Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
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 |
|---|---|---|---|---|
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | $14,508.00 | $2,239.04 – $2,239.04 | 1 |
| Lengthen metacarpal/finger CPT 26568 | $7,907.11 | $11,431.00 | $1,969.77 – $9,488.53 | 7 |
| Lengthen radius or ulna CPT 25391 | $14,241.77 | $27,355.00 | $2,083.57 – $17,090.12 | 7 |
| Lengthen radius & ulna CPT 25393 | $7,907.11 | not published | $2,355.38 – $9,488.53 | 7 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | not published | $3,447.20 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | $2,590.98 | $181.72 – $181.72 | 1 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | $744.00 | $181.72 – $181.72 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | $80.98 | $3.36 – $8.14 | 4 |
| Leukacyte transfusion CPT 86950 | $189.67 | not published | $26.45 – $306.15 | 9 |
| Leukocyte phagocytosis CPT 86344 | $10.39 | not published | $10.39 – $47.61 | 12 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $155.42 | $7,299.36 | $132.11 – $431.07 | 8 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $1,737.10 | $6,519.90 | $1,476.54 – $2,933.51 | 8 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | $220.74 | not published | $187.63 – $462.75 | 8 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | $51.41 | not published | $43.70 – $77.89 | 8 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.06 – $0.13 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | $0.95 | $0.04 – $0.19 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $13.25 | $314.00 | $8.33 – $60.72 | 12 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | $33.61 | $1.18 – $1.87 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | $61.61 | $6.55 – $6.55 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $3,560.12 | $9,819.00 | $3,560.12 – $4,272.14 | 6 |
| Liberta rc ipg HCPCS C1820 | not published | $135,184.80 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $14.69 | $83.00 | $14.69 – $67.31 | 12 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | $114.00 | $68.62 – $134.64 | 2 |
| Lift heel adjustable med HCPCS L3334 | not published | $58.00 | $35.52 – $69.66 | 2 |
| Ligate leg veins open CPT 37761 | $3,483.84 | $8,064.00 | $1,090.96 – $4,180.61 | 7 |
| Ligate leg veins radical 37760 CPT 37760 | $3,483.84 | $6,571.00 | $1,161.50 – $4,180.61 | 7 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | $920.00 | $153.91 – $153.91 | 1 |
| Ligate/strip long leg vein CPT 37722 | $3,483.84 | $9,648.00 | $933.53 – $4,180.61 | 7 |
| Ligate/strip short leg vein CPT 37718 | $3,483.84 | $7,967.00 | $794.36 – $4,180.61 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $3,519.29 | $6,699.00 | $774.09 – $4,223.15 | 7 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,793.38 | $6,596.00 | $421.63 – $2,152.05 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $3,483.84 | $6,637.00 | $499.73 – $4,180.61 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | $3,483.84 | not published | $1,537.59 – $4,180.61 | 7 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $3,483.84 | $7,635.00 | $1,480.86 – $4,180.61 | 7 |
| Ligation internal jugular vein 37565 CPT 37565 | $3,483.84 | $3,782.00 | $1,494.16 – $4,180.61 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | $3,746.00 | $808.23 – $808.23 | 1 |
| Ligation major artery neck CPT 37615 | $3,483.84 | $8,089.00 | $368.00 – $4,180.61 | 8 |
| Ligation nasal sinus artery CPT 30915 | $3,483.84 | not published | $1,268.92 – $4,180.61 | 7 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | $4,104.00 | $2,692.24 – $2,692.24 | 1 |
| Ligation of femoral vein CPT 37650 | $3,483.84 | not published | $926.99 – $4,180.61 | 7 |
| Ligation of inf vena cava CPT 37619 | $5,983.35 | $9,661.00 | $3,531.28 – $7,180.02 | 7 |
| Ligation of neck artery CPT 37606 | $3,483.84 | not published | $1,550.96 – $4,180.61 | 7 |
| Ligation of salivary duct CPT 42665 | $3,589.62 | $9,386.00 | $460.33 – $4,307.55 | 7 |
| Ligation upper jaw artery CPT 30920 | $3,483.84 | $7,355.00 | $1,828.65 – $4,180.61 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $3,483.84 | $7,301.00 | $522.05 – $4,180.61 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | $3,483.84 | $7,559.00 | $760.11 – $4,180.61 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | $3,483.84 | $7,915.00 | $1,173.06 – $4,180.61 | 7 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $830.14 – $830.14 | 1 |
| Limb exercise test CPT 95875 | $173.18 | $1,211.00 | $173.18 – $992.00 | 8 |
| Limited visual field xm CPT 92081 | $65.75 | $233.00 | $56.30 – $78.90 | 7 |
| Lincomycin injection HCPCS J2010 | not published | not published | $4.77 – $20.36 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | $58.96 | $2.95 – $12.61 | 4 |
| Lipase CPT 83690 | $6.89 | $132.00 | $5.18 – $31.57 | 12 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $3,589.62 | $5,977.00 | $732.31 – $4,307.55 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | $33.86 | $76.00 | $18.69 – $155.16 | 12 |
| Lipoprotein blood quant CPT 83704 | $34.19 | $165.00 | $23.75 – $156.67 | 12 |
| Lipoprotein direct measurement hdl CPT 83718 | $8.19 | $92.00 | $8.19 – $37.53 | 12 |
| Lipoprotein direct measurement ldl CPT 83721 | $10.50 | $83.00 | $10.50 – $48.11 | 12 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $34.19 | not published | $16.12 – $156.67 | 12 |
| Lip surgery procedure CPT 40799 | $257.04 | $639.00 | $257.04 – $368.00 | 7 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $541,635.66 | not published | $460,390.31 – $933,986.41 | 9 |
| Listeria monocytogenes CPT 86723 | $13.19 | not published | $8.59 – $60.44 | 12 |
| Lithium therapeutic drug level CPT 80178 | $6.61 | $135.00 | $6.61 – $30.29 | 12 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | $5,738.00 | $254.29 – $254.29 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | $3,714.00 | $2,505.73 – $2,505.73 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $176.19 | not published | $81.05 – $655.68 | 10 |
| Liver elastography 91200 CPT 91200 | $173.18 | $563.00 | $39.78 – $377.83 | 9 |
| Liver Function Test CPT 80076 | $8.17 | $167.00 | $8.05 – $37.44 | 12 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,989.94 – $2,989.94 | 1 |
| Liver imaging CPT 78201 | $595.79 | $2,338.00 | $74.41 – $1,325.05 | 11 |
| Liver imag w/vasclr flow CPT 78202 | $595.79 | $2,798.00 | $92.40 – $1,325.05 | 11 |
| Liver/spleen imag static only CPT 78215 | $444.77 | $2,548.00 | $56.00 – $1,021.05 | 11 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $444.77 | $1,818.00 | $107.56 – $1,021.05 | 11 |
| Lmtd oph exam general anes CPT 92019 | $2,582.26 | $4,443.00 | $118.82 – $3,098.71 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,591.33 | $6,562.00 | $980.73 – $4,309.59 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.53 – $1.78 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $216.74 | not published | $184.23 – $261.32 | 8 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | $5.86 | $1.12 – $1.57 | 4 |
| Loudness balance test CPT 92562 | $344.68 | not published | $83.12 – $413.61 | 7 |
| Low back disk surgery CPT 63030 | $7,907.11 | $12,445.00 | $1,927.35 – $9,488.53 | 7 |
| Low cost skin substitute app HCPCS C5271 | $677.54 | $2,303.00 | $677.54 – $813.05 | 6 |
| Low cost skin substitute app HCPCS C5273 | $2,024.70 | $6,061.00 | $2,024.70 – $2,429.64 | 6 |
| Low cost skin substitute app HCPCS C5275 | $677.54 | $2,296.00 | $677.54 – $813.05 | 6 |
| Low cost skin substitute app HCPCS C5277 | $677.54 | $1,921.00 | $677.54 – $813.05 | 6 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $197.04 | $3,843.00 | $197.04 – $1,762.00 | 13 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $395.29 | $3,414.00 | $238.25 – $2,083.00 | 13 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $117.70 | $3,051.00 | $117.70 – $1,762.00 | 13 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $395.29 | $6,039.00 | $395.29 – $4,332.00 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $395.29 | $4,675.00 | $395.29 – $4,332.00 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $267.55 | $4,439.00 | $267.55 – $4,332.00 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $117.70 | $743.00 | $30.80 – $295.04 | 11 |
| Lower jaw bone graft CPT 21215 | $6,547.81 | $11,858.00 | $1,631.86 – $7,857.37 | 7 |
| Low frequency non-thermal Ultrasound CPT 97610 | $219.93 | $589.00 | $28.81 – $263.92 | 7 |
| Lsh uterus 250 g or less CPT 58541 | $11,523.76 | $14,849.00 | $1,516.43 – $13,828.52 | 7 |
| Lsh uterus above 250 g CPT 58543 | $11,523.76 | $18,398.00 | $1,746.98 – $13,828.52 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $11,523.76 | $17,606.00 | $1,720.40 – $13,828.52 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $11,523.76 | $17,606.00 | $1,876.27 – $13,828.52 | 7 |
| L/s ratio fetal lung CPT 83661 | $21.99 | $180.00 | $12.08 – $100.77 | 12 |
| Lumbar diskogram s&i CPT 72295 | $2,161.44 | $5,369.00 | $70.00 – $4,750.01 | 10 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $20,355.21 | $24,087.00 | $3,295.05 – $24,426.25 | 7 |
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.