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 |
|---|---|---|---|---|
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | $195.00 | $108.50 – $956.00 | 3 |
| Critical care 30-74 minutes CPT 99291 | $933.46 | $5,390.00 | $355.15 – $1,522.00 | 10 |
| Critical care each additional 30 minutes CPT 99292 | not published | $1,319.00 | $178.95 – $1,522.00 | 3 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $129.58 | $655.55 | $110.14 – $266.55 | 9 |
| Crnec exc tum/bone les skull CPT 61500 | not published | $5,706.00 | $2,794.47 – $2,794.47 | 1 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | $3,208.00 | $2,469.35 – $2,469.35 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.25 – $5.15 | 4 |
| Cross-over vein graft CPT 34520 | $5,988.54 | not published | $484.00 – $7,186.25 | 9 |
| Crotalidae poly immune fab HCPCS J0840 | $1,861.13 | not published | $1,581.96 – $5,662.29 | 10 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | $2,726.00 | $1,603.27 – $1,603.27 | 1 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $15.55 – $15.55 | 1 |
| Cryoablate prostate CPT 55873 | $10,244.18 | $20,162.00 | $1,616.47 – $12,293.01 | 8 |
| Cryocautery of cervix 57511 CPT 57511 | $336.99 | $740.00 | $321.25 – $404.39 | 8 |
| Cryo fib comp path redu each HCPCS P9026 | $347.60 | not published | $347.60 – $417.12 | 7 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $14.14 | $28.00 | $14.14 – $64.79 | 11 |
| Cryoprecipitate each unit HCPCS P9012 | $70.42 | $1,104.00 | $70.42 – $353.00 | 9 |
| Cryopreservation embryo(s) CPT 89258 | $904.98 | not published | $71.12 – $1,346.75 | 8 |
| Cryopreservation oocyte(s) CPT 89337 | $189.84 | not published | $189.84 – $7,350.55 | 9 |
| Cryopreservation sperm CPT 89259 | $189.84 | not published | $71.12 – $306.15 | 8 |
| Cryopreserve stem cells CPT 38207 | $484.32 | $3,542.00 | $93.50 – $1,456.08 | 9 |
| Cryopreserve testicular tiss CPT 89335 | $59.19 | not published | $59.19 – $102.13 | 8 |
| Cryosurg ablate fa each CPT 19105 | $4,242.15 | $7,932.00 | $439.57 – $5,090.58 | 8 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $220.12 | not published | $96.80 – $264.15 | 9 |
| Cryotherapy of acne 17340 CPT 17340 | $65.80 | not published | $48.50 – $104.92 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | $14.41 | not published | $14.41 – $66.03 | 12 |
| Cryptosporidium antigen CPT 87272 | $11.98 | $141.00 | $11.98 – $54.90 | 11 |
| Crystal identification light microscopy CPT 89060 | $7.33 | $144.00 | $7.33 – $33.59 | 11 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,495.00 – $5,735.60 | 2 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,190.18 – $2,829.96 | 2 |
| Csf leakage imaging CPT 78650 | $1,446.24 | $2,812.00 | $185.63 – $3,535.83 | 11 |
| Csf shunt reprogram 62252 CPT 62252 | $332.25 | $745.00 | $188.05 – $485.36 | 9 |
| Csf ventriculography CPT 78635 | $596.31 | not published | $190.64 – $1,325.05 | 11 |
| CT 3d report other modality w/workstation CPT 76377 | not published | $787.00 | $87.68 – $4,332.00 | 8 |
| Cta abdomen without & /or w/contrast CPT 74175 | $197.21 | $3,517.00 | $197.21 – $1,752.00 | 14 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $197.21 | $3,960.00 | $197.21 – $1,752.00 | 14 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $197.21 | $2,994.00 | $197.21 – $1,752.00 | 14 |
| Cta neck without &/or w/contrast CPT 70498 | $197.21 | $3,410.00 | $197.21 – $1,752.00 | 14 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $395.64 | $4,752.00 | $395.64 – $1,752.00 | 13 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $197.21 | $3,587.00 | $197.21 – $1,752.00 | 14 |
| CT Angiogram of the Head CPT 70496 | $197.21 | $3,443.00 | $197.21 – $1,752.00 | 14 |
| CT angio hrt w/3d image CPT 75574 | $395.64 | $2,805.00 | $395.64 – $1,752.00 | 13 |
| CT angio pelvis CPT 72191 | $197.21 | $2,530.00 | $197.21 – $1,752.00 | 14 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $197.21 | $2,252.00 | $197.21 – $1,752.00 | 14 |
| CT bone density axial CPT 77078 | $97.54 | not published | $83.66 – $284.50 | 12 |
| CT colonography dx CPT 74261 | $117.81 | $605.00 | $117.81 – $1,752.00 | 13 |
| CT colonography dx w/dye CPT 74262 | $197.21 | $815.00 | $197.21 – $1,752.00 | 13 |
| CT colonography screening CPT 74263 | $267.78 | $990.00 | $267.78 – $1,752.00 | 12 |
| CT guidance for needle placement CPT 77012 | not published | $2,640.00 | $187.46 – $1,752.00 | 6 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | $2,640.00 | $175.50 – $1,752.00 | 7 |
| CT guid cryo ablat intramuscular CPT 20999 | $265.74 | $2,895.00 | $265.74 – $318.89 | 7 |
| CT guid parench tis ablat CPT 77013 | not published | $2,338.00 | $96.86 – $1,752.00 | 5 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $97.54 | $99.00 | $95.60 – $1,752.00 | 14 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $395.64 | $2,192.00 | $395.64 – $1,752.00 | 14 |
| CT hrt w/3d image CPT 75572 | $395.64 | $2,192.00 | $395.64 – $1,752.00 | 13 |
| CT limited or localized follow-up study CPT 76380 | $97.54 | $887.00 | $97.54 – $1,752.00 | 14 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $197.21 | $3,300.00 | $197.21 – $1,752.00 | 14 |
| CT lower extremity without contrast (both sides) CPT 73700 | $117.81 | $2,860.00 | $117.81 – $1,752.00 | 14 |
| CT lwr extremity w/o&w/dye CPT 73702 | $197.21 | $3,630.00 | $197.21 – $1,752.00 | 14 |
| CT neck soft tissue w/contrast CPT 70491 | $197.21 | $3,388.00 | $197.21 – $1,752.00 | 14 |
| CT neck soft tissue without contrast CPT 70490 | $117.81 | $2,657.00 | $117.81 – $1,752.00 | 14 |
| CT neck soft tissue without & w/contrast CPT 70492 | $197.21 | $3,520.00 | $197.21 – $1,752.00 | 14 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $197.21 | $3,464.00 | $197.21 – $1,752.00 | 14 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $197.21 | $2,859.00 | $197.21 – $1,752.00 | 14 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $117.81 | $2,360.00 | $117.81 – $1,752.00 | 14 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $257.26 | $873.00 | $257.26 – $1,456.08 | 9 |
| CT scan for therapy guide CPT 77014 | not published | $1,546.00 | $94.59 – $1,752.00 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $395.64 | $6,430.00 | $395.64 – $1,752.00 | 13 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $395.64 | $4,650.00 | $395.64 – $1,752.00 | 13 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $267.78 | $3,740.00 | $267.78 – $1,752.00 | 13 |
| CT thoracic spine w/contrast CPT 72129 | $197.21 | $3,259.00 | $197.21 – $1,752.00 | 14 |
| CT thoracic spine without contrast CPT 72128 | $117.81 | $2,929.00 | $117.81 – $1,752.00 | 14 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $117.81 | $2,035.00 | $117.81 – $1,752.00 | 13 |
| CT t-spine w /wo contrast CPT 72130 | $197.21 | $3,589.00 | $197.21 – $1,752.00 | 14 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $395.64 | $2,860.00 | $328.43 – $1,752.00 | 14 |
| CT upper extremity without contrast (both sides) CPT 73200 | $117.81 | $2,342.00 | $117.81 – $1,752.00 | 14 |
| CT uppr extremity w/o&w/dye CPT 73202 | $197.21 | $3,300.00 | $197.21 – $1,752.00 | 14 |
| Cultr oocyte/embryo <4 days CPT 89250 | $189.84 | not published | $189.84 – $1,028.25 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | $189.84 | not published | $71.12 – $1,069.65 | 9 |
| Cult skin graft fnhfg 15155 CPT 15155 | $4,055.70 | $8,741.00 | $1,564.61 – $4,866.83 | 8 |
| Cult skin grft t/arm/leg CPT 15150 | $2,026.46 | $4,989.00 | $1,367.62 – $2,431.75 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $8.08 | $129.00 | $8.08 – $37.03 | 11 |
| Culture afb any source CPT 87116 | $10.80 | $118.00 | $10.80 – $49.49 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | $8.08 | $317.00 | $8.08 – $37.03 | 11 |
| Culture anaerobic except blood CPT 87075 | $9.47 | $138.00 | $9.47 – $43.39 | 11 |
| Culture bact stool aero addl path ea CPT 87046 | $9.44 | $110.00 | $9.44 – $43.26 | 11 |
| Culture body fluid CPT 87070 | $8.62 | $255.00 | $8.62 – $39.50 | 11 |
| Culture fungi definitive id mold CPT 87107 | $10.32 | $130.00 | $10.32 – $47.29 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $10.32 | $2,145.00 | $10.32 – $47.29 | 11 |
| Culture fungi other (except blood) CPT 87102 | $8.41 | $130.00 | $8.41 – $38.54 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $7.71 | $130.00 | $7.71 – $35.33 | 11 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $14.61 | $55.00 | $14.61 – $66.95 | 11 |
| Culture mycoplasma any source CPT 87109 | $15.39 | $76.00 | $15.39 – $70.52 | 11 |
| Culture quantitative aerobic other source CPT 87071 | $9.89 | $83.00 | $9.89 – $45.32 | 11 |
| Culture screening strep group a CPT 87081 | $6.63 | $130.00 | $6.63 – $30.38 | 11 |
| Culture typing added method CPT 87158 | $7.74 | $75.00 | $7.74 – $35.47 | 11 |
| Culture typing immunologic CPT 87147 | $5.18 | $66.00 | $5.18 – $23.74 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $218.06 | $600.00 | $218.06 – $447.57 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $35.09 | $99.00 | $35.09 – $160.79 | 11 |
| Culture urine each isolate CPT 87088 | $8.09 | $77.00 | $8.09 – $37.07 | 11 |
| Culture virus isolation CPT 87250 | $19.56 | not published | $19.56 – $89.63 | 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.