Yes the best bet is to pull the motor, the Ram was never built to accomodate in-frame major engine service. I've heard it can be done (hone #5 & #6 in the truck) but it's difficult.
As far as cost I don't know, but I was told if I had mine done all the way up with new pistons, balancing, new head assembly with some mild porting and block O-ringed it would be in the $5k range. So definitely less than that.
Did you hurt a cylinder? If so it would need rebored and new pistons.
Vaughn