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 |
|---|---|---|---|---|
| Open bx of lung pleura 32098 CPT 32098 | not published | $2,295.00 | $1,580.32 – $1,580.32 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $469.45 – $469.45 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | $6,553.49 | $7,341.00 | $1,656.45 – $7,864.18 | 8 |
| Open nasoethmoid fx without fixj CPT 21338 | $6,553.49 | $18,624.00 | $1,472.54 – $7,864.18 | 8 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $4,242.15 | $7,563.00 | $498.75 – $5,090.58 | 10 |
| Open skull for drainage 61312 CPT 61312 | not published | $2,901.00 | $4,437.46 – $4,437.46 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $1,772.97 | $4,430.00 | $618.04 – $2,127.56 | 8 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $5,988.54 | $9,958.00 | $1,269.64 – $7,186.25 | 8 |
| Open tx nose fx w/skele fixj CPT 21330 | $6,553.49 | $9,184.00 | $665.68 – $7,864.18 | 10 |
| Open tx nose & septal fx CPT 21335 | $3,592.74 | $7,148.00 | $1,560.30 – $4,311.29 | 8 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $7,913.97 | $19,280.00 | $1,236.18 – $9,496.76 | 8 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $7,913.97 | not published | $1,013.75 – $9,496.76 | 9 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $1,772.97 | not published | $1,380.33 – $2,127.56 | 9 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | $1,674.00 | $1,190.08 – $1,190.08 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | $2,446.00 | $1,669.79 – $1,669.79 | 1 |
| Ophthalmic biometry CPT 92136 | $142.80 | $301.00 | $82.50 – $171.36 | 9 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $509.31 – $509.31 | 1 |
| Ophthalmodynamometry CPT 92260 | $43.48 | not published | $18.25 – $47.40 | 9 |
| Ophth Ultrasound b & quant a CPT 76510 | $142.80 | $351.00 | $122.05 – $303.10 | 11 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $117.81 | not published | $115.03 – $295.04 | 12 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $117.81 | $362.00 | $80.05 – $295.04 | 11 |
| Opn exc/dst ntra-abd CPT 49189 | not published | $5,246.00 | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | $4,532.00 | not published | 0 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | $2,750.00 | $546.73 – $546.73 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $33,759.25 | $43,227.00 | $1,297.68 – $40,511.10 | 8 |
| Opn impltj nea neuromuscular CPT 64580 | $23,756.52 | $26,507.00 | $681.94 – $28,507.83 | 8 |
| Opn impltj nea perph nerve CPT 64575 | $13,814.86 | $21,205.00 | $678.79 – $16,577.83 | 8 |
| Opn impltj nea sacral nerve CPT 64581 | $7,270.51 | $12,745.00 | $1,382.61 – $8,724.61 | 8 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $33,759.25 | $99,674.00 | $33,759.25 – $40,511.10 | 7 |
| Opn tx complx malar fx CPT 21365 | $6,553.49 | $12,712.00 | $1,138.03 – $7,864.18 | 10 |
| Opn tx complx malar w/grft CPT 21366 | $6,553.49 | $10,783.00 | $2,732.33 – $7,864.18 | 8 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | $3,243.00 | $2,357.17 – $2,357.17 | 1 |
| Opn tx dprsd zygomatic arch CPT 21356 | $6,553.49 | $12,712.00 | $880.23 – $7,864.18 | 8 |
| Opn tx nasomax fx multple CPT 21347 | $6,553.49 | $7,341.00 | $2,245.77 – $7,864.18 | 8 |
| Opn tx nasomax fx w/fixj CPT 21346 | $6,553.49 | $12,712.00 | $2,227.53 – $7,864.18 | 8 |
| Opn tx orbit fx combined CPT 21387 | $6,553.49 | $12,712.00 | $1,652.48 – $7,864.18 | 8 |
| Opn tx orbit fx periorbital CPT 21386 | $6,553.49 | $12,712.00 | $1,493.16 – $7,864.18 | 8 |
| Opn tx orbit fx transantral CPT 21385 | $6,553.49 | $11,631.00 | $1,584.60 – $7,864.18 | 8 |
| Opn tx orbit fx w/bone grft CPT 21408 | $6,553.49 | $16,931.00 | $1,939.31 – $7,864.18 | 8 |
| Opn tx orbit fx w/implant CPT 21407 | $6,553.49 | $11,568.00 | $1,386.78 – $7,864.18 | 8 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $6,553.49 | $12,021.00 | $1,268.30 – $7,864.18 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | $6,553.49 | $10,783.00 | $1,732.40 – $7,864.18 | 8 |
| Opn tx orbit periorbt w/grft CPT 21395 | $6,553.49 | $11,657.00 | $2,157.72 – $7,864.18 | 8 |
| Opps service,sched team conf HCPCS G0175 | $471.73 | not published | $471.73 – $566.08 | 7 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $595.58 – $595.58 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | $65.80 | $152.00 | $22.35 – $78.97 | 9 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $65.80 | $70.00 | $35.28 – $78.97 | 9 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $7,913.97 | $12,514.00 | $1,418.72 – $9,496.76 | 8 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $7,913.97 | $11,366.00 | $1,253.77 – $9,496.76 | 8 |
| Optx acute shoulder dislc CPT 23660 | $7,913.97 | $13,641.00 | $629.00 – $9,496.76 | 10 |
| Optx carpl scphd fx int fixj CPT 25628 | $7,913.97 | $11,161.00 | $1,572.11 – $9,496.76 | 8 |
| Optx clavicular fx w/int fix CPT 23515 | $7,913.97 | $14,472.00 | $1,572.40 – $9,496.76 | 8 |
| Optx complicated mndblr fx CPT 21470 | $6,553.49 | $11,031.00 | $2,499.90 – $7,864.18 | 8 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $3,594.44 | $7,773.00 | $1,256.28 – $4,313.33 | 8 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $7,913.97 | $13,137.00 | $1,702.86 – $9,496.76 | 8 |
| Optx lunate dislocation CPT 25695 | $7,913.97 | $12,495.00 | $1,388.78 – $9,496.76 | 8 |
| Optx medial ankle fx CPT 27766 | $7,913.97 | $11,054.00 | $1,323.65 – $9,496.76 | 8 |
| Optx mndblr cndylr fx CPT 21465 | $6,553.49 | $12,000.00 | $1,705.71 – $7,864.18 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $6,553.49 | $10,783.00 | $2,335.80 – $7,864.18 | 8 |
| Optx mndblr fx xtrnl fixj CPT 21454 | $6,553.49 | $11,772.00 | $1,054.01 – $7,864.18 | 8 |
| Optx mndblr/max alv ridge fx CPT 21445 | $6,553.49 | $12,712.00 | $226.88 – $7,864.18 | 10 |
| Optx palatal/max fracture CPT 21422 | $6,553.49 | $9,350.00 | $1,345.27 – $7,864.18 | 8 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $14,254.12 | $15,193.00 | $2,346.86 – $17,104.94 | 8 |
| Optx post ankle fx CPT 27769 | $7,913.97 | $12,671.00 | $1,577.89 – $9,496.76 | 9 |
| Optx prox humrl fx w/int fix CPT 23615 | $14,254.12 | $18,546.00 | $1,916.64 – $17,104.94 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $20,372.87 | not published | $2,656.41 – $24,447.44 | 8 |
| Optx radial shaft fracture CPT 25515 | $7,913.97 | $12,125.00 | $755.23 – $9,496.76 | 10 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $7,913.97 | $12,495.00 | $1,385.04 – $9,496.76 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $7,913.97 | $11,161.00 | $1,331.94 – $9,496.76 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $7,913.97 | $12,125.00 | $1,727.36 – $9,496.76 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $7,913.97 | $12,125.00 | $795.00 – $9,496.76 | 10 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $7,913.97 | $13,894.00 | $1,968.94 – $9,496.76 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $7,913.97 | $13,618.00 | $1,481.14 – $9,496.76 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | $7,913.97 | $12,946.00 | $2,105.02 – $9,496.76 | 8 |
| Optx sho dislc fx CPT 23670 | $7,913.97 | $17,200.00 | $1,892.41 – $9,496.76 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | $14,254.12 | $17,954.00 | $1,993.79 – $17,104.94 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $7,913.97 | $18,357.00 | $1,374.10 – $9,496.76 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $7,913.97 | $21,824.00 | $1,264.08 – $9,496.76 | 8 |
| Optx tmprmand dislocation CPT 21490 | $3,592.74 | not published | $1,681.29 – $4,311.29 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $7,913.97 | $12,495.00 | $1,603.03 – $9,496.76 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | $7,913.97 | $11,161.00 | $1,375.57 – $9,496.76 | 8 |
| Optx ulnar styloid fracture CPT 25652 | $7,913.97 | $11,161.00 | $1,369.93 – $9,496.76 | 8 |
| Oral aprepitant HCPCS J8501 | not published | not published | $2.31 – $7.84 | 4 |
| Oral busulfan HCPCS J8510 | $84.21 | not published | $25.94 – $101.05 | 8 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.69 – $12.20 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | $18.53 | not published | $15.75 – $22.24 | 8 |
| Oral methotrexate (xatmep) HCPCS J8612 | $22.66 | not published | $19.26 – $27.19 | 8 |
| Oral netupitant, palonosetro HCPCS J8655 | $409.52 | not published | $348.09 – $693.02 | 10 |
| Orchiectomy partial CPT 54522 | $3,820.84 | $7,384.00 | $1,247.41 – $4,585.01 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | $3,909.56 | $6,389.00 | $1,512.71 – $4,691.48 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | $3,909.56 | $9,507.00 | $605.00 – $4,691.48 | 10 |
| Organic acids total quant ea spec CPT 83918 | $23.60 | $419.00 | $23.60 – $108.14 | 11 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $41.40 | not published | $35.19 – $90.02 | 10 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $28.52 | not published | $24.24 – $52.40 | 10 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,640.99 | $7,186.00 | $256.36 – $1,969.19 | 8 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $8.03 – $12.91 | 4 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | $395.00 | $244.52 – $489.85 | 2 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | $728.00 | $423.48 – $848.34 | 2 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,085.82 – $2,175.18 | 2 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | $1,045.00 | $652.52 – $1,248.84 | 2 |
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.