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 |
|---|---|---|---|---|
| Leishmania antibody CPT 86717 | $12.25 | $163.00 | $12.25 – $56.13 | 11 |
| Lengthening of hand tendon CPT 26478 | $3,594.44 | $6,288.00 | $1,461.94 – $4,313.33 | 8 |
| Lengthening of palate CPT 42227 | $6,553.49 | $18,624.00 | $1,838.27 – $7,864.18 | 8 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $6,553.49 | $16,016.00 | $1,975.07 – $7,864.18 | 8 |
| Lengthening of thigh tendon CPT 27393 | $7,913.97 | $11,156.00 | $1,101.08 – $9,496.76 | 8 |
| Lengthening of thigh tendons CPT 27394 | $7,913.97 | $11,156.00 | $1,432.48 – $9,496.76 | 8 |
| Lengthening of thigh tendons CPT 27395 | $3,594.44 | $12,267.00 | $1,915.76 – $4,313.33 | 8 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | $14,508.00 | $2,311.63 – $2,311.63 | 1 |
| Lengthen metacarpal/finger CPT 26568 | $7,913.97 | $11,431.00 | $2,050.95 – $9,496.76 | 8 |
| Lengthen radius or ulna CPT 25391 | $14,254.12 | $27,355.00 | $2,151.86 – $17,104.94 | 8 |
| Lengthen radius & ulna CPT 25393 | $7,913.97 | not published | $2,430.74 – $9,496.76 | 8 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | not published | $3,447.20 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | $2,590.98 | $185.56 – $185.56 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | $744.00 | $185.56 – $185.56 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | $83.16 | $3.36 – $8.14 | 4 |
| Leukacyte transfusion CPT 86950 | $189.84 | not published | $51.75 – $306.15 | 10 |
| Leukocyte phagocytosis CPT 86344 | $10.39 | not published | $10.39 – $47.61 | 12 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $155.42 | $7,820.32 | $132.11 – $431.07 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $1,737.10 | $6,519.95 | $1,476.54 – $2,933.51 | 9 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | $220.74 | not published | $187.63 – $472.52 | 9 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | $51.41 | not published | $43.70 – $79.53 | 9 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.06 – $0.13 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | $1.50 | $0.04 – $0.19 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $13.25 | $314.00 | $13.25 – $60.72 | 11 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | $12.33 | $1.21 – $1.87 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | $61.61 | $6.55 – $6.55 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $3,563.20 | $9,819.00 | $369.90 – $8,736.48 | 9 |
| Liberta rc ipg HCPCS C1820 | not published | $135,184.80 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $14.69 | $83.00 | $14.69 – $67.31 | 11 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | $114.00 | $68.62 – $137.48 | 2 |
| Lift heel adjustable med HCPCS L3334 | not published | $58.00 | $35.52 – $71.13 | 2 |
| Ligate leg veins open CPT 37761 | $3,486.86 | $8,064.00 | $1,117.98 – $4,184.24 | 8 |
| Ligate leg veins radical 37760 CPT 37760 | $3,486.86 | $6,571.00 | $1,185.47 – $4,184.24 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | $920.00 | $157.77 – $157.77 | 1 |
| Ligate/strip long leg vein CPT 37722 | $3,486.86 | $9,648.00 | $954.90 – $4,184.24 | 8 |
| Ligate/strip short leg vein CPT 37718 | $3,486.86 | $7,967.00 | $811.86 – $4,184.24 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $3,522.35 | $6,699.00 | $798.41 – $4,226.82 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,794.93 | $6,596.00 | $180.00 – $2,669.48 | 10 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $3,486.86 | $6,637.00 | $513.48 – $4,184.24 | 8 |
| Ligation external carotid artery 37600 CPT 37600 | $3,486.86 | not published | $620.13 – $4,184.24 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $3,486.86 | $7,635.00 | $1,509.10 – $4,184.24 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,486.86 | $3,782.00 | $1,536.25 – $4,184.24 | 8 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | $3,746.00 | $831.47 – $831.47 | 1 |
| Ligation major artery neck CPT 37615 | $3,486.86 | $8,089.00 | $512.50 – $4,184.24 | 10 |
| Ligation nasal sinus artery CPT 30915 | $3,486.86 | not published | $1,318.21 – $4,184.24 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | $4,104.00 | $2,755.71 – $2,755.71 | 1 |
| Ligation of femoral vein CPT 37650 | $3,486.86 | not published | $946.59 – $4,184.24 | 8 |
| Ligation of inf vena cava CPT 37619 | $5,988.54 | $9,661.00 | $3,614.04 – $9,707.20 | 9 |
| Ligation of neck artery CPT 37606 | $3,486.86 | not published | $1,157.50 – $4,184.24 | 9 |
| Ligation of salivary duct CPT 42665 | $3,592.74 | $9,386.00 | $478.45 – $4,311.29 | 8 |
| Ligation upper jaw artery CPT 30920 | $3,486.86 | $7,355.00 | $1,898.38 – $4,184.24 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,486.86 | $7,301.00 | $117.50 – $4,184.24 | 10 |
| Lig/band angioaccess av fistula CPT 37607 | $3,486.86 | $7,559.00 | $779.52 – $4,184.24 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | $3,486.86 | $7,915.00 | $1,197.21 – $4,184.24 | 8 |
| Liletta, 52 mg HCPCS J7297 | not published | $3,668.28 | $847.66 – $847.66 | 1 |
| Limb exercise test CPT 95875 | $173.33 | $1,211.00 | $79.48 – $1,225.00 | 10 |
| Limited visual field xm CPT 92081 | $65.80 | $233.00 | $58.93 – $78.97 | 8 |
| Lincomycin injection HCPCS J2010 | not published | not published | $4.77 – $20.36 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | $234.24 | $2.95 – $12.61 | 4 |
| Lipase CPT 83690 | $6.89 | $132.00 | $6.89 – $31.57 | 11 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $3,592.74 | $5,977.00 | $759.10 – $4,311.29 | 8 |
| Lipoprotein blood high res frac & quant CPT 83701 | $33.86 | $76.00 | $33.86 – $155.16 | 11 |
| Lipoprotein blood quant CPT 83704 | $34.19 | $165.00 | $34.19 – $156.67 | 11 |
| Lipoprotein direct measurement hdl CPT 83718 | $8.19 | $92.00 | $8.19 – $37.53 | 11 |
| Lipoprotein direct measurement ldl CPT 83721 | $10.50 | $83.00 | $10.50 – $48.11 | 11 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $34.19 | not published | $31.55 – $156.67 | 12 |
| Lip surgery procedure CPT 40799 | $257.26 | $639.00 | $257.26 – $795.00 | 8 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $541,635.66 | not published | $460,390.31 – $933,986.41 | 10 |
| Listeria monocytogenes CPT 86723 | $13.19 | not published | $13.19 – $60.44 | 12 |
| Lithium therapeutic drug level CPT 80178 | $6.61 | $135.00 | $6.61 – $30.29 | 11 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | $5,738.00 | $193.91 – $261.36 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | $3,714.00 | $2,573.47 – $2,573.47 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $176.19 | not published | $158.58 – $669.52 | 10 |
| Liver elastography 91200 CPT 91200 | $173.33 | $563.00 | $39.78 – $377.83 | 10 |
| Liver Function Test CPT 80076 | $8.17 | $167.00 | $8.17 – $37.44 | 11 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $805.00 – $3,067.92 | 2 |
| Liver imaging CPT 78201 | $596.31 | $2,338.00 | $119.59 – $1,325.05 | 12 |
| Liver imag w/vasclr flow CPT 78202 | $596.31 | $2,798.00 | $148.50 – $1,325.05 | 12 |
| Liver/spleen imag static only CPT 78215 | $445.16 | $2,548.00 | $90.00 – $1,021.05 | 12 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $445.16 | $1,818.00 | $172.87 – $1,021.05 | 12 |
| Lmtd oph exam general anes CPT 92019 | $2,584.50 | $4,443.00 | $122.86 – $3,101.40 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,594.44 | $6,562.00 | $618.13 – $4,313.33 | 10 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | $12.98 | $0.88 – $1.82 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $216.74 | not published | $184.23 – $266.83 | 9 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | $21.78 | $1.12 – $1.57 | 4 |
| Loudness balance test CPT 92562 | $344.98 | not published | $10.50 – $413.97 | 9 |
| Low back disk surgery CPT 63030 | $7,913.97 | $12,445.00 | $1,497.50 – $9,496.76 | 10 |
| Low cost skin substitute app HCPCS C5271 | $678.13 | $2,303.00 | $678.13 – $813.76 | 7 |
| Low cost skin substitute app HCPCS C5273 | $2,026.46 | $6,061.00 | $2,026.46 – $2,431.75 | 7 |
| Low cost skin substitute app HCPCS C5275 | $678.13 | $2,296.00 | $678.13 – $813.76 | 7 |
| Low cost skin substitute app HCPCS C5277 | $678.13 | $1,921.00 | $678.13 – $813.76 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $197.21 | $3,843.00 | $197.21 – $1,752.00 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $395.64 | $3,414.00 | $333.73 – $1,752.00 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $117.81 | $3,051.00 | $117.81 – $1,752.00 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $395.64 | $6,039.00 | $395.64 – $4,332.00 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $395.64 | $4,675.00 | $395.64 – $4,332.00 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $267.78 | $4,439.00 | $267.78 – $4,332.00 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $117.81 | $743.00 | $49.50 – $295.04 | 12 |
| Lower jaw bone graft CPT 21215 | $6,553.49 | $11,858.00 | $1,689.69 – $7,864.18 | 8 |
| Low frequency non-thermal Ultrasound CPT 97610 | $220.12 | $589.00 | $29.65 – $264.15 | 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.