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 |
|---|---|---|---|---|
| Lsh uterus 250 g or less CPT 58541 | $11,533.76 | $14,849.00 | $1,562.34 – $13,840.51 | 8 |
| Lsh uterus above 250 g CPT 58543 | $11,533.76 | $18,398.00 | $1,798.15 – $13,840.51 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $11,533.76 | $17,606.00 | $1,771.36 – $13,840.51 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $11,533.76 | $17,606.00 | $1,930.66 – $13,840.51 | 8 |
| L/s ratio fetal lung CPT 83661 | $21.99 | $180.00 | $21.99 – $100.77 | 11 |
| Lumbar diskogram s&i CPT 72295 | $2,163.32 | $5,369.00 | $112.50 – $4,750.01 | 11 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $20,372.87 | $24,087.00 | $3,386.91 – $24,447.44 | 8 |
| Lumizyme injection HCPCS J0221 | $206.62 | not published | $175.63 – $389.60 | 10 |
| Lung function test (mbc/mvv) CPT 94200 | $65.80 | $289.00 | $26.92 – $464.00 | 10 |
| Lung Function Test (Spirometry) CPT 94010 | $173.33 | $1,375.00 | $48.73 – $464.00 | 10 |
| Lung perfusion imaging CPT 78580 | $445.16 | $1,760.00 | $188.28 – $1,021.05 | 12 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,065.22 – $3,065.22 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $206.13 | not published | $175.21 – $387.04 | 10 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $41.96 | not published | $35.67 – $80.32 | 10 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $312.69 | not published | $312.69 – $589.12 | 9 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $253.18 | not published | $253.18 – $326.41 | 8 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | $1,205.28 | $954.01 – $954.01 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $27.13 | not published | $11.25 – $66.66 | 9 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | $2,164.00 | $1,513.29 – $1,513.29 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $596.31 | $2,420.00 | $185.63 – $1,325.05 | 12 |
| Lymphocyte culture mixed CPT 86821 | $36.56 | not published | $36.56 – $168.30 | 12 |
| Lymphocyte transformation mitogen CPT 86353 | $49.03 | $2,475.00 | $49.03 – $224.67 | 11 |
| Lymphocytotoxicity assay CPT 86805 | $189.51 | $395.00 | $114.76 – $868.40 | 11 |
| Lymph vessel x-ray arm/leg CPT 75801 | $684.92 | $1,797.00 | $163.35 – $1,466.44 | 10 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,720.93 | $3,216.00 | $245.03 – $3,807.12 | 10 |
| Lymph vessel x-ray trunk CPT 75805 | $3,486.86 | $4,070.00 | $238.14 – $7,747.94 | 10 |
| Lymph vessel x-ray trunk CPT 75807 | $3,486.86 | $7,150.00 | $257.83 – $7,747.94 | 10 |
| Lysis intranasal synechia 30560 CPT 30560 | $564.16 | $1,134.00 | $335.19 – $676.99 | 8 |
| Lysis of labial adhesions CPT 56441 | $3,522.35 | $6,002.00 | $338.99 – $4,226.82 | 8 |
| Lysis penil circumic lesion CPT 54162 | $2,269.38 | $5,710.00 | $428.22 – $2,723.26 | 8 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $15.25 – $61.15 | 3 |
| Macroscopic exam arthropod CPT 87168 | $4.27 | $105.00 | $4.27 – $19.57 | 11 |
| Macroscopic exam parasite CPT 87169 | $4.31 | $50.00 | $4.31 – $19.75 | 11 |
| Magnesium CPT 83735 | $6.70 | $138.00 | $6.70 – $30.70 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | $21.98 | $0.43 – $1.63 | 4 |
| Magnetic image bone marrow CPT 77084 | $267.78 | $3,630.00 | $267.78 – $4,332.00 | 15 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $31.70 – $41.84 | 3 |
| Malaria antibody CPT 86750 | $13.19 | not published | $13.19 – $60.44 | 12 |
| Male sling procedure CPT 53440 | $14,393.26 | $16,993.00 | $1,592.63 – $17,271.92 | 8 |
| Mammosite ced HCPCS C1728 | not published | $4,960.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,439.25 – $6,298.84 | 2 |
| Manipulate finger w/anesth CPT 26340 | $1,772.97 | $3,211.00 | $810.88 – $2,127.56 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | $1,772.97 | $3,208.00 | $974.84 – $2,127.56 | 8 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $142.80 | $208.00 | $71.48 – $396.00 | 10 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $142.80 | $403.00 | $45.42 – $396.00 | 10 |
| Manipulation of hip joint CPT 27275 | $1,772.97 | $3,704.00 | $403.83 – $2,127.56 | 8 |
| Manipulation of spine CPT 22505 | $1,772.97 | not published | $280.01 – $2,127.56 | 8 |
| Manipulat palm cord post inj CPT 26341 | $265.74 | $725.00 | $171.99 – $318.89 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | $34.31 | $1.90 – $5.56 | 4 |
| Manual diff wbc count b-coat CPT 85009 | $5.07 | $20.00 | $5.07 – $23.23 | 11 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | $848.00 | $265.00 – $487.48 | 2 |
| Mapping io sentinel lymph node CPT 38900 | not published | $3,300.00 | $145.58 – $606.70 | 3 |
| Map tachycard site(s) CPT 93609 | not published | $9,061.00 | $1,018.92 – $7,112.50 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $50.45 | not published | $42.88 – $93.97 | 10 |
| Marker biop eviva buckle ss HCPCS A4648 | not published | $2,467.60 | $293.83 – $293.83 | 1 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $11,379.91 | not published | $11,379.91 – $13,655.89 | 7 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | $2,955.00 | $2,413.40 – $2,413.40 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $134.25 – $521.85 | 4 |
| Mastectomy partial CPT 19301 | $4,242.15 | $6,738.00 | $1,412.51 – $5,090.58 | 9 |
| Mast mod rad CPT 19307 | $7,224.60 | $11,631.00 | $2,520.25 – $9,707.20 | 9 |
| Mastoidectomy CPT 69501 | $6,553.49 | $12,000.00 | $1,545.55 – $7,864.18 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | $6,553.49 | $10,380.00 | $2,049.08 – $7,864.18 | 8 |
| Mastoids complete CPT 70130 | $117.81 | $442.00 | $55.28 – $295.04 | 12 |
| Mastoid surgery revision CPT 69603 | $6,553.49 | $12,000.00 | $2,804.06 – $7,864.18 | 8 |
| Mastopexy CPT 19316 | $7,224.60 | $11,631.00 | $775.93 – $8,669.52 | 10 |
| Mast simple complete CPT 19303 | $7,224.60 | $8,786.00 | $2,044.04 – $8,669.52 | 9 |
| Matrion 1 sq cm HCPCS Q4201 | not published | $324.46 | $67.35 – $138.61 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | $116.26 | $17.72 – $24.68 | 2 |
| M.avium-intra dna amp prob CPT 87561 | $35.09 | $384.00 | $35.09 – $160.79 | 11 |
| M.avium-intra dna dir prob CPT 87560 | $27.29 | not published | $25.56 – $125.05 | 12 |
| Maxillofacial fixation CPT 21100 | $6,553.49 | not published | $773.14 – $7,864.18 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $14.46 | $84.00 | $14.46 – $66.26 | 11 |
| Mayo aathr protein s free CPT 85306 | $15.32 | $198.00 | $15.32 – $70.20 | 11 |
| Mayo activated protein c resistance assay CPT 85307 | $15.32 | $135.00 | $15.32 – $70.20 | 11 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $38.57 | $2,750.00 | $38.57 – $176.74 | 11 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | $260.00 | $21.16 – $21.16 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | $193.00 | $23.14 – $54.20 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $14.78 | $118.00 | $14.78 – $67.73 | 11 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $57.04 – $64.35 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $13.44 | $188.00 | $13.44 – $61.59 | 11 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $15.08 | $66.00 | $15.08 – $69.10 | 11 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | $127.00 | $20.42 – $20.42 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | $127.00 | $33.31 – $53.23 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $121.63 | $693.00 | $121.63 – $557.35 | 11 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $91.66 | $2,270.00 | $91.66 – $420.02 | 11 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $137.00 | $1,040.00 | $137.00 – $627.78 | 11 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,160.00 | $31,900.00 | $1,160.00 – $5,315.53 | 11 |
| Mayo androstenedione CPT 82157 | $29.28 | $394.00 | $29.28 – $134.17 | 11 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $14.60 | $110.00 | $14.60 – $66.90 | 11 |
| Mayo antithrombin iii antigen CPT 85301 | $10.81 | $48.00 | $10.81 – $49.54 | 11 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $15.05 | $229.00 | $15.05 – $68.96 | 11 |
| Mayo avwpr vw factor activity CPT 85397 | $30.86 | $1,115.00 | $30.86 – $141.41 | 11 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $35.09 | not published | $31.59 – $72.02 | 10 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $24.27 – $86.74 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $10.18 | $81.00 | $10.18 – $46.65 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $144.84 | $1,273.00 | $144.84 – $663.71 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $214.62 | $681.00 | $214.62 – $983.46 | 11 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $12.90 | $96.00 | $12.90 – $59.11 | 11 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | $367.00 | $36.70 – $53.23 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $13.19 | $92.00 | $13.19 – $60.44 | 11 |
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.