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 |
|---|---|---|---|---|
| Unlisted vasc endoscopy px CPT 37501 | $684.92 | not published | $684.92 – $821.90 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | $445.16 | not published | $366.12 – $1,021.05 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | $6,463.42 | $9,004.00 | $6,463.42 – $7,756.10 | 7 |
| Unlstd laps px sprmatic cord CPT 55559 | $6,463.42 | $10,541.00 | $6,463.42 – $7,756.10 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $775.16 | $3,273.00 | $218.00 – $4,606.00 | 8 |
| Upgrade pm system CPT 33214 | $11,593.70 | $26,799.00 | $581.25 – $13,912.44 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $395.64 | $5,984.00 | $395.64 – $4,332.00 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $395.64 | $4,835.00 | $395.64 – $4,332.00 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $267.78 | $4,329.00 | $267.78 – $4,332.00 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,038.65 | $4,476.00 | $257.43 – $1,246.38 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,038.65 | $4,106.00 | $290.50 – $1,246.38 | 8 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | $1,093.06 | $434.18 – $712.71 | 2 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $347.50 – $378.35 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,038.65 | $2,606.00 | $290.50 – $1,246.38 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $6,463.42 | $10,247.00 | $1,353.63 – $7,756.10 | 8 |
| Urea nitrogen CPT 84520 | $3.95 | $85.00 | $3.95 – $18.10 | 11 |
| Urea nitrogen 24 hour urine CPT 84540 | $5.56 | $73.00 | $5.56 – $25.48 | 11 |
| Urea nitrogen clearance CPT 84545 | $7.20 | not published | $7.20 – $32.99 | 12 |
| Urea nitrogen semi-quant CPT 84525 | $5.13 | not published | $5.13 – $23.51 | 12 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $358.22 – $2,179.06 | 2 |
| Ureteral reflux study CPT 78740 | $445.16 | $1,352.00 | $112.50 – $1,021.05 | 12 |
| Ureter endoscopy CPT 50970 | $3,820.84 | not published | $766.99 – $4,585.01 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | $5,631.74 | $8,250.00 | $730.10 – $6,758.08 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | $5,631.74 | $13,638.00 | $977.98 – $6,758.08 | 8 |
| Ureter endoscopy & catheter CPT 50972 | $3,820.84 | $5,674.00 | $740.37 – $4,585.01 | 8 |
| Ureter endoscopy & treatment CPT 50957 | $5,631.74 | $8,250.00 | $733.60 – $6,758.08 | 8 |
| Ureter endoscopy & treatment CPT 50961 | $5,631.74 | $8,250.00 | $657.86 – $6,758.08 | 8 |
| Ureter endoscopy & treatment CPT 50976 | $5,631.74 | $8,250.00 | $964.62 – $6,758.08 | 8 |
| Ureter endoscopy & treatment CPT 50980 | $5,631.74 | $8,250.00 | $736.87 – $6,758.08 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | $4,569.00 | $1,122.25 – $5,824.32 | 3 |
| Ureteroureterostomy 50760 CPT 50760 | not published | $3,498.00 | $2,379.65 – $2,379.65 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $267.78 | $1,133.00 | $63.00 – $623.08 | 10 |
| Urethrlys transvag with scope CPT 53500 | $3,820.84 | $9,728.00 | $1,586.74 – $4,585.01 | 8 |
| Urethrocystography void s&i CPT 74455 | $267.78 | $1,133.00 | $63.00 – $623.08 | 11 |
| Uric acid blood CPT 84550 | $4.52 | $220.00 | $4.52 – $20.71 | 11 |
| Uric acid urine CPT 84560 | $5.08 | $95.00 | $5.08 – $23.28 | 11 |
| Urinalysis glass test CPT 81020 | $4.70 | not published | $4.70 – $21.54 | 12 |
| Urinalysis microscopic only CPT 81015 | $3.05 | not published | $0.90 – $13.98 | 12 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $2.17 | not published | $2.17 – $9.94 | 12 |
| Urinalysis (with microscopy) CPT 81001 | $3.17 | $107.00 | $3.17 – $14.53 | 11 |
| Urinalysis (without microscopy) CPT 81003 | $2.25 | $80.00 | $2.25 – $10.31 | 11 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $78.62 – $251.73 | 6 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.52 – $5.77 | 2 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.64 – $10.91 | 2 |
| Urinary reflex study CPT 51792 | $65.80 | not published | $65.80 – $612.01 | 9 |
| Urinary suspensory HCPCS A5105 | not published | not published | $45.07 – $73.99 | 2 |
| Urine Culture Test CPT 87086 | $8.07 | $154.00 | $8.07 – $36.98 | 11 |
| Urine flow measurement 51736 CPT 51736 | $142.80 | not published | $29.62 – $171.36 | 9 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $7.20 – $11.84 | 2 |
| Urine pregnancy test CPT 81025 | $8.61 | $138.00 | $8.61 – $39.45 | 11 |
| Urine screen for bacteria CPT 81007 | $29.98 | not published | $5.64 – $137.38 | 12 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,540.00 – $2,574.38 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $4.71 – $13.75 | 7 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $136.72 – $136.72 | 1 |
| Urography, antegrade CPT 74425 | $395.64 | $1,367.00 | $63.00 – $996.68 | 11 |
| Urography inf drip &/or bolus CPT 74410 | $197.21 | $1,334.00 | $115.00 – $483.42 | 12 |
| Use 1st target lesion CPT 76982 | $117.81 | not published | $92.62 – $295.04 | 11 |
| User adjustable heel height HCPCS L5990 | not published | $2,903.00 | $1,691.39 – $3,388.21 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $13.29 | $62.86 | $11.30 – $24.95 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $157.68 | $1,117.73 | $157.68 – $366.84 | 9 |
| U/s trtmt, not leiomyomata HCPCS C9734 | $14,254.12 | not published | $14,254.12 – $17,104.94 | 7 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $137.40 – $194.07 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $125.00 – $194.07 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | $635.18 | $132.52 – $174.36 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $74.61 – $116.75 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $55.72 – $87.12 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | $115.21 | $42.51 – $57.45 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $121.13 – $251.45 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $91.94 – $91.94 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $150.55 – $150.55 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | $495.01 | $123.72 – $123.72 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | $141.38 | $47.87 – $64.48 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | $240.00 | $41.92 – $67.50 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | $350.29 | $93.45 – $198.35 | 4 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | $525.38 | $160.86 – $278.60 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | $147.34 | $102.35 – $102.35 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $27.03 – $27.03 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $63.88 – $163.55 | 4 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | $241.17 | $93.60 – $151.14 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $150.93 – $309.69 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | $126.34 | $40.92 – $82.40 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $260.96 – $260.96 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $318.10 – $318.10 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | $335.32 | $70.97 – $140.15 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $70.97 – $96.82 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | $33.00 | $25.39 – $170.00 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $19.00 – $30.87 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $27.77 – $42.76 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $102.89 – $142.66 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | $46.00 | $46.47 – $46.47 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | $91.58 | $29.73 – $44.09 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $13.88 – $21.37 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $36.96 – $57.72 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $97.63 – $140.15 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $31.32 – $31.97 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $26.76 – $61.10 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $243.50 – $243.50 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | $805.46 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | $1,189.68 | $254.12 – $254.12 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | $454.59 | $203.62 – $203.62 | 1 |
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.