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 |
|---|---|---|---|---|
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $20.26 | $330.00 | $20.26 – $92.84 | 11 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $43.48 | $380.00 | $43.48 – $132.56 | 9 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $43.48 | $419.00 | $43.48 – $145.56 | 9 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | $422.00 | $12.16 – $55.21 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $189.84 | $385.00 | $34.94 – $306.15 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $59.19 | $422.00 | $59.19 – $321.10 | 9 |
| Cytopath smear other source CPT 88160 | $27.13 | $127.00 | $27.13 – $153.81 | 9 |
| Cytopath smear other source CPT 88162 | $59.19 | not published | $50.74 – $248.76 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | $27.13 | $336.00 | $27.13 – $157.09 | 9 |
| Cytopath tbs c/v manual CPT 88164 | $18.19 | $90.00 | $18.19 – $69.42 | 11 |
| Cytotoxic antibody screening CPT 86807 | $78.65 | $220.00 | $78.65 – $360.40 | 11 |
| Cytotoxic antibody screening CPT 86808 | $29.68 | not published | $29.68 – $136.00 | 12 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $189.84 | $1,188.00 | $189.84 – $820.39 | 9 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | $25.82 | $3.25 – $11.90 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $302.92 | not published | $257.48 – $1,801.49 | 10 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $15.55 | $85.02 | $13.22 – $34.12 | 9 |
| Dalteparin sodium HCPCS J1645 | not published | $22.89 | $15.33 – $24.95 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | $4.42 | $0.03 – $0.11 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | $0.05 | not published | $0.04 – $0.44 | 9 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $54.67 | $216.40 | $46.47 – $96.70 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $3.00 | not published | $2.55 – $6.64 | 10 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $3.00 | not published | $2.55 – $6.64 | 10 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $255.09 | not published | $216.83 – $445.89 | 10 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $19.76 | $161.40 | $16.80 – $88.56 | 9 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $220.12 | not published | $26.75 – $500.11 | 9 |
| D&c after delivery 59160 CPT 59160 | $3,522.35 | $6,370.00 | $405.38 – $4,226.82 | 8 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,522.35 | $5,735.00 | $503.13 – $4,226.82 | 8 |
| Dch glucoscan CPT 82948 | $5.04 | $55.00 | $5.04 – $23.10 | 11 |
| Dch pulmonary stress test CPT 94621 | $344.98 | $2,420.00 | $273.18 – $1,495.00 | 10 |
| Dch validity tests CPT 81002 | $3.48 | $45.00 | $3.48 – $15.95 | 11 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $2,163.32 | $9,407.00 | $1,295.56 – $2,595.98 | 8 |
| Dcmprn orbit only transcrnl CPT 61330 | $3,592.74 | not published | $1,622.25 – $4,311.29 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | $2,163.32 | $3,408.00 | $581.06 – $2,595.98 | 8 |
| D&c of cervical stump CPT 57558 | $3,522.35 | $6,745.00 | $280.89 – $4,226.82 | 8 |
| Deamidated gliadin antibody iga CPT 86258 | $12.05 | $158.00 | $12.05 – $23.67 | 10 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | $4,202.00 | $1,452.20 – $1,452.20 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $678.13 | $1,124.00 | $57.34 – $813.76 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | $462.00 | $40.79 – $1,000.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,794.93 | $4,950.00 | $473.34 – $2,153.92 | 8 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | $1,027.00 | $114.30 – $114.30 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | $2,420.00 | $124.08 – $795.00 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $442.61 | $1,925.00 | $128.58 – $531.13 | 8 |
| Debride nail1-5 11720 CPT 11720 | $65.80 | $268.00 | $29.24 – $795.00 | 10 |
| Debride nail6 or more 11721 CPT 11721 | $65.80 | $358.00 | $48.78 – $78.97 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $779.45 | $2,101.00 | $627.93 – $935.34 | 10 |
| Debride skin bone at fx site CPT 11012 | $3,170.64 | $3,856.00 | $795.00 – $3,804.76 | 10 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | $2,725.00 | $1,178.65 – $1,178.65 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | $4,202.00 | $1,604.35 – $1,604.35 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | $1,063.00 | $52.48 – $52.48 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $220.12 | $495.00 | $109.52 – $264.15 | 8 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $779.45 | $1,980.00 | $588.37 – $935.34 | 10 |
| Debr inf skin add-on 11001 CPT 11001 | not published | $275.00 | $28.60 – $795.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $678.13 | $3,300.00 | $323.71 – $813.76 | 8 |
| Decalcification CPT 88311 | not published | $136.00 | $9.93 – $17.90 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.35 – $6.18 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $367.45 | $1,109.00 | $45.55 – $440.94 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $3,594.44 | $7,399.00 | $1,007.93 – $4,313.33 | 8 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,772.97 | $5,277.00 | $1,640.73 – $2,127.56 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $1,772.97 | not published | $1,772.97 – $2,640.87 | 8 |
| Decompress fasciotomyhand 26037 CPT 26037 | $3,594.44 | $6,065.00 | $712.50 – $4,313.33 | 10 |
| Decompress fingers/hand CPT 26035 | $3,594.44 | $6,065.00 | $782.10 – $4,313.33 | 10 |
| Decompress forearm 1 space CPT 25023 | $3,594.44 | $6,686.00 | $2,867.97 – $4,313.33 | 8 |
| Decompress forearm 2 spaces CPT 25024 | $3,594.44 | $6,760.00 | $1,695.58 – $4,313.33 | 8 |
| Decompression fasct forearm CPT 24495 | $7,913.97 | $8,225.00 | $2,033.63 – $9,496.76 | 8 |
| Decompression of leg CPT 27892 | $3,594.44 | $6,634.00 | $427.25 – $4,313.33 | 10 |
| Decompression of leg CPT 27893 | $7,913.97 | $11,424.00 | $1,347.26 – $9,496.76 | 8 |
| Decompression of leg CPT 27894 | $3,594.44 | not published | $1,739.41 – $4,313.33 | 8 |
| Decompression of lower leg CPT 27600 | $3,594.44 | $6,268.00 | $858.22 – $4,313.33 | 8 |
| Decompression of lower leg CPT 27601 | $3,594.44 | $6,268.00 | $960.46 – $4,313.33 | 8 |
| Decompression of thigh/knee CPT 27496 | $3,594.44 | $5,820.00 | $1,211.28 – $4,313.33 | 8 |
| Decompression of thigh/knee CPT 27497 | $3,594.44 | $9,821.00 | $1,270.36 – $4,313.33 | 8 |
| Decompression of thigh/knee CPT 27498 | $1,772.97 | $3,938.00 | $1,438.85 – $2,127.56 | 8 |
| Decompression of thigh/knee CPT 27499 | $7,913.97 | not published | $1,533.22 – $9,496.76 | 8 |
| Decompression of tibia nerve CPT 28035 | $2,163.32 | $6,271.00 | $488.23 – $3,882.88 | 10 |
| Decompression unspecified nerve 64722 CPT 64722 | $2,163.32 | $4,250.00 | $810.83 – $2,595.98 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,841.25 – $5,114.32 | 2 |
| Decompress optic nerve CPT 67570 | $4,177.59 | $8,616.00 | $2,757.32 – $5,013.11 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $7,913.97 | $12,716.00 | $3,489.32 – $9,496.76 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $1,000.00 – $2,051.34 | 2 |
| Decompress spinal cord lmbr CPT 63056 | $7,913.97 | $13,367.00 | $3,196.51 – $9,496.76 | 8 |
| Decompress spinal cord thrc CPT 63064 | $7,913.97 | not published | $1,828.88 – $9,496.76 | 9 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | $12,690.00 | $674.29 – $674.29 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | $3,170.64 | $6,122.00 | $329.84 – $3,804.76 | 8 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | $168.63 | $7.67 – $15.46 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4.36 | not published | $3.71 – $8.72 | 10 |
| Delayed breast prosthesis 19342 CPT 19342 | $10,600.79 | $15,468.00 | $909.25 – $12,720.94 | 10 |
| Delay flap arms/legs CPT 15610 | $2,026.46 | $4,267.00 | $537.63 – $2,431.75 | 8 |
| Delay flap eye/nos/ear/lip CPT 15630 | $2,026.46 | $4,462.00 | $750.98 – $2,431.75 | 8 |
| Delay flap fccnaxghf 15620 CPT 15620 | $2,026.46 | $5,827.00 | $714.46 – $2,431.75 | 8 |
| Delay flap trunk 15600 CPT 15600 | $4,055.70 | $7,150.00 | $468.59 – $4,866.83 | 8 |
| Delivery of placenta 59414 CPT 59414 | $3,522.35 | $5,939.00 | $189.92 – $4,226.82 | 8 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,150.60 – $1,968.24 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,125.00 – $2,935.59 | 2 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | $2,047.00 | $1,341.61 – $1,341.61 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | $142.76 | not published | $142.76 – $191.10 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $225.32 | $330.00 | $32.67 – $396.00 | 10 |
| Denervation of hip joint CPT 27035 | $3,594.44 | not published | $2,431.80 – $4,313.33 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $29.24 | $110.34 | $24.85 – $45.55 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $142.80 | $855.00 | $63.00 – $795.00 | 10 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.86 – $4.71 | 2 |
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.