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 |
|---|---|---|---|---|
| Inj, clevidipine butyrate HCPCS C9248 | $2.88 | not published | $2.88 – $3.46 | 7 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | $596.00 | $83.76 – $83.76 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,044.14 | not published | $887.52 – $2,195.71 | 10 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | $551.51 | not published | $551.51 – $661.81 | 7 |
| Inj cuvitru, 100 mg HCPCS J1555 | $17.59 | not published | $14.95 – $31.68 | 10 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | $9.00 | not published | $7.65 – $10.80 | 8 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $0.78 | not published | $0.66 – $2.38 | 9 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1.16 | not published | $0.99 – $1.39 | 9 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $4.21 | $4.30 | $3.58 – $5.05 | 7 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | $0.32 | $0.05 – $0.09 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.04 | $0.71 | $0.03 – $0.07 | 8 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | $3.11 | not published | $2.64 – $3.73 | 8 |
| Inj delandistrogene mox rokl HCPCS J1413 | $3,324,571.90 | not published | $3,324,571.90 – $3,989,486.28 | 7 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $27.54 | not published | $27.54 – $33.05 | 7 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | $1,250.00 | $296.48 – $296.48 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $4.14 | not published | $3.52 – $5.44 | 9 |
| Inj dupuytren cord w/enzyme CPT 20527 | $327.02 | $715.00 | $140.20 – $392.42 | 8 |
| Inj, durolane 1 mg HCPCS J7318 | $6.68 | not published | $5.68 – $38.10 | 10 |
| Inj dx for sinogram CPT 20501 | not published | $660.00 | $74.94 – $74.94 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $767.19 | $1,813.00 | $173.30 – $920.63 | 10 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | $799.00 | $141.49 – $141.49 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | $52.04 | not published | $44.23 – $93.24 | 10 |
| Injection, burosumab-twza 1m HCPCS J0584 | $481.57 | not published | $409.33 – $816.37 | 10 |
| Injection, cangrelor HCPCS C9460 | $19.81 | not published | $19.81 – $34.88 | 8 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $327.02 | $496.00 | $75.03 – $606.70 | 10 |
| Injection, daratumumab 10 mg HCPCS J9145 | $69.84 | not published | $59.36 – $122.88 | 10 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.31 – $0.64 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | not published | $641.00 | $61.75 – $192.33 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | $18.84 | $111.11 | $16.01 – $44.00 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $767.19 | $2,307.00 | $237.72 – $920.63 | 9 |
| Injection eye drug CPT 67028 | $367.45 | $909.00 | $193.78 – $440.94 | 8 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | $835.00 | $151.78 – $151.78 | 1 |
| Injection for bladder x-ray CPT 51600 | not published | $1,444.00 | $89.79 – $89.79 | 1 |
| Injection for hip x-ray CPT 27095 | not published | $666.00 | $171.21 – $171.21 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | $746.00 | $103.22 – $103.22 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | $373.00 | $268.14 – $268.14 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | $160.00 | $109.42 – $109.42 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | $513.00 | $108.77 – $108.77 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | $428.00 | $147.27 – $147.27 | 1 |
| Injection, fulvestrant HCPCS J9395 | $6.98 | $382.84 | $5.93 – $33.61 | 9 |
| Injection glatiramer acetate HCPCS J1595 | $160.39 | $236.22 | $137.75 – $302.88 | 8 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $12.35 | not published | $10.50 – $16.14 | 9 |
| Injection into brain canal CPT 61026 | $767.19 | not published | $234.22 – $920.63 | 8 |
| Injection into brain canal CPT 61055 | $327.02 | $1,946.00 | $245.96 – $392.42 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | $1,010.01 | $1,577.00 | $404.21 – $1,212.01 | 8 |
| Injection into spinal artery CPT 62294 | $986.28 | not published | $986.28 – $2,069.55 | 8 |
| Injection into vocal cord CPT 31513 | $430.18 | $1,040.00 | $279.58 – $516.21 | 8 |
| Injection, isavuconazonium HCPCS J1833 | $1.01 | not published | $1.01 – $1.78 | 9 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $5.73 | $21.87 | $4.87 – $12.33 | 9 |
| Injection of HIV prep drug HCPCS G0012 | $78.84 | not published | $20.15 – $94.61 | 9 |
| Injection of sinus tract CPT 20500 | $1,640.99 | $3,359.00 | $193.02 – $1,969.19 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | $6.50 | $33.98 | $5.53 – $13.29 | 9 |
| Injection, peramivir HCPCS J2547 | $1.68 | $7.87 | $1.68 – $1,006.78 | 8 |
| Injection px peyronie ds CPT 54200 | $269.43 | $541.00 | $190.52 – $323.32 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $445.16 | $2,063.00 | $66.55 – $606.70 | 10 |
| Injection, renflexis HCPCS Q5104 | $25.05 | not published | $21.29 – $85.00 | 10 |
| Injection, ruconest HCPCS J0596 | $36.74 | not published | $31.23 – $64.47 | 10 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $767.19 | $2,750.00 | $414.64 – $920.63 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $767.19 | $1,718.00 | $95.00 – $920.63 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $767.19 | $3,486.00 | $88.43 – $920.63 | 10 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $986.28 | $4,349.00 | $236.04 – $1,456.08 | 10 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | $3,520.00 | $91.30 – $1,456.08 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $986.28 | $3,566.00 | $189.38 – $1,456.08 | 10 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | $2,200.00 | $106.25 – $1,456.08 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $986.28 | $3,850.00 | $192.11 – $1,456.08 | 10 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $767.19 | $3,992.00 | $226.54 – $920.63 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $767.19 | $4,620.00 | $209.53 – $920.63 | 8 |
| Injection, siltuximab HCPCS J2860 | $161.96 | not published | $137.67 – $268.78 | 10 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $327.02 | $770.00 | $79.78 – $606.70 | 10 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $327.02 | $1,605.00 | $77.81 – $392.42 | 8 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $327.02 | $1,540.00 | $88.43 – $392.42 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $51.11 | $461.00 | $27.32 – $599.00 | 10 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | $330.00 | $20.10 – $1,027.00 | 4 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $233.41 | $715.00 | $65.68 – $599.00 | 10 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $78.84 | $1,987.00 | $25.10 – $94.61 | 9 |
| Injection treatment of eye CPT 66020 | $2,526.64 | $4,832.00 | $282.89 – $3,031.97 | 8 |
| Injection treatment of eye CPT 66030 | $2,526.64 | $3,718.00 | $240.95 – $3,031.97 | 8 |
| Injection treatment of nerve CPT 64605 | $2,163.32 | $4,212.00 | $915.93 – $2,595.98 | 8 |
| Injection treatment of nerve CPT 64610 | $2,163.32 | $4,704.00 | $1,026.90 – $2,595.98 | 8 |
| Injection treatment of nerve CPT 64681 | $986.28 | not published | $463.25 – $1,183.54 | 8 |
| Injection treatment of nose CPT 30200 | $564.16 | $1,822.00 | $129.61 – $676.99 | 8 |
| Inject sacroiliac joint CPT 27096 | not published | $1,813.00 | $94.50 – $606.70 | 3 |
| Inject/treat eye socket CPT 67500 | $331.16 | $784.00 | $135.22 – $397.39 | 8 |
| Inject/treat eye socket CPT 67505 | $331.16 | $872.00 | $151.94 – $397.39 | 8 |
| Inject/treat eye socket CPT 67515 | $331.16 | $784.00 | $99.28 – $397.39 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $33.74 | not published | $28.63 – $40.49 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | $21.12 | not published | $17.95 – $39.47 | 9 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $381.64 | not published | $324.39 – $778.06 | 10 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $57.43 | not published | $48.82 – $104.69 | 10 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $767.19 | $1,640.00 | $210.41 – $920.63 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $986.28 | $2,396.00 | $166.02 – $1,183.54 | 8 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | $189.75 | not published | $161.29 – $355.69 | 10 |
| Inj., evomela, 1 mg HCPCS J9246 | $17.37 | not published | $14.76 – $39.08 | 10 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $9.91 | not published | $8.42 – $17.61 | 10 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $34.48 | not published | $29.31 – $48.00 | 9 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $18.95 | not published | $16.11 – $52.40 | 10 |
| Inj fensolvi 0.25 mg HCPCS J1951 | $140.43 | not published | $119.37 – $272.84 | 10 |
| Inj., fibryga, 1 mg HCPCS J7177 | $1.21 | not published | $1.03 – $2.34 | 10 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $7.43 | $716.16 | $6.32 – $10.03 | 8 |
| Inj, focinvez, 1mg HCPCS J1434 | $2.87 | not published | $2.44 – $3.44 | 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.