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 |
|---|---|---|---|---|
| Drainage of mouth lesion CPT 41006 | $1,640.99 | $5,391.00 | $211.75 – $1,969.19 | 10 |
| Drainage of mouth lesion CPT 41007 | $1,640.99 | $4,019.00 | $127.05 – $1,969.19 | 10 |
| Drainage of mouth lesion CPT 41008 | $3,592.74 | $5,503.00 | $127.05 – $4,311.29 | 10 |
| Drainage of mouth lesion CPT 41009 | $564.16 | $1,214.00 | $127.05 – $795.00 | 10 |
| Drainage of mouth lesion CPT 41015 | $564.16 | $1,214.00 | $172.43 – $795.00 | 10 |
| Drainage of mouth lesion CPT 41016 | $6,553.49 | $10,303.00 | $172.43 – $7,864.18 | 10 |
| Drainage of mouth lesion CPT 41017 | $3,592.74 | $5,304.00 | $172.43 – $4,311.29 | 10 |
| Drainage of mouth lesion CPT 41018 | $1,640.99 | $2,413.00 | $383.78 – $1,969.19 | 10 |
| Drainage of nose lesion int 30000 CPT 30000 | $257.26 | $647.00 | $84.00 – $795.00 | 10 |
| Drainage of nose lesion sept 30020 CPT 30020 | $564.16 | $1,247.00 | $90.75 – $795.00 | 10 |
| Drainage of pelvis bursa CPT 26991 | $1,772.97 | $5,771.00 | $1,150.99 – $2,127.56 | 8 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,594.44 | $6,635.00 | $1,492.22 – $4,313.33 | 8 |
| Drainage of prostate abscess CPT 52700 | $3,820.84 | not published | $943.89 – $4,585.01 | 8 |
| Drainage of prostate abscess CPT 55720 | $3,820.84 | not published | $963.87 – $4,585.01 | 8 |
| Drainage of prostate abscess CPT 55725 | $3,820.84 | $8,460.00 | $1,270.90 – $4,585.01 | 8 |
| Drainage of rectal abscess CPT 45005 | $1,306.21 | $3,424.00 | $101.50 – $1,567.45 | 10 |
| Drainage of rectal abscess 45020 CPT 45020 | $3,038.07 | $6,123.00 | $1,220.32 – $3,645.69 | 8 |
| Drainage of salivary gland CPT 42305 | $3,592.74 | $6,190.00 | $297.50 – $4,311.29 | 10 |
| Drainage of salivary gland CPT 42320 | $564.16 | $1,065.00 | $127.05 – $795.00 | 10 |
| Drainage of throat abscess CPT 42725 | $6,553.49 | $16,931.00 | $1,716.30 – $7,864.18 | 8 |
| Drainage of urethra abscess CPT 53040 | $3,820.84 | $5,709.00 | $838.26 – $4,585.01 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,269.38 | $5,111.00 | $355.14 – $2,723.26 | 8 |
| Drainage of urinary leakage CPT 53080 | $739.44 | not published | $739.44 – $900.88 | 8 |
| Drainage of urinary leakage CPT 53085 | $2,269.38 | not published | $366.03 – $2,723.26 | 9 |
| Drain bladder by trocar/cath CPT 51101 | $1,127.09 | $1,411.00 | $105.84 – $1,352.50 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $142.80 | $286.00 | $40.58 – $795.00 | 10 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,794.93 | $3,309.00 | $420.26 – $2,153.92 | 8 |
| Drain cath image guided visceral pq CPT 49405 | $1,794.93 | $4,927.00 | $397.03 – $2,153.92 | 8 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $767.19 | $1,781.00 | $192.67 – $920.63 | 8 |
| Drain chest lesion CPT 21502 | $3,594.44 | $7,527.00 | $1,087.74 – $4,313.33 | 8 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $82.02 – $164.35 | 2 |
| Drain finger abscess;simple 26010 CPT 26010 | $220.12 | $926.00 | $94.50 – $795.00 | 10 |
| Drain lower leg bursa CPT 27604 | $3,594.44 | $6,097.00 | $702.24 – $4,313.33 | 8 |
| Drain lower leg lesion 27603 CPT 27603 | $3,170.64 | $5,711.00 | $848.27 – $3,804.76 | 8 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,170.64 | $5,968.00 | $452.58 – $3,804.76 | 10 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,034.55 – $2,389.54 | 2 |
| Drain ovarn cyst abd CPT 58805 | $3,522.35 | $9,559.00 | $926.29 – $4,226.82 | 8 |
| Drain ovary abscess open CPT 58820 | $3,522.35 | not published | $737.78 – $4,226.82 | 8 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | $3,389.00 | $2,332.86 – $2,332.86 | 1 |
| Drain penis lesion CPT 54015 | $1,794.93 | $4,356.00 | $101.50 – $2,153.92 | 10 |
| Drain shoulder bone lesion CPT 23035 | $1,772.97 | $4,733.00 | $1,476.97 – $2,127.56 | 8 |
| Drain shoulder bursa 23031 CPT 23031 | $3,170.64 | $5,738.00 | $59.00 – $3,804.76 | 10 |
| Drain shoulder lesion CPT 23030 | $3,170.64 | $5,738.00 | $553.69 – $3,804.76 | 10 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,170.64 | $6,896.00 | $1,110.31 – $3,804.76 | 8 |
| Drain thyroid/tongue cyst CPT 60000 | $1,640.99 | $3,710.00 | $347.80 – $1,969.19 | 8 |
| Drain to peritoneal cavity CPT 49062 | not published | $2,056.00 | $795.00 – $1,638.24 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $220.12 | $1,348.00 | $204.73 – $795.00 | 10 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $220.12 | $721.00 | $114.70 – $795.00 | 10 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $442.61 | $729.00 | $253.18 – $795.00 | 10 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $678.13 | $1,239.00 | $93.26 – $813.76 | 10 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | $7,586.32 | $41.75 – $59.00 | 2 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,282.50 – $1,973.53 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | $817.00 | $657.97 – $657.97 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | $2,378.00 | $1,667.57 – $1,667.57 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | $3,594.44 | $6,299.00 | $126.00 – $4,313.33 | 10 |
| Drng of eyelid abscess 67700 CPT 67700 | $331.16 | $985.00 | $79.88 – $795.00 | 10 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,794.93 | $3,093.00 | $218.68 – $2,153.92 | 10 |
| Drng of hydrocele 55000 CPT 55000 | $779.45 | $1,817.00 | $179.62 – $935.34 | 8 |
| Drng of mouth lesion 40801 CPT 40801 | $564.16 | $1,641.00 | $139.15 – $795.00 | 10 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $3,522.35 | not published | $684.01 – $4,226.82 | 8 |
| Drng of palm multi bursas 26030 CPT 26030 | $3,594.44 | $6,299.00 | $542.50 – $4,313.33 | 10 |
| Drng of palm single bursa 26025 CPT 26025 | $3,594.44 | $6,299.00 | $446.88 – $4,313.33 | 10 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,306.21 | $3,424.00 | $924.23 – $1,567.45 | 8 |
| Drng of salivary cyst 42409 CPT 42409 | $3,592.74 | $5,948.00 | $509.49 – $4,311.29 | 8 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,794.93 | $4,470.00 | $105.00 – $2,153.92 | 10 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | $3,472.00 | $759.50 – $2,312.67 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | $3,065.00 | $2,124.70 – $2,124.70 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $638.28 – $1,530.56 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | $9,200.00 | $3,369.01 – $3,369.01 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | $1,640.99 | $3,710.00 | $127.05 – $1,969.19 | 10 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $564.16 | $1,065.00 | $127.05 – $795.00 | 10 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.07 – $1.43 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | $40.76 | $4.56 – $13.43 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | not published | $6,944.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $10.52 – $17.28 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | $23.00 | $9.95 – $17.83 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | $34.62 | $2.11 – $12.35 | 2 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $49.04 – $49.04 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $12.10 – $19.84 | 2 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | $10,440.80 | not published | 0 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $22.49 – $22.49 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | $318.51 | $45.70 – $65.88 | 2 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | $10,168.00 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | not published | $634.00 | $161.41 – $161.41 | 1 |
| Drug assay caffeine CPT 80155 | $38.57 | $107.00 | $30.32 – $176.74 | 11 |
| Drug assay posaconazole CPT 80187 | $27.11 | $1,042.00 | $27.11 – $124.23 | 11 |
| Drug assay rufinamide CPT 80210 | $27.11 | not published | $24.39 – $124.23 | 12 |
| Drug assay vedolizumab CPT 80280 | $38.57 | $377.00 | $38.57 – $176.74 | 11 |
| Drug assay voriconazole CPT 80285 | $27.11 | $150.00 | $27.11 – $124.23 | 11 |
| Drug asy hydroxychloroquine CPT 80220 | $18.64 | $636.00 | $18.64 – $38.26 | 10 |
| Drug of abuse screen urine CPT 80305 | $12.60 | not published | $12.60 – $57.74 | 12 |
| Drug screen quant tiagabine CPT 80199 | $27.11 | $169.00 | $27.11 – $124.23 | 11 |
| Drug test def 15-21 classes HCPCS G0482 | $198.74 | $295.00 | $198.74 – $910.70 | 11 |
| Drug test def 1-7 classes HCPCS G0480 | $114.43 | $358.00 | $114.43 – $524.36 | 11 |
| Drug test def 22+ classes HCPCS G0483 | $246.92 | $679.00 | $246.92 – $1,131.47 | 11 |
| Drug test def 8-14 classes HCPCS G0481 | $156.59 | $244.00 | $156.59 – $717.55 | 11 |
| Drug test prsmv instrmnt CPT 80306 | $17.14 | $171.00 | $17.14 – $78.54 | 11 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $62.14 | $248.00 | $62.14 – $284.75 | 11 |
| Drvvt confirm - quest CPT 85597 | $17.98 | $263.00 | $17.98 – $82.39 | 11 |
| Dstrj extensive retinopathy CPT 67227 | $4,177.59 | $7,464.00 | $543.76 – $5,013.11 | 8 |
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.