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 |
|---|---|---|---|---|
| Ghs st - re-eval for alt comm CPT 92597 | $93.37 | $550.00 | $90.00 – $265.00 | 10 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $51.11 | $162.00 | $21.28 – $599.00 | 10 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $233.41 | $353.00 | $222.05 – $599.00 | 10 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $678.13 | $1,752.00 | $343.47 – $813.76 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $442.61 | $976.00 | $163.20 – $795.00 | 10 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,640.99 | $2,955.00 | $302.50 – $1,969.19 | 10 |
| Ghs trypsin (fecal) CPT 84488 | $7.30 | not published | $7.30 – $33.45 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $265.74 | $1,033.00 | $235.13 – $795.00 | 10 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $265.74 | $670.00 | $265.74 – $795.00 | 10 |
| Ghs urine, hydroxproline total CPT 83505 | $24.30 | not published | $24.30 – $111.35 | 12 |
| Ghs urine, porphyrins quant CPT 84120 | $14.71 | $68.00 | $14.71 – $67.41 | 11 |
| Ghs vaginal delivery only CPT 59409 | $3,522.35 | $5,891.00 | $904.11 – $4,226.82 | 11 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $587.81 | $3,300.00 | $587.81 – $2,089.58 | 8 |
| Ghs windowing of cast CPT 29730 | $174.80 | $411.00 | $47.25 – $795.00 | 10 |
| Giardia lamblia antibody CPT 86674 | $14.72 | $107.00 | $14.72 – $67.45 | 11 |
| Gi endoscopic ultrasound CPT 76975 | $267.78 | not published | $115.03 – $623.08 | 10 |
| Gi inhouse confirmation CPT 87045 | $9.44 | $112.00 | $9.44 – $43.26 | 11 |
| Gingivoplasty each quadrant CPT 41872 | $3,592.74 | $7,300.00 | $670.85 – $4,311.29 | 8 |
| Gi protein loss CPT 78282 | $445.16 | not published | $81.68 – $1,021.05 | 11 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,038.65 | $4,510.00 | $1,038.65 – $1,317.51 | 8 |
| Gi trc img intral colon i&r CPT 91113 | $1,010.01 | $4,283.00 | $1,010.01 – $1,614.75 | 8 |
| Gi trc img intral esophagus CPT 91111 | $1,038.65 | $2,610.00 | $1,038.65 – $1,589.00 | 8 |
| Gi wireless capsule measure CPT 91112 | $1,038.65 | $2,288.00 | $1,038.65 – $2,920.45 | 8 |
| Gjb2 gene full sequence CPT 81252 | $101.12 | $1,884.00 | $101.12 – $463.37 | 11 |
| Gjb2 gene known fam variants CPT 81253 | $61.52 | $660.00 | $61.52 – $281.91 | 11 |
| Gjb6 gene com variants CPT 81254 | $35.00 | $867.00 | $35.00 – $160.38 | 11 |
| Glassia injection HCPCS J0257 | $5.71 | not published | $4.85 – $10.69 | 10 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | $27.13 | not published | $27.13 – $119.06 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | $43.48 | not published | $15.60 – $79.32 | 8 |
| Glaucoma surgery CPT 66150 | $4,456.60 | not published | $1,893.98 – $5,347.93 | 8 |
| Glaucoma surgery CPT 66155 | $4,456.60 | not published | $1,893.29 – $5,347.93 | 8 |
| Glaucoma surgery CPT 66160 | $2,526.64 | $5,372.00 | $2,122.17 – $3,031.97 | 8 |
| Glaucoma surgery CPT 66170 | $2,526.64 | $5,067.00 | $2,352.03 – $3,031.97 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | $135.00 | $82.72 – $181.05 | 2 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $195.79 | $1,386.32 | $166.42 – $358.14 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $144.88 | $1,271.08 | $123.15 – $173.86 | 8 |
| Glucagon plasma - sendout CPT 82943 | $14.29 | $94.00 | $14.29 – $65.48 | 11 |
| Glucose 1 hr post dose CPT 82950 | $4.75 | $65.00 | $4.75 – $21.77 | 11 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $6.05 | not published | $6.05 – $27.72 | 12 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $3.28 | $83.00 | $3.28 – $15.03 | 11 |
| Glucose blood quantitative CPT 82947 | $3.93 | $81.00 | $3.93 – $18.01 | 11 |
| Glucose body fluid CPT 82945 | $3.93 | $108.00 | $3.93 – $18.01 | 11 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $65.80 | not published | $43.60 – $118.80 | 9 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $12.87 | $252.00 | $12.87 – $58.97 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $3.92 | $110.00 | $3.92 – $17.96 | 11 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $0.43 | $23.00 | $0.37 – $0.82 | 8 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $11.03 | $208.85 | $9.38 – $34.57 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $18.58 | $316.00 | $18.58 – $85.14 | 11 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $18.52 | $316.00 | $18.52 – $84.87 | 11 |
| Gonioscopy CPT 92020 | $142.80 | not published | $34.31 – $171.36 | 9 |
| Goniotomy CPT 65820 | $4,456.60 | $8,176.00 | $1,786.18 – $5,347.93 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $734.15 | $2,577.91 | $624.03 – $1,166.44 | 9 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | $451.71 | $40.43 – $54.00 | 2 |
| Graft axiofill 1000mg HCPCS J3590 | not published | $26,165.38 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,011.87 – $1,946.15 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | $25,668.00 | $56.37 – $112.43 | 2 |
| Graft hand or finger tendon CPT 26416 | $3,594.44 | $6,846.00 | $2,027.80 – $4,313.33 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | $29,926.16 | $40.27 – $40.27 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $894.75 – $894.75 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | not published | $52,948.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | $39,557.56 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | $18,501.42 | $51.94 – $55.60 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | $6,448.00 | $83.76 – $138.02 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | $3,380.00 | $2,338.68 – $2,338.68 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | $1,104.84 | $115.75 – $181.31 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | $777.90 | $41.52 – $59.85 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | $69,229.20 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | $3,112.40 | $75.80 – $210.46 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | $104,234.65 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | $5,190.64 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.66 – $117.63 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | $9.47 | $0.20 – $0.73 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | $6,243.00 | $353.00 – $3,075.00 | 2 |
| Great toe with reduction 28495 CPT 28495 | $265.74 | $816.00 | $151.43 – $795.00 | 10 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $2,026.46 | $4,463.00 | $1,083.78 – $2,431.75 | 8 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $4,055.70 | $7,150.00 | $1,108.69 – $4,866.83 | 8 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | $6,433.00 | $311.71 – $311.71 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,055.70 | $7,150.00 | $1,036.40 – $4,866.83 | 8 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $19.31 | $81.00 | $7.68 – $308.00 | 10 |
| Growth hormone antibody CPT 86277 | $15.74 | not published | $15.74 – $72.13 | 12 |
| Growth stimulation gene 2 CPT 83006 | $75.60 | $1,200.00 | $47.02 – $346.43 | 11 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,407.60 – $4,048.69 | 2 |
| Gstrst open wo constj tube CPT 43830 | $2,101.52 | $4,355.00 | $1,501.72 – $2,521.83 | 8 |
| G-tube reposition CPT 43761 | $269.43 | $2,111.00 | $21.00 – $795.00 | 10 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,269.38 | $4,466.00 | $184.47 – $4,854.52 | 11 |
| Guided cath fluid drainage 10030 CPT 10030 | $779.45 | $2,005.00 | $278.07 – $935.34 | 8 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $528.64 – $1,041.34 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | not published | $11,780.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | $1,736.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | not published | $912.00 | $242.04 – $2,818.00 | 3 |
| Gum graft CPT 41870 | $1,640.99 | $7,300.00 | $1,640.99 – $1,969.19 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | not published | $64,480.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $4,242.15 | $7,014.00 | $939.56 – $5,090.58 | 8 |
| Hair removal by electrolysis 17380 CPT 17380 | $678.13 | not published | $36.30 – $813.76 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $442.61 | not published | $442.61 – $541.01 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | $442.61 | not published | $442.61 – $740.32 | 8 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | $161.36 | $3.98 – $16.66 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | $30.61 | $0.71 – $2.68 | 4 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $26.29 – $43.16 | 2 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.36 – $14.29 | 4 |
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.