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 thoracolumbar spine >=2 views CPT 72080 | $97.54 | $502.00 | $42.77 – $219.04 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $97.54 | $286.00 | $45.75 – $219.04 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $117.81 | $413.00 | $67.63 – $295.04 | 12 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $97.54 | $561.00 | $37.13 – $219.04 | 12 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $97.54 | $495.00 | $15.75 – $219.04 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $197.21 | $1,375.00 | $115.81 – $483.42 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $197.21 | $1,221.00 | $107.73 – $483.42 | 12 |
| X-ray wrist 2 views (both sides) CPT 73100 | $97.54 | $477.00 | $31.07 – $219.04 | 12 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $197.21 | $463.00 | $63.00 – $483.42 | 12 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $121.14 – $467.80 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $128.84 – $612.50 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $3,208.55 – $3,208.55 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | $12.91 | not published | $12.91 – $59.16 | 12 |
| Xyntha inj HCPCS J7185 | $1.54 | not published | $1.31 – $2.73 | 10 |
| Yersinia antibody CPT 86793 | $13.19 | $85.00 | $13.19 – $60.44 | 11 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $56,824.55 | $129,984.00 | $56,824.55 – $128,407.29 | 9 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $70.70 – $626.09 | 2 |
| Ziconotide injection HCPCS J2278 | $10.13 | not published | $8.61 – $19.43 | 10 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | $7.63 | $1.28 – $3.24 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.13 – $2.23 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | $51.31 | $251.00 | $51.31 – $235.12 | 11 |
| Zika virus igm antibody CPT 86794 | $16.85 | $501.00 | $16.85 – $77.21 | 10 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.40 – $2.27 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | $142.94 | $2.67 – $26.89 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $7.98 | $32.40 | $6.78 – $16.45 | 9 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $33.56 | not published | $28.53 – $40.27 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | $1,189.38 | $4.42 – $14.26 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $263.64 – $263.64 | 1 |
| Zrsr2 gene common variants CPT 81360 | $193.25 | not published | $173.93 – $885.54 | 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.