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 |
|---|---|---|---|---|
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,038.07 | $6,034.00 | $212.72 – $3,645.69 | 8 |
| Proctosigmoidoscopy w/stent CPT 45327 | $6,594.64 | not published | $246.94 – $7,913.57 | 8 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $108.42 – $121.14 | 2 |
| Progesterone CPT 84144 | $20.86 | $286.00 | $20.86 – $95.59 | 11 |
| Prolactin CPT 84146 | $19.38 | $300.00 | $19.38 – $88.81 | 11 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $37.53 – $37.53 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $17.55 – $17.55 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $66.19 – $66.19 | 1 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | $92.00 | $50.37 – $50.37 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | $367.45 | $690.00 | $367.45 – $440.94 | 7 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $33.15 – $52.82 | 2 |
| Prolong service without contact CPT 99358 | not published | not published | $147.71 – $147.71 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $61.67 – $61.67 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.35 – $0.45 | 2 |
| Promethazine hcl injection HCPCS J2550 | not published | $8.13 | $2.44 – $5.52 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $331.16 | $825.00 | $331.16 – $468.02 | 8 |
| Proph rta dtchmnt pc CPT 67145 | $607.75 | $1,507.00 | $468.02 – $729.30 | 8 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $14,254.12 | $19,370.00 | $1,878.63 – $17,104.94 | 8 |
| Prophylactic tx radius CPT 25490 | $7,913.97 | $12,716.00 | $1,569.89 – $9,496.76 | 8 |
| Prophylactic tx radius&ulna CPT 25492 | $3,594.44 | not published | $1,967.19 – $4,313.33 | 8 |
| Prophylactic tx ulna CPT 25491 | $14,254.12 | not published | $1,611.50 – $17,104.94 | 8 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | $0.64 | $0.08 – $0.28 | 4 |
| _propoxygc/msur CPT 80367 | not published | not published | $38.38 – $53.23 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | $10.19 | $4.87 – $4.87 | 1 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | $115.00 | $70.00 – $140.39 | 2 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | $208.00 | $234.59 – $234.59 | 1 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | $35.00 | $20.87 – $43.70 | 2 |
| Pros sock single ply ak HCPCS L8480 | not published | $16.00 | $8.74 – $19.14 | 2 |
| Pros sock single ply upper l HCPCS L8485 | not published | $20.00 | $10.61 – $23.13 | 2 |
| Prostate biopsy, any mthd HCPCS G0416 | $398.51 | $1,870.00 | $398.51 – $672.81 | 9 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $15.45 – $15.60 | 2 |
| Prostatectomy (turp) CPT 52601 | $5,631.74 | $9,845.00 | $1,536.01 – $6,758.08 | 8 |
| Prostate laser enucleation CPT 52649 | $5,631.74 | $10,151.00 | $1,744.73 – $6,795.04 | 9 |
| Prostatic microwave thermotx CPT 53850 | $3,820.84 | $10,151.00 | $766.44 – $4,585.01 | 8 |
| Prostatic rf thermotx CPT 53852 | $3,820.84 | $10,151.00 | $819.69 – $4,585.01 | 8 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | $1,056.36 | $101.82 – $203.96 | 2 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $39.05 – $78.22 | 2 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | $36.00 | $21.41 – $40.42 | 2 |
| Prosthetic type socket molde HCPCS L2350 | not published | $1,697.00 | $1,055.63 – $1,738.44 | 2 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | $13.00 | $6.34 – $13.87 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | $10.97 | $1.39 – $3.18 | 4 |
| Protect body sock ea pre ots HCPCS L0984 | not published | $94.00 | $58.36 – $116.80 | 2 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | $4,521.64 | not published | 0 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $120.15 | 7 |
| Protein c activity CPT 85303 | $13.84 | $233.00 | $13.84 – $63.42 | 11 |
| Protein c concentrate HCPCS J2724 | $1.50 | not published | $1.50 – $32.41 | 10 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $10.74 | $174.00 | $10.74 – $49.21 | 11 |
| Protein s total CPT 85305 | $11.61 | $252.00 | $11.61 – $53.20 | 11 |
| Protein total 24 hour urine CPT 84156 | $3.67 | $127.00 | $3.67 – $16.82 | 11 |
| Protein total body fluid CPT 84157 | $4.00 | $95.00 | $4.00 – $18.33 | 11 |
| Protein total serum plasma whole blood CPT 84155 | $3.67 | $242.00 | $3.67 – $16.82 | 11 |
| Protein western blot tissue CPT 88371 | not published | not published | $22.23 – $101.87 | 7 |
| Prothrombin complex kcentra HCPCS J7168 | $2.14 | not published | $2.14 – $4.27 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $3.94 | $80.00 | $3.94 – $18.05 | 11 |
| Proton treatment complex CPT 77525 | $1,413.04 | not published | $1,413.04 – $1,695.64 | 9 |
| Proton trmt intermediate CPT 77523 | $1,413.04 | not published | $1,349.17 – $1,913.67 | 9 |
| Proton trmt simple w/comp CPT 77522 | $1,413.04 | not published | $1,174.97 – $2,545.72 | 9 |
| Proton trmt simple without comp CPT 77520 | $640.84 | not published | $640.84 – $2,641.07 | 9 |
| Protoporphyrin rbc screen CPT 84203 | $9.74 | not published | $6.75 – $44.63 | 12 |
| Provide inr test mater/equip HCPCS G0249 | $142.76 | not published | $125.61 – $171.32 | 9 |
| Provox xtraflange 17fr HCPCS L8499 | not published | $209.00 | not published | 0 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $612.15 – $947.21 | 2 |
| Prp i/hern init block >5 yr CPT 49507 | $3,909.56 | $9,164.00 | $642.50 – $4,691.48 | 10 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $102.47 | $258.00 | $102.47 – $126.98 | 8 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $42.93 – $55.37 | 2 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $19,892.81 | $56,674.00 | $19,892.81 – $23,871.38 | 7 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $19,892.81 | $56,674.00 | $19,892.81 – $23,871.38 | 7 |
| Prq card angio/athrect addl CPT 92925 | not published | $16,464.00 | $439.35 – $16,987.60 | 2 |
| Prq cardiac angio addl art CPT 92921 | not published | $13,752.00 | $502.77 – $9,707.20 | 2 |
| Prq card revasc chronic addl CPT 92944 | not published | $20,625.00 | $538.39 – $9,707.20 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | $20,625.00 | $1,083.56 – $9,707.20 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | $19,125.00 | $9,707.20 – $9,707.20 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | $20,625.00 | $387.30 – $9,707.20 | 2 |
| Prq card stent w/angio addl CPT 92929 | not published | $13,750.00 | $678.48 – $9,707.20 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $12,563.31 | $20,625.00 | $812.48 – $15,075.97 | 10 |
| Prq revasc byp graft addl CPT 92938 | not published | $20,625.00 | $494.83 – $9,707.20 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $7,913.97 | $13,169.00 | $1,307.73 – $9,496.76 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | $1,772.97 | $5,503.00 | $1,584.22 – $2,127.56 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $7,913.97 | $12,082.00 | $1,731.25 – $9,496.76 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $7,913.97 | $20,813.00 | $1,108.30 – $9,496.76 | 8 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $7,913.97 | $18,357.00 | $836.37 – $9,496.76 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $12,563.31 | $18,953.00 | $813.43 – $15,075.97 | 10 |
| Prq trlml c athrc st angiop1 CPT 92933 | $19,892.81 | $21,657.00 | $909.58 – $23,871.38 | 10 |
| Prq trluml c angiop 1art&/br CPT 92920 | $6,316.26 | $13,750.00 | $732.40 – $9,707.20 | 10 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $12,563.31 | $16,464.00 | $870.80 – $16,987.60 | 10 |
| Prq trluml revsc ch occ ant CPT 92943 | $12,563.31 | $21,657.00 | $911.40 – $15,075.97 | 10 |
| Pr removal drug delivery implant CPT 11982 | $442.06 | $1,209.00 | $153.25 – $530.48 | 8 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $142.80 | $452.00 | $45.50 – $795.00 | 11 |
| Pr removal intrauterine device CPT 58301 | $336.99 | $551.00 | $138.89 – $404.39 | 8 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $442.61 | $1,375.00 | $198.00 – $795.00 | 10 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $220.12 | $880.00 | $94.50 – $795.00 | 10 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $220.12 | $897.00 | $120.08 – $795.00 | 10 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $220.12 | $825.00 | $93.97 – $795.00 | 10 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $220.12 | $908.00 | $123.08 – $795.00 | 10 |
| Pr robotic surgical system HCPCS S2900 | not published | $6,270.00 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,026.46 | $4,113.00 | $1,539.20 – $2,431.75 | 8 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $68.38 – $68.38 | 1 |
| Prtl exc bone olecrn process CPT 24147 | $3,594.44 | $8,371.00 | $1,381.83 – $4,313.33 | 8 |
| Prtl exc bone radial h/n CPT 24145 | $7,913.97 | $13,938.00 | $1,304.23 – $9,496.76 | 8 |
| Prtl exchange transfuse nb CPT 36456 | $484.32 | not published | $127.67 – $581.18 | 9 |
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.