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 |
|---|---|---|---|---|
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $5,988.54 | $11,276.00 | $382.86 – $7,186.25 | 10 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,486.86 | $6,475.00 | $467.46 – $4,184.24 | 8 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $3,486.86 | $6,475.00 | $246.88 – $4,184.24 | 8 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,486.86 | $5,864.00 | $338.00 – $4,184.24 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $4,055.70 | $7,020.00 | $1,862.07 – $4,866.83 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | $3,496.00 | $451.55 – $451.55 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $2,026.46 | $6,160.00 | $753.55 – $2,431.75 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,026.46 | $5,610.00 | $795.00 – $2,431.75 | 10 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,026.46 | $4,620.00 | $1,527.46 – $2,431.75 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $2,026.46 | $4,992.00 | $1,409.72 – $2,431.75 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $2,026.46 | $4,550.00 | $1,094.05 – $2,431.75 | 8 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | $640.73 | not published | $576.65 – $1,315.10 | 10 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | $3,240.00 | not published | $2,916.00 – $3,888.00 | 9 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,004.30 – $2,297.17 | 2 |
| Troponin quantitative CPT 84484 | $12.47 | $173.00 | $12.47 – $57.14 | 11 |
| Tr retinal les preterm inf CPT 67229 | $607.75 | $1,316.00 | $607.75 – $2,465.56 | 9 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $3,820.84 | not published | $819.69 – $4,585.01 | 9 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $134.48 – $134.48 | 1 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $50.77 – $111.09 | 2 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $46.88 – $102.61 | 2 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $167.71 – $276.83 | 2 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $80.11 – $175.33 | 2 |
| Tte w or without contr, cont ecg HCPCS C8930 | $875.24 | $4,045.00 | $875.24 – $2,209.00 | 8 |
| Tte w or without fol w/con,stres HCPCS C8928 | $875.24 | not published | $875.24 – $1,050.29 | 7 |
| Tte w or without fol w/cont, com HCPCS C8921 | $875.24 | not published | $875.24 – $1,050.29 | 7 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $875.24 | not published | $875.24 – $1,050.29 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $6,463.42 | $12,615.00 | $799.92 – $7,756.10 | 8 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | $21.70 | $12.50 – $20.52 | 2 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | $922.86 | $52.00 – $85.37 | 2 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.24 – $11.90 | 2 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | $590.24 | $52.49 – $86.16 | 2 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.07 – $0.11 | 2 |
| Tubular dressing HCPCS A6457 | not published | $51.68 | $1.26 – $2.06 | 2 |
| Tumor cell deplete of harvst CPT 38211 | $484.32 | $46,393.00 | $148.97 – $1,456.08 | 9 |
| Tvh >250 gms 58290 CPT 58290 | $8,192.12 | $14,693.00 | $2,445.62 – $9,830.54 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | $6,865.00 | $2,279.77 – $2,279.77 | 1 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | $811.00 | $504.56 – $828.26 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | $27,177.37 | $42,264.00 | $1,481.13 – $32,612.85 | 10 |
| Tx closed distal humerus fx CPT 24999 | $265.74 | $1,001.00 | $265.74 – $318.89 | 7 |
| Tx closed hip disl traumatic without anes CPT 27250 | $265.74 | $1,562.00 | $265.74 – $795.00 | 10 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,594.44 | $6,300.00 | $635.25 – $4,313.33 | 10 |
| Tx closed tib shaft fx without manip CPT 27750 | $265.74 | $1,172.00 | $265.74 – $795.00 | 10 |
| Tx contour defects >10.0 cc CPT 11954 | $678.13 | $1,359.00 | $235.70 – $813.76 | 8 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $678.13 | $1,113.00 | $153.72 – $813.76 | 8 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $822.80 – $2,024.57 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | $2,753.00 | $1,921.42 – $1,921.42 | 1 |
| Tx l/r atrial fib addl CPT 93657 | not published | $8,470.00 | $504.54 – $9,707.20 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $3,594.44 | $6,706.00 | $1,622.33 – $4,313.33 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,594.44 | $8,528.00 | $378.00 – $4,313.33 | 10 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,594.44 | $7,277.00 | $320.25 – $4,313.33 | 10 |
| Tx open nsl fx uncomp CPT 21325 | $3,592.74 | $5,580.00 | $981.93 – $4,311.29 | 8 |
| Tx open nsl sptl fx CPT 21336 | $3,594.44 | $7,708.00 | $1,397.18 – $4,313.33 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $3,594.44 | $7,618.00 | $1,312.35 – $4,313.33 | 8 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | $2,595.00 | $1,002.20 – $1,002.20 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $265.74 | $695.00 | $215.25 – $795.00 | 10 |
| Tympanic membrane repair CPT 69610 | $1,640.99 | $7,084.00 | $84.00 – $4,610.92 | 10 |
| Tympanolysis transcanal 69450 CPT 69450 | $3,592.74 | $7,084.00 | $1,206.45 – $4,311.29 | 8 |
| Tympanometry & reflex thresh CPT 92550 | $173.33 | $308.00 | $29.45 – $208.00 | 9 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $564.16 | $1,990.00 | $140.00 – $1,456.08 | 10 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $6,553.49 | $10,853.00 | $3,063.10 – $7,864.18 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $6,553.49 | $12,000.00 | $2,798.63 – $7,864.18 | 8 |
| Tyms gene com variants CPT 81346 | $174.81 | $616.00 | $174.81 – $801.04 | 11 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $97.72 – $97.72 | 1 |
| U2af1 gene common variants CPT 81357 | $193.25 | not published | $173.93 – $885.54 | 12 |
| Ua w/micro/comp poc CPT 81000 | $4.02 | not published | $2.70 – $18.42 | 12 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $71.90 | not published | $61.12 – $86.28 | 8 |
| Ue triple control harness HCPCS L6677 | not published | not published | $276.56 – $554.02 | 2 |
| Ugt1a1 gene analy common variants CPT 81350 | $234.00 | $1,792.00 | $234.00 – $1,072.27 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $117.81 | $935.00 | $117.81 – $299.87 | 11 |
| Ultrasound bone density measure CPT 76977 | $117.81 | not published | $12.83 – $295.04 | 12 |
| Ultrasound breast complete CPT 76641 | $117.81 | $825.00 | $108.36 – $295.04 | 12 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $97.54 | $845.00 | $97.54 – $219.04 | 11 |
| Ultrasound chest CPT 76604 | $117.81 | $787.00 | $98.19 – $295.04 | 11 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $117.81 | $715.00 | $63.73 – $295.04 | 11 |
| Ultrasound dx ophth b-scan CPT 76512 | $117.81 | $362.00 | $66.50 – $295.04 | 11 |
| Ultrasound elastography ea l target les CPT 76983 | not published | $177.00 | $63.47 – $137.06 | 4 |
| Ultrasound elastography parenchyma CPT 76981 | $117.81 | $825.00 | $92.62 – $295.04 | 11 |
| Ultrasound encephalogram CPT 76506 | $117.81 | $671.00 | $106.67 – $312.21 | 11 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $117.81 | $713.00 | $117.81 – $430.57 | 11 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $117.81 | $1,045.00 | $117.81 – $295.04 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | not published | $633.00 | $33.10 – $88.93 | 4 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | $1,563.00 | $78.68 – $207.72 | 4 |
| Ultrasound guide intraoperative CPT 76998 | not published | $970.00 | $150.71 – $341.21 | 3 |
| Ultrasound guide tissue ablation CPT 76940 | not published | $386.00 | $126.03 – $470.47 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $97.54 | $685.00 | $97.54 – $388.80 | 11 |
| Ultrasound infant hips ltd without stress CPT 76886 | $97.54 | $613.00 | $97.54 – $270.25 | 11 |
| Ultrasound joint complete left CPT 76881 | $117.81 | $715.00 | $99.97 – $295.04 | 11 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $117.81 | $592.00 | $19.24 – $295.04 | 11 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $117.81 | not published | $41.48 – $289.38 | 9 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | $469.00 | $88.20 – $198.91 | 5 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | $244.00 | $62.86 – $198.91 | 5 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $267.78 | $1,219.00 | $242.20 – $623.08 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $117.81 | $922.00 | $83.25 – $295.04 | 11 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $117.81 | $935.00 | $106.67 – $295.04 | 11 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $117.81 | $990.00 | $112.70 – $295.04 | 11 |
| Ultrasound prostate/transrectal CPT 76872 | $117.81 | $935.00 | $117.81 – $562.89 | 11 |
| Ultrasound retroperitoneal limited CPT 76775 | $117.81 | $1,045.00 | $83.68 – $295.04 | 11 |
| Ultrasound scrotum and contents CPT 76870 | $117.81 | $1,128.00 | $101.64 – $295.04 | 11 |
| Ultrasound spinal canal and contents CPT 76800 | $117.81 | $613.00 | $106.67 – $332.67 | 11 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | $800.00 | $99.21 – $408.34 | 5 |
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.