $7,279.45 – $7,279.45 | 1 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $53.92 | $204.00 | $19.89 – $94.73 | 10 |
| Tomosynthesis breast screen bilateral CPT 77063 | $65.52 | $222.00 | $19.89 – $98.65 | 10 |
| Tone decay hearing test CPT 92563 | $43.48 | not published | $10.50 – $63.12 | 9 |
| Tongue and neck surgery CPT 41135 | not published | $5,708.00 | $4,633.62 – $4,633.62 | 1 |
| Tongue base vol reduction CPT 41530 | $3,592.74 | $6,261.00 | $828.29 – $4,311.29 | 8 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $3,592.74 | $4,824.00 | $239.70 – $4,311.29 | 8 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,379.25 – $6,350.70 | 2 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,053.98 – $4,707.54 | 2 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,130.48 – $5,111.99 | 2 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,954.15 – $5,878.26 | 2 |
| Tongue suspension CPT 41512 | $6,553.49 | not published | $1,455.98 – $7,864.18 | 8 |
| Tongue to lip surgery CPT 41510 | $3,592.74 | not published | $1,004.12 – $4,311.29 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | $3,592.74 | $5,580.00 | $559.42 – $4,311.29 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | $6,553.49 | $9,966.00 | $588.47 – $7,864.18 | 8 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | $107.95 | $1.04 – $2.41 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $106.17 – $223.98 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $39.50 | not published | $33.58 – $47.40 | 8 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $100.72 – $220.45 | 2 |
| Torsion straight knee joint HCPCS L2380 | not published | $176.00 | $109.74 – $240.20 | 2 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | $4,193.00 | $2,872.26 – $2,872.26 | 1 |
| Total hip arthroplasty CPT 27132 | not published | $15,400.00 | $3,564.15 – $3,564.15 | 1 |
| Total Hip Replacement CPT 27130 | $14,254.12 | $16,225.00 | $2,112.50 – $17,104.94 | 10 |
| Total hysterectomy CPT 58150 | not published | $8,559.00 | $2,167.22 – $2,167.22 | 1 |
| Total Knee Replacement CPT 27447 | $14,254.12 | $17,531.00 | $1,642.58 – $17,104.94 | 10 |
| Total lung lavage CPT 32997 | not published | not published | $343.85 – $690.60 | 2 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,644.50 – $5,795.11 | 2 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | $993.00 | $618.16 – $1,014.71 | 2 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $20,372.87 | $24,087.00 | $3,476.76 – $24,447.44 | 8 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | $4,290.00 | $3,721.94 – $3,721.94 | 1 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $464.80 – $720.30 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | $5,290.00 | $1,060.47 – $1,060.47 | 1 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $6,184.58 – $6,184.58 | 1 |
| Tot estradiol response panel CPT 80415 | $55.89 | not published | $55.89 – $256.11 | 12 |
| Toxoplasma antibody igg CPT 86777 | $14.39 | $462.00 | $14.39 – $65.94 | 11 |
| Toxoplasma antibody igm CPT 86778 | $14.41 | $462.00 | $14.41 – $66.03 | 11 |
| Tp53 gene full gene sequence CPT 81351 | $641.85 | $3,353.00 | $641.85 – $2,941.18 | 11 |
| Tp53 gene known famil vrnt CPT 81353 | $308.00 | not published | $277.20 – $1,411.36 | 12 |
| Tp53 gene trgt sequence alys CPT 81352 | $329.51 | $2,617.00 | $329.51 – $1,509.93 | 11 |
| Tpmt gene com vrnts CPT 81335 | $174.81 | $928.00 | $174.81 – $801.04 | 11 |
| Tprnl balo cntnc dev adjmt CPT 53454 | $269.43 | not published | $120.37 – $323.32 | 8 |
| Tprnl balo cntnc dev bi CPT 53451 | $14,393.26 | not published | $1,873.45 – $17,271.92 | 8 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | $3,820.84 | not published | $1,492.53 – $4,585.01 | 8 |
| Tprnl balo cntnc dev uni CPT 53452 | $10,244.18 | not published | $1,043.65 – $12,293.01 | 8 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $5,631.74 | $10,936.00 | $344.05 – $6,758.08 | 8 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $383.07 | not published | $325.61 – $698.00 | 10 |
| Trabeculoplasty laser surg CPT 65855 | $607.75 | $1,932.00 | $437.18 – $729.30 | 9 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $7.66 – $12.57 | 2 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $5,468.70 | $8,733.00 | $813.95 – $6,562.44 | 8 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $564.16 | $2,716.00 | $204.35 – $795.00 | 10 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $3,095.35 – $6,531.01 | 2 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $819.78 – $2,865.22 | 2 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.75 – $1.24 | 2 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $3,592.74 | $7,217.00 | $927.58 – $4,311.29 | 8 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $85.58 – $140.49 | 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.