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 |
|---|---|---|---|---|
| Acromp/acromionectomy prtl CPT 23130 | $3,594.44 | $9,678.00 | $1,359.10 – $4,313.33 | 8 |
| Actigraphy testing CPT 95803 | $65.80 | $239.00 | $65.80 – $241.43 | 8 |
| Actinotherapy uv light CPT 96900 | $43.48 | $316.00 | $17.80 – $52.18 | 9 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $27.13 | not published | $27.13 – $55.77 | 8 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $27.13 | not published | $27.13 – $51.23 | 8 |
| Acute hepatitis panel CPT 80074 | $47.63 | $660.00 | $47.63 – $218.26 | 11 |
| Acute venous thrombus image CPT 78456 | $1,446.24 | not published | $234.00 – $3,535.83 | 12 |
| Acyclovir 400 mg tablet HCPCS J8499 | not published | $147.85 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | $1.01 | $0.03 – $0.07 | 4 |
| #acylcarnitineprfl CPT 82017 | $16.87 | $1,111.00 | $16.87 – $77.30 | 11 |
| Acylcarnitines qual CPT 82016 | $16.49 | not published | $16.49 – $75.56 | 12 |
| Adapt behavior tx phys/qhp CPT 97155 | $177.99 | $206.00 | $25.46 – $389.00 | 9 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | $4,588.00 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $174.80 | not published | $49.50 – $209.76 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | $19.57 | $0.39 – $0.99 | 4 |
| Adenovirus ag ia CPT 87301 | $11.98 | $80.00 | $11.98 – $54.90 | 11 |
| Adenovirus antibody,serum - quest CPT 86603 | $12.87 | $169.00 | $12.87 – $58.97 | 11 |
| Adenovirus assay w/optic CPT 87809 | $21.76 | not published | $13.86 – $99.71 | 12 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | $4,902.00 | $1,926.99 – $1,926.99 | 1 |
| Adh-sendout CPT 84588 | $33.94 | $153.00 | $33.94 – $155.52 | 11 |
| Adj gastric band via subq port CPT 43999 | $1,038.65 | $3,435.00 | $1,038.65 – $1,246.38 | 7 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $7,913.97 | $12,716.00 | $974.87 – $9,496.76 | 8 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,026.46 | $4,730.00 | $1,638.56 – $2,431.75 | 8 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | $5.04 | $1.94 – $1.94 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $78.84 | $770.00 | $49.22 – $1,498.00 | 11 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $78.84 | $836.00 | $78.84 – $1,498.00 | 11 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $367.45 | $2,310.00 | $233.67 – $1,498.00 | 11 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $367.45 | $1,485.00 | $180.50 – $1,498.00 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $78.84 | $495.00 | $63.20 – $1,498.00 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $78.84 | $688.00 | $78.84 – $1,498.00 | 11 |
| Administration immunization 1 vaccine CPT 90471 | $78.84 | $171.00 | $36.65 – $94.61 | 9 |
| Administration immunization each additional component CPT 90461 | not published | $50.00 | $12.50 – $14.72 | 2 |
| Administration immunization each additional vaccine CPT 90472 | not published | $123.00 | $25.82 – $27.50 | 2 |
| Administration immunization first component each vaccine CPT 90460 | not published | $158.00 | $25.43 – $40.44 | 2 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $78.84 | $94.00 | $29.36 – $94.61 | 8 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | $94.00 | $20.96 – $20.96 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | $76.00 | $32.03 – $43.16 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $51.11 | $88.00 | $50.98 – $61.34 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $51.11 | $99.00 | $20.50 – $61.34 | 8 |
| Administration vaccine pneumococcal HCPCS G0009 | $51.11 | $99.00 | $33.65 – $61.34 | 9 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $27.95 – $37.67 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $41.85 | $117.46 | $35.57 – $73.34 | 9 |
| Adrenal cortex & medulla img CPT 78075 | $1,446.24 | not published | $123.75 – $3,535.83 | 12 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | $3,748.00 | $2,646.27 – $2,646.27 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $119.64 – $119.64 | 1 |
| Aep hearing status deter i&r CPT 92651 | $344.98 | $374.00 | $121.68 – $376.02 | 9 |
| Aep neurodiagnostic i&r CPT 92653 | $344.98 | $1,811.00 | $117.78 – $376.02 | 9 |
| Aep thrshld est mlt freq i&r CPT 92652 | $344.98 | $1,811.00 | $159.53 – $376.02 | 9 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $2,943.42 | not published | $2,943.42 – $3,532.10 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | $20.05 | $141.00 | $20.05 – $91.88 | 11 |
| #afb mycobacteria suscep. #1 CPT 87190 | $7.31 | $44.00 | $7.31 – $33.50 | 11 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $115.36 | $595.00 | $115.36 – $528.62 | 11 |
| Aflibercept injection HCPCS J0178 | $790.04 | not published | $671.53 – $1,966.57 | 10 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $689.32 – $1,132.43 | 2 |
| After cataract laser surgery CPT 66821 | $607.75 | $2,869.00 | $377.50 – $729.30 | 9 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $230.26 | not published | $195.72 – $426.82 | 10 |
| Air conduction bilat CPT 92552 | $142.80 | $227.00 | $69.19 – $171.36 | 9 |
| Air injection into abdomen 49400 CPT 49400 | not published | $293.00 | $184.52 – $184.52 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $173.33 | $636.00 | $46.55 – $464.00 | 10 |
| Albumin body fluid quantitative each specimen CPT 82042 | $7.78 | $174.00 | $7.78 – $35.65 | 11 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | $272.02 | $45.12 – $112.64 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $21.23 | not published | $18.05 – $45.05 | 10 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $53.08 | $182.24 | $45.12 – $112.64 | 9 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $9.03 – $22.53 | 4 |
| Albumin ischemia modified CPT 82045 | $33.94 | not published | $33.94 – $155.52 | 12 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $5.78 | $83.00 | $5.78 – $26.49 | 11 |
| Albumin serum plasma or whole blood CPT 82040 | $4.95 | $408.00 | $4.95 – $22.68 | 11 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | $6.80 | $0.17 – $0.28 | 4 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.14 – $0.54 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | $3.15 | $0.05 – $0.09 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $17.27 | $222.00 | $17.27 – $79.14 | 11 |
| Alcohol/sub misuse assess HCPCS G2011 | $27.13 | not published | $27.13 – $32.56 | 8 |
| Alcohol/subs interv >30 min HCPCS G0397 | $177.99 | not published | $113.31 – $213.59 | 8 |
| Aldesleukin injection HCPCS J9015 | $5,301.26 | not published | $4,990.22 – $8,150.32 | 9 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $2,440.70 | not published | $2,074.60 – $4,572.35 | 10 |
| Alkaline phosphatase CPT 84075 | $5.18 | $103.00 | $5.18 – $23.74 | 11 |
| Allergen alpha lactalbumin ige CPT 86008 | $17.93 | $175.00 | $17.93 – $82.16 | 11 |
| Allergen egg white ige CPT 86003 | $5.22 | $814.00 | $5.22 – $23.92 | 11 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $7.97 | $65.00 | $7.97 – $36.52 | 11 |
| Allergy injections; 2 or more 95117 CPT 95117 | $51.11 | $212.00 | $22.41 – $387.00 | 10 |
| Allergy injection; single 95115 CPT 95115 | $51.11 | $111.00 | $8.75 – $387.00 | 10 |
| Allergy Skin Testing CPT 95004 | $1,127.09 | $1,541.00 | $6.55 – $1,228.52 | 10 |
| Allg patch or app # of tests 95044 CPT 95044 | $1,127.09 | $3,325.00 | $8.08 – $1,228.52 | 10 |
| Allgrft implnt knee w/scope CPT 29867 | $14,254.12 | $15,055.00 | $2,756.33 – $17,104.94 | 9 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | $1,314.40 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | $936.20 | $72.13 – $103.28 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | $1,454.52 | $85.61 – $151.19 | 2 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | $36,462.77 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | $8,002.94 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | $40,754.46 | $26.10 – $40.87 | 2 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | $5,934.89 | $127.78 – $201.63 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | $8,273.28 | $129.42 – $129.42 | 1 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | $8,680.00 | $746.53 – $746.53 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | $3,710.70 | $107.15 – $272.81 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | $539.45 | $205.59 – $326.88 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $12.31 – $16.13 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | $43.48 | $165.00 | $11.90 – $387.00 | 10 |
| All tstg perq&iq w/venoms CPT 95017 | $27.13 | $96.00 | $6.22 – $387.00 | 10 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $5.19 | not published | $4.41 – $9.77 | 10 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $64.41 | $211.00 | $64.41 – $295.15 | 11 |
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.