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 |
|---|---|---|---|---|
| Perq dev breast 1st mr guide CPT 19287 | $779.45 | $1,772.00 | $259.03 – $935.34 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | $779.45 | $1,690.00 | $204.85 – $935.34 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $10,244.18 | $11,166.00 | $504.00 – $12,293.01 | 10 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $10,244.18 | $17,486.00 | $1,471.01 – $12,293.01 | 8 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $12,563.31 | $35,023.00 | $916.10 – $15,075.97 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $19,892.81 | $56,674.00 | $777.33 – $23,871.38 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $12,563.31 | $35,023.00 | $804.55 – $15,075.97 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $12,563.31 | $35,023.00 | $612.15 – $15,075.97 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | $23,955.00 | $307.50 – $307.50 | 1 |
| Perq plmt bile duct stent CPT 47538 | $6,463.42 | $13,770.00 | $476.39 – $7,756.10 | 8 |
| Perq plmt bile duct stent CPT 47539 | $6,463.42 | $13,301.00 | $863.90 – $7,756.10 | 8 |
| Perq plmt bile duct stent CPT 47540 | $6,463.42 | $13,301.00 | $889.73 – $7,756.10 | 8 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $269.43 | $990.00 | $184.99 – $323.32 | 8 |
| Perq skel fix rad/uln dislc CPT 25671 | $3,594.44 | $6,181.00 | $1,186.93 – $4,313.33 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | $3,594.44 | $7,323.00 | $1,091.08 – $4,313.33 | 8 |
| Perq transcath closure each CPT 93592 | not published | $1,253.00 | $635.44 – $768.58 | 2 |
| Perq transcath closure pda CPT 93582 | $19,892.81 | $32,701.00 | $733.55 – $23,871.38 | 10 |
| Perq transcath cls aortic CPT 93591 | $19,892.81 | $32,701.00 | $1,451.18 – $23,871.38 | 9 |
| Perq transcath cls mitral CPT 93590 | $19,892.81 | $32,701.00 | $1,765.07 – $23,871.38 | 9 |
| Perq transcath septal reduxn CPT 93583 | not published | $9,430.00 | $816.38 – $8,736.48 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $782.31 – $782.31 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $3,594.44 | $9,583.00 | $615.29 – $4,313.33 | 8 |
| Perq tx malar fracture CPT 21355 | $3,592.74 | $7,095.00 | $716.69 – $4,311.29 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $6,553.49 | $17,222.00 | $1,019.49 – $7,864.18 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | $3,592.74 | $10,951.00 | $1,623.43 – $4,311.29 | 8 |
| Pertussis ag if CPT 87265 | $11.98 | not published | $11.98 – $54.90 | 12 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16.89 | $62.76 | $14.36 – $29.12 | 9 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $63.39 | not published | $53.88 – $153.87 | 10 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $54.92 – $110.04 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,615.86 | $10,120.00 | $1,615.86 – $4,009.56 | 11 |
| Pet CT whole body initial CPT 78816 | $1,615.86 | $10,450.00 | $1,615.86 – $4,009.56 | 11 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,615.86 | $4,503.00 | $369.72 – $4,009.56 | 11 |
| Pet image full body CPT 78813 | $1,615.86 | $4,247.00 | $1,500.31 – $4,009.56 | 11 |
| Pet image ltd area CPT 78811 | $1,446.24 | $4,247.00 | $1,168.09 – $4,009.56 | 11 |
| Pet image skull-thigh CPT 78812 | $1,615.86 | $4,247.00 | $1,447.32 – $4,009.56 | 11 |
| Pet image w/ct lmtd CPT 78814 | $1,615.86 | $10,626.00 | $1,615.86 – $4,009.56 | 11 |
| Pet not otherwise specified HCPCS G0235 | $445.16 | not published | $445.16 – $1,021.05 | 8 |
| Pet scan brain perf study CPT 78609 | not published | not published | $129.35 – $2,884.17 | 5 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | not published | $173,600.00 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | $3,594.44 | $6,065.00 | $606.85 – $4,313.33 | 8 |
| Pharmacologic management w/psytx CPT 90863 | not published | $145.00 | $39.63 – $956.00 | 3 |
| Ph body fluid CPT 83986 | $3.58 | $95.00 | $3.58 – $16.40 | 11 |
| Phencyclidine (pcp) CPT 83992 | not published | $180.00 | $32.27 – $85.22 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | $243.21 | $23.26 – $90.71 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $15.30 | $165.00 | $15.30 – $70.11 | 11 |
| Phentolaine mesylate inj HCPCS J2760 | $436.51 | $2,323.99 | $371.03 – $889.32 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | $7.32 | not published | 0 |
| Phenylep ketorolac opth soln HCPCS J1097 | $107.92 | $630.90 | $107.92 – $193.19 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | $3.15 | $0.56 – $0.94 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $13.25 | $166.00 | $13.25 – $60.72 | 11 |
| Phlebotomy therapeutic CPT 99195 | $142.80 | $428.00 | $142.80 – $173.94 | 8 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,486.86 | $8,931.00 | $559.80 – $4,184.24 | 10 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,486.86 | $9,820.00 | $685.13 – $4,184.24 | 10 |
| Phosphorus CPT 84100 | $4.74 | $80.00 | $4.74 – $21.72 | 11 |
| Phosphorus 24 hour urine CPT 84105 | $5.78 | $1,395.00 | $5.78 – $26.49 | 11 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $65.80 | not published | $44.00 – $216.16 | 9 |
| Photochemotherapy puva CPT 96912 | $65.80 | not published | $57.70 – $183.96 | 9 |
| Photochemotherapy uv-a or b CPT 96913 | $442.61 | not published | $278.67 – $531.13 | 8 |
| Photo patch test CPT 95052 | $65.80 | not published | $10.10 – $71.73 | 9 |
| Photopheresis CPT 36522 | $5,190.33 | $19,284.00 | $199.84 – $6,228.39 | 9 |
| Photosensitivity tests CPT 95056 | $142.80 | not published | $7.28 – $155.65 | 9 |
| Phys blood bank serv authrj CPT 86079 | $59.19 | not published | $42.08 – $102.13 | 10 |
| Phys blood bank serv reactj CPT 86078 | $189.84 | not published | $48.96 – $306.15 | 10 |
| Phys blood bank serv xmatch CPT 86077 | $27.13 | not published | $27.13 – $88.55 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | $179.67 | $2.41 – $7.49 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | $55.00 | not published | 0 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $332.44 | $1,751.17 | $332.44 – $1,163.47 | 8 |
| Pik3ca gene trgt seq alys CPT 81309 | $274.83 | not published | $247.34 – $1,259.37 | 12 |
| Pild/placebo control clin tr HCPCS G0276 | $7,913.97 | not published | $650.77 – $9,496.76 | 8 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | $1,058.00 | $657.56 – $1,403.08 | 2 |
| Pin caspar distraction 12mm HCPCS C1821 | not published | $31,295.62 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $678.13 | $1,907.00 | $157.50 – $993.48 | 10 |
| Pin finger dislocation CPT 26776 | $3,594.44 | $7,527.00 | $1,004.78 – $4,313.33 | 8 |
| Pin finger fracture each CPT 26756 | $3,594.44 | $8,158.00 | $412.50 – $4,313.33 | 10 |
| Pin hand dislocation CPT 26676 | $3,594.44 | $7,527.00 | $1,137.25 – $4,313.33 | 8 |
| Pin knuckle dislocation CPT 26706 | $3,594.44 | $6,813.00 | $453.75 – $4,313.33 | 10 |
| Pinworm exam CPT 87172 | $4.27 | $29.00 | $4.27 – $19.57 | 11 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | $24.78 | $0.94 – $2.90 | 4 |
| Place breast rad tube/caths CPT 19298 | $7,224.60 | $13,220.00 | $670.06 – $16,502.24 | 9 |
| Place cath intracranial art CPT 36228 | not published | $2,703.00 | $515.85 – $2,669.48 | 3 |
| Place cath xtrnl carotid CPT 36227 | not published | $3,575.00 | $247.61 – $2,669.48 | 3 |
| Place cecostomy tube perc CPT 49442 | $1,306.21 | $2,989.00 | $428.88 – $1,567.45 | 8 |
| Place device/marker, non pro HCPCS C9728 | $1,515.79 | $5,371.00 | $1,515.79 – $1,818.94 | 7 |
| Place duod/jej tube perc CPT 49441 | $2,101.52 | $5,114.00 | $497.04 – $3,276.18 | 9 |
| Place endorectal app HCPCS C9725 | $1,010.01 | not published | $1,010.01 – $1,212.01 | 7 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $847.00 – $2,217.40 | 2 |
| Place gastrostomy tube perc CPT 49440 | $2,101.52 | $4,618.00 | $417.08 – $2,669.48 | 9 |
| Placement bile duct support CPT 47801 | not published | $2,470.00 | $2,371.33 – $2,371.33 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,794.93 | $1,729.00 | $202.85 – $2,669.48 | 9 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | $1,492.00 | $101.80 – $101.80 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $779.45 | $2,168.00 | $173.29 – $2,669.48 | 9 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,269.38 | $5,375.00 | $418.95 – $3,154.84 | 10 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | $880.00 | not published | 0 |
| Placement of seton CPT 46020 | $3,038.07 | $6,702.00 | $248.39 – $3,645.69 | 8 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $12,563.31 | $22,482.00 | $892.17 – $15,075.97 | 8 |
| Place ndl musc/tis for right CPT 20555 | $3,594.44 | $7,913.00 | $709.70 – $6,795.04 | 9 |
| Place needles h&n for right CPT 41019 | $6,553.49 | not published | $567.77 – $7,864.18 | 10 |
| Place needles pelvic for right CPT 55920 | $5,468.70 | $8,340.00 | $972.67 – $6,795.04 | 9 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,486.86 | $6,865.00 | $406.86 – $4,184.24 | 8 |
| Placental lactogen CPT 83632 | $20.22 | $187.00 | $20.22 – $92.66 | 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.