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 |
|---|---|---|---|---|
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $78.75 | $282.00 | $78.75 – $353.00 | 8 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $93.38 | $634.00 | $93.38 – $353.00 | 9 |
| Fresh frozen plasma thawing ea un CPT 86927 | $189.84 | $196.00 | $14.88 – $306.15 | 9 |
| Frozen blood freeze/thaw CPT 86932 | $43.48 | not published | $43.48 – $283.56 | 10 |
| Frozen blood prep CPT 86930 | $189.84 | $1,101.00 | $136.93 – $597.81 | 9 |
| Frozen blood thaw CPT 86931 | $189.84 | not published | $59.67 – $597.81 | 10 |
| Frozen cell preparation CPT 88241 | $12.09 | $2,066.00 | $12.09 – $55.40 | 11 |
| Frozen plasma, pooled, sd HCPCS P9023 | $69.03 | not published | $69.03 – $82.83 | 7 |
| Fructosamine glycated protein CPT 82985 | $16.76 | $110.00 | $16.76 – $76.80 | 11 |
| Ftl cgen abnor four anal CPT 81511 | $153.50 | $421.00 | $153.50 – $703.39 | 11 |
| Full field erg w/i&r CPT 92273 | $344.98 | not published | $170.13 – $376.02 | 10 |
| Full mouth x-ray of teeth CPT 70320 | $267.78 | $385.00 | $33.75 – $623.08 | 12 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,026.46 | $4,400.00 | $1,822.16 – $2,431.75 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,026.46 | $4,385.00 | $1,318.92 – $2,431.75 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | $1,788.00 | $144.74 – $795.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,026.46 | $5,277.00 | $792.75 – $2,431.75 | 10 |
| Fundus photography with i&r 92250 CPT 92250 | $142.80 | $294.00 | $65.06 – $171.36 | 10 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.02 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | $12.50 | $0.76 – $1.37 | 3 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,430.00 – $6,788.92 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $2,327.70 – $2,327.70 | 1 |
| Fusion/graft of finger joint CPT 26862 | $3,594.44 | $6,943.00 | $1,697.55 – $4,313.33 | 8 |
| Fusion/graft of hand joint CPT 26844 | $7,913.97 | $12,498.00 | $1,897.08 – $9,496.76 | 8 |
| Fusion of ankle joint open CPT 27870 | $14,254.12 | $18,185.00 | $2,168.17 – $17,104.94 | 8 |
| Fusion of big toe joint CPT 28750 | $7,913.97 | $11,161.00 | $1,247.08 – $9,496.76 | 8 |
| Fusion of big toe joint CPT 28755 | $7,913.97 | $10,931.00 | $472.50 – $9,496.76 | 10 |
| Fusion of finger joint CPT 26860 | $3,594.44 | $7,343.00 | $1,368.56 – $4,313.33 | 8 |
| Fusion of finger tendons CPT 26471 | $3,594.44 | $6,065.00 | $1,467.72 – $4,313.33 | 8 |
| Fusion of finger tendons CPT 26474 | $1,772.97 | $3,842.00 | $1,453.01 – $2,127.56 | 8 |
| Fusion of foot bones CPT 28730 | $14,254.12 | $16,561.00 | $1,568.35 – $17,104.94 | 8 |
| Fusion of foot bones CPT 28735 | $14,254.12 | $15,055.00 | $1,669.70 – $17,104.94 | 8 |
| Fusion of foot bones CPT 28740 | $7,913.97 | $11,161.00 | $1,333.27 – $9,496.76 | 8 |
| Fusion of hand joint CPT 26843 | $7,913.97 | $11,398.00 | $1,730.00 – $9,496.76 | 8 |
| Fusion of knuckle CPT 26850 | $7,913.97 | $11,398.00 | $1,626.47 – $9,496.76 | 8 |
| Fusion of knuckle joint CPT 26516 | $3,594.44 | $6,161.00 | $1,645.17 – $4,313.33 | 8 |
| Fusion of knuckle joints CPT 26517 | $3,594.44 | $7,582.00 | $1,909.05 – $4,313.33 | 8 |
| Fusion of knuckle joints CPT 26518 | $7,913.97 | not published | $1,932.30 – $9,496.76 | 8 |
| Fusion of knuckle with graft CPT 26852 | $7,913.97 | $11,398.00 | $1,840.30 – $9,496.76 | 8 |
| Fusion of spermatic ducts CPT 54900 | $2,269.38 | $5,331.00 | $1,692.52 – $2,723.26 | 8 |
| Fusion of spermatic ducts CPT 54901 | $3,820.84 | $5,331.00 | $2,228.85 – $4,585.01 | 8 |
| Fusion of tendons at wrist CPT 25300 | $3,594.44 | $6,575.00 | $1,512.80 – $4,313.33 | 8 |
| Fusion of tendons at wrist CPT 25301 | $3,594.44 | $7,913.00 | $1,410.47 – $4,313.33 | 8 |
| Fusion of thumb CPT 26841 | $7,913.97 | $11,398.00 | $1,718.57 – $9,496.76 | 8 |
| Fusion of tibiofibular joint CPT 27871 | $14,254.12 | $16,465.00 | $1,502.56 – $17,104.94 | 8 |
| Fusion of toes CPT 28280 | $3,594.44 | $6,095.00 | $746.89 – $4,313.33 | 8 |
| G0180 home health certification HCPCS G0180 | not published | not published | $98.40 – $98.40 | 1 |
| G6pc gene CPT 81250 | $58.49 | $1,040.00 | $58.49 – $268.02 | 11 |
| G6pd full gene sequence CPT 81249 | $600.00 | $1,705.00 | $600.00 – $2,749.41 | 11 |
| G6pd gene alys cmn variant CPT 81247 | $174.81 | $495.00 | $174.81 – $801.04 | 11 |
| G6pd known familial variant CPT 81248 | $375.25 | not published | $337.73 – $1,719.53 | 12 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | $210.00 | $142.55 – $142.55 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $51.09 | $190.00 | $51.09 – $158.84 | 8 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.22 – $0.69 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | $28.55 | $1.25 – $3.39 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | $0.68 | $0.10 – $0.32 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $12.50 – $31.65 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $21.07 | $436.00 | $21.07 – $96.55 | 11 |
| Galactokinase - sendout CPT 82759 | $21.48 | $1,045.00 | $21.48 – $98.43 | 11 |
| Galactose transferase test CPT 82776 | $11.74 | not published | $11.74 – $53.80 | 12 |
| Galectin-3 CPT 82777 | $44.25 | $204.00 | $27.96 – $202.77 | 11 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $6,463.42 | $10,973.00 | $1,408.66 – $15,984.00 | 10 |
| Gallium ga-68 dotatoc HCPCS C9067 | $4.05 | not published | $4.05 – $18.55 | 8 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $372.17 | not published | $372.17 – $1,540.94 | 8 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $534.91 | not published | $534.91 – $1,573.82 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | $973.64 | not published | $973.64 – $1,562.53 | 8 |
| Gallium locametz 1 millicuri HCPCS A9800 | $873.44 | not published | $873.44 – $1,048.13 | 8 |
| Gamma globulin > 10 cc inj HCPCS J1560 | $167.06 | not published | $142.00 – $975.37 | 10 |
| Gamma globulin 1 cc inj HCPCS J1460 | $48.42 | not published | $41.16 – $97.54 | 10 |
| Gammaglobulin iga CPT 82784 | $9.30 | $465.00 | $9.30 – $42.62 | 11 |
| Gammaglobulin ige CPT 82785 | $16.46 | $261.00 | $16.46 – $75.43 | 11 |
| Gamma glutamyltransferase CPT 82977 | $7.20 | $121.00 | $7.20 – $32.99 | 11 |
| Gammaplex injection HCPCS J1557 | $62.47 | not published | $53.10 – $109.09 | 10 |
| Gamunex-c/gammaked HCPCS J1561 | $48.03 | $174.53 | $40.83 – $99.88 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | $296.25 | $33.68 – $95.93 | 4 |
| Gardner vag dna quant CPT 87512 | $41.76 | $231.00 | $41.76 – $191.36 | 11 |
| Gastric analy w/ph ea spec CPT 82930 | $6.71 | not published | $6.71 – $30.75 | 12 |
| Gastric emptying imag study CPT 78265 | $445.16 | $1,183.00 | $421.69 – $1,256.12 | 12 |
| Gastric emptying imag study CPT 78266 | $596.31 | $1,585.00 | $421.69 – $1,405.34 | 12 |
| Gastric motility studies CPT 91020 | $587.81 | $1,661.00 | $495.05 – $705.37 | 8 |
| Gastric mucosa imaging CPT 78261 | $445.16 | not published | $94.50 – $1,021.05 | 12 |
| Gastrin test CPT 82938 | $17.69 | not published | $17.69 – $81.06 | 12 |
| Gastroesophageal reflux study CPT 78262 | $445.16 | $1,667.00 | $72.00 – $1,021.05 | 12 |
| Gastroesophageal reflux test CPT 91034 | $587.81 | $1,335.00 | $342.75 – $705.37 | 8 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | $4,880.00 | $2,844.26 – $2,844.26 | 1 |
| Gastrostomy open neonatal CPT 43831 | $1,038.65 | not published | $550.03 – $1,315.51 | 9 |
| Gated heart multiple CPT 78473 | $445.16 | not published | $292.50 – $1,021.05 | 12 |
| Gba gene CPT 81251 | $47.25 | $386.00 | $47.25 – $216.52 | 11 |
| Gel-one HCPCS J7326 | $524.02 | not published | $445.42 – $2,617.80 | 10 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.55 – $4.81 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | $37.18 | $2.52 – $8.55 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $236.62 | $885.57 | $201.13 – $453.36 | 9 |
| General health panel CPT 80050 | not published | $1,232.00 | $67.87 – $212.62 | 3 |
| Generator barostim neo2 2014 HCPCS C1767 | not published | $97,079.60 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | not published | $64,442.80 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | not published | $86,800.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $2,448.56 | $12,155.00 | $2,448.56 – $11,220.16 | 10 |
| Genioplasty augmentation CPT 21120 | $6,553.49 | $10,039.00 | $1,112.92 – $7,864.18 | 8 |
| Geniop sldg augmentation CPT 21123 | $3,592.74 | $5,712.00 | $1,820.85 – $4,311.29 | 8 |
| Geniop sldg osteot 1 CPT 21121 | $3,592.74 | $5,712.00 | $1,140.45 – $4,311.29 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | $6,553.49 | $10,039.00 | $1,625.95 – $7,864.18 | 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.