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 |
|---|---|---|---|---|
| Place po breast cath for rad CPT 19296 | $10,600.79 | $18,564.00 | $441.19 – $16,502.24 | 9 |
| Place right device/marker pros CPT 55876 | $1,515.79 | $3,449.00 | $216.73 – $1,818.94 | 8 |
| Place slctv cath carotd art uni CPT 36224 | $5,988.54 | $15,743.00 | $765.24 – $7,186.25 | 10 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $3,486.86 | $8,250.00 | $587.82 – $4,184.24 | 10 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $5,988.54 | $10,825.00 | $680.47 – $7,186.25 | 10 |
| Place slctv cath subclavian art CPT 36225 | $3,486.86 | $8,126.00 | $674.52 – $4,184.24 | 10 |
| Place slctv cath vertebral art uni CPT 36226 | $5,988.54 | $15,010.00 | $760.22 – $7,186.25 | 10 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $163.18 | $377.00 | $163.18 – $353.00 | 8 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | $81.67 | not published | $60.00 – $98.00 | 8 |
| Plasma protein fract,5%,50ml HCPCS P9043 | $8.94 | not published | $8.94 – $24.73 | 8 |
| Plasma volume multiple CPT 78111 | $1,446.24 | $4,379.00 | $56.25 – $3,535.83 | 12 |
| Plasma volume single CPT 78110 | $1,446.24 | not published | $45.00 – $3,535.83 | 12 |
| Platelet aggregation each agent teg CPT 85576 | $24.91 | $270.00 | $24.91 – $114.15 | 11 |
| Platelet automated CPT 85049 | $4.48 | $75.00 | $4.48 – $20.53 | 11 |
| Platelet deplete of harvest CPT 38213 | $484.32 | $1,482.00 | $24.60 – $1,456.08 | 9 |
| Platelet pheresis each unit HCPCS P9034 | $439.95 | $3,608.00 | $353.00 – $527.94 | 8 |
| Platelet pheresis irr ea HCPCS P9036 | $651.01 | $1,824.00 | $353.00 – $781.21 | 8 |
| Platelets each unit HCPCS P9019 | $84.15 | $446.00 | $84.15 – $353.00 | 8 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $861.32 | $5,062.00 | $353.00 – $1,033.58 | 8 |
| Platelets irradiated ea unit HCPCS P9032 | $150.42 | $473.00 | $150.42 – $353.00 | 8 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $139.33 | $1,713.00 | $139.33 – $353.00 | 8 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $227.54 | not published | $227.54 – $273.04 | 7 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $251.75 | $3,971.00 | $251.75 – $353.00 | 8 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $508.74 | not published | $508.74 – $610.49 | 7 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $539.62 | $2,910.00 | $353.00 – $647.54 | 8 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $748.51 | $4,290.00 | $353.00 – $898.21 | 8 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $650.60 | $3,630.00 | $353.00 – $780.72 | 8 |
| Platelet survival CPT 78191 | $445.16 | not published | $123.75 – $1,021.05 | 12 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,909.56 | $8,334.00 | $534.94 – $4,691.48 | 8 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | $7,244.00 | $419.70 – $419.70 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,820.84 | $8,534.00 | $416.96 – $4,585.01 | 8 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,820.84 | $7,755.00 | $696.85 – $4,585.01 | 8 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | $3,650.00 | $1,623.61 – $1,623.61 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $779.45 | $2,267.00 | $173.29 – $935.34 | 8 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | $1,216.00 | $87.64 – $87.64 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | $2,750.00 | $650.19 – $650.19 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | $1,410.00 | $129.15 – $129.15 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | $1,265.00 | $102.38 – $102.38 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | $1,065.00 | $86.98 – $86.98 | 1 |
| Plerixafor injection HCPCS J2562 | $119.47 | not published | $101.55 – $822.02 | 10 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $344.98 | $1,210.00 | $77.98 – $464.00 | 10 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,057.50 – $1,921.93 | 2 |
| Plmt access bil tree sm bwl CPT 47541 | $6,912.52 | $9,922.00 | $682.57 – $8,295.02 | 8 |
| Plmt biliary drainage cath CPT 47534 | $3,909.56 | $8,334.00 | $747.99 – $4,691.48 | 8 |
| Plmt nephroureteral catheter CPT 50433 | $3,820.84 | $4,527.00 | $519.37 – $4,585.01 | 8 |
| Plmt ureteral stent prq CPT 50694 | $3,820.84 | $8,005.00 | $543.68 – $4,585.01 | 10 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $67.81 – $135.83 | 2 |
| Pm device progr eval dual CPT 93280 | $41.31 | $286.00 | $41.31 – $138.26 | 9 |
| Pm device progr eval multi CPT 93281 | $41.31 | $123.00 | $41.31 – $146.85 | 9 |
| Pml/raralpha 1 breakpoint CPT 81316 | $207.31 | not published | $105.80 – $949.97 | 12 |
| Pmp22 gene dup/delet CPT 81324 | $758.36 | $2,115.00 | $758.36 – $3,475.07 | 11 |
| Pmp22 gene full sequence CPT 81325 | $769.58 | $2,200.00 | $769.58 – $3,526.48 | 11 |
| Pmp22 gene known fam variant CPT 81326 | $46.60 | not published | $46.60 – $213.54 | 11 |
| Pm phone r-strip device eval CPT 93293 | $41.31 | $392.00 | $41.31 – $82.30 | 9 |
| Pms2 gene dup/delet variants CPT 81319 | $203.50 | $1,782.00 | $203.50 – $932.51 | 11 |
| Pms2 gene full seq analysis CPT 81317 | $676.50 | $1,860.00 | $676.50 – $3,099.96 | 11 |
| Pms2 known familial variants CPT 81318 | $331.00 | not published | $290.02 – $1,516.76 | 11 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $684.92 | not published | $90.75 – $821.90 | 9 |
| #pnh-flow cytometry interp CPT 88187 | not published | $275.00 | $64.29 – $75.20 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $26.07 | $468.00 | $26.07 – $119.46 | 11 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $136.23 | $506.07 | $115.80 – $243.89 | 9 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,127.09 | $9,523.00 | $1,127.09 – $1,874.06 | 10 |
| Polysom any age 1-3> param CPT 95808 | $1,127.09 | not published | $612.50 – $1,228.52 | 9 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,127.09 | $9,782.00 | $1,127.09 – $1,818.00 | 9 |
| Porfimer sodium injection HCPCS J9600 | $24,228.42 | not published | $5,479.72 – $46,936.51 | 9 |
| Positional change of finger CPT 26555 | $7,913.97 | $11,219.00 | $3,015.68 – $9,496.76 | 8 |
| Positional nystagmus test CPT 92532 | not published | $255.00 | $322.00 – $322.00 | 1 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $8.43 – $8.43 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $1,841.89 | $1,155.00 | $247.91 – $2,210.27 | 8 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $1,841.89 | $1,155.00 | $328.27 – $2,210.27 | 8 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $1,841.89 | $1,155.00 | $485.98 – $2,210.27 | 8 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | $3,080.00 | $1,586.00 – $1,586.00 | 1 |
| Post op service lvrs min 6 HCPCS G0305 | $587.81 | not published | $587.81 – $705.37 | 7 |
| Postpartum Care Only CPT 59430 | not published | $417.00 | $237.64 – $376.79 | 3 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | $2,750.00 | $1,600.14 – $1,600.14 | 1 |
| Potassium 24 hour urine CPT 84133 | $4.73 | $58.00 | $4.73 – $21.67 | 11 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | $8.00 | $0.14 – $0.32 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | $5.83 | not published | $5.40 – $26.72 | 12 |
| Potassium serum/plasma/whole blood CPT 84132 | $4.76 | $173.00 | $4.76 – $21.81 | 11 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $6.09 – $10.00 | 2 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.83 – $7.91 | 2 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.46 – $4.06 | 2 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.97 – $6.50 | 2 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $4.03 – $6.62 | 2 |
| Pq biliary strict dil s&i CPT 74363 | not published | $1,959.00 | $400.95 – $457.48 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | $2,008.00 | $115.76 – $239.36 | 5 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $7,913.97 | $14,295.00 | $1,002.44 – $9,496.76 | 8 |
| Pq thr inj ext pse CPT 36002 | $684.92 | $2,057.00 | $355.00 – $821.90 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | $5,246.00 | $428.90 – $428.90 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,594.44 | $6,529.00 | $904.20 – $4,313.33 | 8 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,594.44 | $6,529.00 | $852.21 – $4,313.33 | 8 |
| Pralatrexate injection HCPCS J9307 | $388.83 | not published | $330.51 – $686.62 | 10 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | $435.30 | $132.61 – $132.61 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,594.44 | $6,674.00 | $320.25 – $4,313.33 | 10 |
| Pr application of long arm splint CPT 29105 | $174.80 | $688.00 | $87.45 – $795.00 | 10 |
| Pr application splint static short arm CPT 29125 | $142.80 | $605.00 | $72.50 – $795.00 | 11 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $43.48 | $102.00 | $8.43 – $389.00 | 9 |
| Pr biopsy skin punch single lesion CPT 11104 | $442.61 | $1,285.00 | $98.36 – $531.13 | 8 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $14,254.12 | $30,301.00 | $1,299.77 – $17,104.94 | 8 |
| Pr correction hammertoe CPT 28285 | $3,594.44 | $4,760.00 | $842.00 – $4,313.33 | 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.