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 |
|---|---|---|---|---|
| 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 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $21.16 – $21.16 | 1 |
| 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 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $237.51 – $389.89 | 2 |
| 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 |
| Polyvalent mult org ea ag ia CPT 87451 | $10.51 | not published | $10.51 – $48.16 | 12 |
| Porfimer sodium injection HCPCS J9600 | $24,228.42 | not published | $5,479.72 – $46,936.51 | 9 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $71.53 – $214.59 | 3 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $71.53 – $214.59 | 3 |
| 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-coital mucous exam HCPCS Q0115 | $25.00 | not published | $21.73 – $114.56 | 12 |
| Post d/c phone follow up HCPCS G0544 | $102.47 | not published | $102.47 – $122.97 | 7 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | $3,080.00 | $1,586.00 – $1,586.00 | 1 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $417.50 – $913.78 | 2 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | $692.00 | $430.41 – $846.81 | 2 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $517.84 – $1,133.40 | 2 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,142.97 – $2,501.61 | 2 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,443.52 – $3,159.43 | 2 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | $1,023.00 | $637.18 – $1,045.97 | 2 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $396.79 – $868.45 | 2 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,874.87 – $3,077.62 | 2 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,314.90 – $2,390.89 | 2 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $508.50 – $834.71 | 2 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,977.39 – $3,353.52 | 2 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | $1,703.00 | $1,060.30 – $2,320.68 | 2 |
| 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 clsd w barr attached HCPCS A5051 | not published | not published | $2.28 – $3.74 | 2 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.90 – $6.41 | 2 |
| 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 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $137.00 | not published | $123.30 – $627.78 | 12 |
| 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 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $33.00 | $83.00 | $19.78 – $308.00 | 10 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | $5,778.00 | $591.30 – $591.30 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | $5,253.00 | $506.34 – $506.34 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,820.84 | $5,940.00 | $292.50 – $15,984.00 | 11 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $220.12 | $671.00 | $58.58 – $812.50 | 10 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | $121.00 | $80.99 – $956.00 | 4 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | $200.00 | $193.46 – $956.00 | 3 |
| Prealbumin CPT 84134 | $14.59 | $133.00 | $14.59 – $66.86 | 11 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $13.56 – $15.60 | 3 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $30.55 – $85.00 | 3 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $14.27 – $14.27 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | $1.24 | $0.23 – $0.56 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | $1.95 | $0.01 – $0.04 | 3 |
| Prefab glove for term device HCPCS L6890 | not published | $349.00 | $215.37 – $353.54 | 2 |
| Prefab stnlss steel crown pe HCPCS D2931 | $1,841.89 | $1,155.00 | $464.22 – $2,210.27 | 8 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $1,841.89 | $1,155.00 | $390.53 – $2,210.27 | 8 |
| Pregabalin - sendout CPT 80366 | not published | not published | $33.87 – $53.23 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,101.52 | $3,428.00 | $417.63 – $2,521.83 | 8 |
| Pregnancy associated plasma protein-a CPT 84163 | $15.05 | $118.00 | $15.05 – $68.96 | 11 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $117.81 | $825.00 | $117.81 – $333.21 | 11 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $117.81 | $1,180.00 | $117.81 – $295.04 | 11 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | $414.00 | $164.13 – $164.13 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | $1,070.00 | $170.00 – $910.23 | 3 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | $1,890.00 | $137.50 – $1,671.43 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | $344.98 | not published | $344.98 – $413.97 | 7 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | $587.81 | not published | $587.81 – $705.37 | 7 |
| Pre-op service lvrs complete HCPCS G0302 | $587.81 | not published | $587.81 – $705.37 | 7 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,172.39 – $4,199.98 | 2 |
| Prep ak ischial laminated HCPCS L5590 | not published | $4,066.00 | $2,533.46 – $4,996.68 | 2 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,156.76 – $4,039.82 | 2 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,462.30 – $4,903.19 | 2 |
| Preparation for bladder xray CPT 51605 | not published | $109.00 | $81.73 – $81.73 | 1 |
| Preparation palate mold CPT 42280 | $564.16 | not published | $69.58 – $676.99 | 9 |
| Prepare donor heart CPT 33944 | not published | not published | $1,081.35 – $1,081.35 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $1,267.27 – $1,267.27 | 1 |
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.