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 |
|---|---|---|---|---|
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $97.54 | $656.00 | $40.50 – $219.04 | 12 |
| X-ray ankle 2 views (both sides) CPT 73600 | $97.54 | $485.00 | $31.07 – $219.04 | 12 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $395.64 | $1,659.00 | $47.25 – $996.68 | 11 |
| X-ray assay calculus CPT 82370 | $12.52 | not published | $12.52 – $57.37 | 12 |
| X-ray bone age studies CPT 77072 | $117.81 | $389.00 | $25.87 – $295.04 | 12 |
| X-ray bone length studies CPT 77073 | $117.81 | $523.00 | $29.16 – $295.04 | 12 |
| X-ray bone survey complete CPT 77075 | $117.81 | $770.00 | $63.02 – $295.04 | 12 |
| X-ray bone survey infant CPT 77076 | $117.81 | $597.00 | $39.11 – $295.04 | 12 |
| X-ray cervical spine 2-3 views CPT 72040 | $97.54 | $600.00 | $39.94 – $219.04 | 12 |
| X-ray cervical spine 4-5 views CPT 72050 | $117.81 | $850.00 | $57.69 – $295.04 | 12 |
| X-ray cervical spine >= 6 views CPT 72052 | $117.81 | $858.00 | $71.01 – $295.04 | 12 |
| X-ray clavicle complete (both sides) CPT 73000 | $97.54 | $530.00 | $31.50 – $219.04 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $197.21 | $1,100.00 | $94.50 – $483.42 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $197.21 | $1,861.00 | $126.00 – $613.54 | 12 |
| X-ray consultation CPT 76140 | not published | $25.00 | $125.68 – $125.68 | 1 |
| X-ray elbow 2 views (both sides) CPT 73070 | $97.54 | $420.00 | $37.13 – $219.04 | 12 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $97.54 | $578.00 | $37.13 – $219.04 | 12 |
| Xray endovasc thor ao repr CPT 75956 | not published | $1,037.00 | $0.58 – $1,325.23 | 3 |
| Xray endovasc thor ao repr CPT 75957 | not published | $891.00 | $0.58 – $1,000.80 | 3 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $197.21 | $968.00 | $63.00 – $483.42 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $117.81 | $484.00 | $84.65 – $295.04 | 12 |
| X-ray exam entire spi 6/> vw CPT 72084 | $117.81 | $523.00 | $101.18 – $4,332.00 | 15 |
| X-ray exam of arm infant CPT 73092 | $117.81 | $398.00 | $36.37 – $295.04 | 12 |
| X-ray exam of eye sockets CPT 70200 | $117.81 | $715.00 | $56.25 – $295.04 | 12 |
| X-ray exam of femur 1 CPT 73551 | $97.54 | $337.00 | $34.67 – $219.04 | 12 |
| X-ray exam of jaw joint CPT 70328 | $97.54 | $440.00 | $33.10 – $219.04 | 12 |
| X-ray exam of jaw joint CPT 70332 | $267.78 | $865.00 | $137.57 – $623.08 | 11 |
| X-ray exam of mastoids CPT 70120 | $117.81 | $337.00 | $38.75 – $295.04 | 12 |
| X-ray exam of middle ear CPT 70134 | $607.42 | $1,320.00 | $55.36 – $1,307.42 | 12 |
| X-ray exam of penis CPT 74445 | $117.81 | not published | $84.68 – $295.04 | 10 |
| X-ray exam of perineum CPT 74775 | $267.78 | not published | $94.50 – $623.08 | 11 |
| X-ray exam of salivary gland CPT 70380 | $97.54 | $146.00 | $33.75 – $219.04 | 12 |
| X-ray exam of sinuses CPT 70210 | $97.54 | $385.00 | $45.00 – $219.04 | 12 |
| X-ray exam of tear duct CPT 70170 | $267.78 | $560.00 | $59.72 – $623.08 | 10 |
| X-ray exam of teeth CPT 70300 | $97.54 | $153.00 | $11.25 – $219.04 | 12 |
| X-ray exam of teeth CPT 70310 | $267.78 | $275.00 | $27.83 – $623.08 | 12 |
| X-ray exam si joints CPT 72200 | $117.81 | $385.00 | $38.52 – $295.04 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | $117.81 | $715.00 | $56.25 – $295.04 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $97.54 | $318.00 | $31.34 – $219.04 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | $117.81 | $545.00 | $45.00 – $295.04 | 12 |
| X-ray fallopian tube CPT 74742 | not published | $607.00 | $155.18 – $285.06 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | $97.54 | $477.00 | $40.50 – $219.04 | 12 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $97.54 | $495.00 | $15.75 – $219.04 | 12 |
| X-ray foot 2 views (both sides) CPT 73620 | $97.54 | $502.00 | $31.07 – $219.04 | 12 |
| X-ray forearm 2 views (both sides) CPT 73090 | $97.54 | $578.00 | $31.50 – $219.04 | 12 |
| X-ray hand 2 views (both sides) CPT 73120 | $117.81 | $550.00 | $24.75 – $295.04 | 12 |
| X-ray head for orthodontia CPT 70350 | $97.54 | $177.00 | $21.78 – $219.04 | 12 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $97.54 | $451.00 | $30.26 – $219.04 | 12 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $117.81 | $528.00 | $64.58 – $295.04 | 12 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $117.81 | $509.00 | $49.39 – $295.04 | 12 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $117.81 | $700.00 | $60.89 – $295.04 | 12 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $117.81 | $781.00 | $70.76 – $295.04 | 12 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $97.54 | $374.00 | $36.86 – $219.04 | 12 |
| X-ray humerus >= 2 views left CPT 73060 | $97.54 | $578.00 | $37.13 – $219.04 | 12 |
| X-ray joint survey 1 view CPT 77077 | $117.81 | $308.00 | $39.06 – $295.04 | 12 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $97.54 | $549.00 | $37.13 – $219.04 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | $97.54 | $688.00 | $37.13 – $219.04 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $97.54 | $413.00 | $36.37 – $219.04 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $97.54 | $358.00 | $36.37 – $219.04 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $117.81 | $529.00 | $45.00 – $295.04 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $117.81 | $1,019.00 | $61.88 – $295.04 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $117.81 | $990.00 | $63.00 – $295.04 | 12 |
| X-ray male genital tract CPT 74440 | $267.78 | $389.00 | $54.45 – $623.08 | 11 |
| X-ray mandible complete > 4 views CPT 70110 | $117.81 | $495.00 | $45.00 – $295.04 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $97.54 | $242.00 | $37.13 – $219.04 | 12 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $85.02 – $219.04 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $97.54 | $578.00 | $37.13 – $219.04 | 12 |
| X-ray neck soft tissue CPT 70360 | $97.54 | $435.00 | $29.05 – $219.04 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $97.54 | $310.00 | $33.75 – $219.04 | 12 |
| X-ray of mammary ducts CPT 77054 | $267.78 | $751.00 | $133.74 – $623.08 | 11 |
| X-ray optic foramina CPT 70190 | $97.54 | $162.00 | $33.75 – $219.04 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $117.81 | $481.00 | $37.13 – $295.04 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | $117.81 | $578.00 | $45.00 – $295.04 | 12 |
| Xray place dist ext thor ao CPT 75959 | not published | $514.00 | $0.58 – $695.55 | 3 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $0.58 – $663.63 | 3 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $395.64 | $1,375.00 | $110.25 – $996.68 | 12 |
| X-ray ribs 2 views left CPT 71100 | $97.54 | $561.00 | $33.75 – $219.04 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $117.81 | $693.00 | $45.00 – $295.04 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $117.81 | $724.00 | $50.46 – $295.04 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $117.81 | $803.00 | $67.43 – $295.04 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $117.81 | $466.00 | $45.00 – $295.04 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $97.54 | $560.00 | $37.13 – $219.04 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | $117.81 | $461.00 | $33.75 – $295.04 | 12 |
| X-ray sella turcica CPT 70240 | $97.54 | $154.00 | $31.34 – $219.04 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $97.54 | $358.00 | $33.75 – $219.04 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $97.54 | $484.00 | $58.94 – $219.04 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $607.42 | $1,128.00 | $47.25 – $1,307.42 | 11 |
| X-ray skull < 4 views CPT 70250 | $117.81 | $583.00 | $42.37 – $295.04 | 12 |
| X-ray skull > 4 views complete CPT 70260 | $117.81 | $688.00 | $61.88 – $295.04 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $117.81 | $578.00 | $78.75 – $295.04 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $197.21 | $1,845.00 | $86.36 – $483.42 | 12 |
| X-ray small intestine follow-through study CPT 74248 | not published | $1,219.00 | $89.74 – $185.23 | 4 |
| X-ray spine single view CPT 72020 | $97.54 | $495.00 | $27.43 – $219.04 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $97.54 | $528.00 | $45.00 – $219.04 | 12 |
| X-ray sternum > 2 views CPT 71120 | $97.54 | $394.00 | $40.73 – $219.04 | 12 |
| X-ray surgical specimen CPT 76098 | $607.42 | $1,100.00 | $23.80 – $1,307.42 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $197.21 | $930.00 | $91.19 – $483.42 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $97.54 | $545.00 | $45.00 – $219.04 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $117.81 | $647.00 | $41.96 – $295.04 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $117.81 | $674.00 | $45.00 – $295.04 | 12 |
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.