Raritan Bay Medical Center
RARITAN BAY MEDICAL CENTER in Perth Amboy, NJ charges 7.5x the Medicare reimbursement rate across 64 analyzed procedures, representing typical pricing for a nonprofit-private hospital.
Perth Amboy, NJ 08861 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
7.48x
Charge / Medicare rate
Max markup
14.59x
Worst procedure
Procedures analyzed
64
With pricing data
Outlier procedures
3.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $47,384 | $23,692 | — | 14.6x |
| PSYCHOSES | 885 | $111,110 | $55,555 | — | 11x |
| HYPERTENSION WITHOUT MCC | 305 | $48,223 | $24,112 | — | 10.7x |
| SYNCOPE AND COLLAPSE | 312 | $58,780 | $29,390 | — | 9.9x |
| CHEST PAIN | 313 | $43,957 | $21,978 | — | 9.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $61,668 | $30,834 | — | 9.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $54,001 | $27,001 | — | 9.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $57,475 | $28,738 | — | 9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $74,213 | $37,107 | — | 8.7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $56,067 | $28,033 | — | 8.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $65,306 | $32,653 | — | 8.6x |
| RENAL FAILURE WITH CC | 683 | $55,240 | $27,620 | — | 8.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $46,829 | $23,414 | — | 8.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $46,676 | $23,338 | — | 8.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $49,144 | $24,572 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $43,014 | $21,507 | — | 8.3x |
| CELLULITIS WITHOUT MCC | 603 | $48,464 | $24,232 | — | 8.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $81,121 | $40,560 | — | 8.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $63,498 | $31,749 | — | 8.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $43,169 | $21,585 | — | 8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,137 | $29,569 | — | 8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $63,585 | $31,793 | — | 7.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $45,849 | $22,924 | — | 7.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $75,845 | $37,922 | — | 7.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $52,216 | $26,108 | — | 7.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $67,087 | $33,544 | — | 7.7x |
| DIABETES WITH CC | 638 | $49,107 | $24,553 | — | 7.7x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $79,950 | $39,975 | — | 7.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $48,195 | $24,098 | — | 7.6x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $85,167 | $42,583 | — | 7.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $85,926 | $42,963 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $70,789 | $35,395 | — | 7.5x |
| SEIZURES WITHOUT MCC | 101 | $50,113 | $25,057 | — | 7.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $43,056 | $21,528 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $71,797 | $35,899 | — | 7.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $48,543 | $24,272 | — | 7.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $52,853 | $26,427 | — | 7.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $71,763 | $35,881 | — | 7.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $53,178 | $26,589 | — | 7.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $56,492 | $28,246 | — | 7.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $69,396 | $34,698 | — | 7.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $85,845 | $42,923 | — | 7.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $100,238 | $50,119 | — | 7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $118,025 | $59,013 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $103,493 | $51,747 | — | 6.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $50,588 | $25,294 | — | 6.7x |
| RENAL FAILURE WITH MCC | 682 | $74,866 | $37,433 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $101,697 | $50,848 | — | 6.6x |
| CELLULITIS WITH MCC | 602 | $72,273 | $36,136 | — | 6.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $72,105 | $36,053 | — | 6.3x |
Showing 50 of 64 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use