CMS Price Transparency Data

Group therapy session

Facility: Bayshore Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 1.0× the $104 Medicare rate · typically $65–$141
modeled estimate · not a bill or quote
What this hospital charges insurers
$110
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $104 Fair price $108 This hospital $110 Cash price $102 Hospital's list price $413

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $110

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $108 (about 1.0× the $104 Medicare rate). Bayshore Medical Center charges insurers about $110, or about $102 in cash — about the fair price. Located in Holmdel, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $108 - $243 104%
Blue Cross Blue Shieldmajor $102 98%
Aetnamajor $68 - $372 66%
Cignamajor $330 - $395 318%
AmeriHealth $355 - $402 342%
Clover Health $74 71%
WellCare $102 98%
+ 6 smaller / regional plans $77 - $372
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 727 N Beers St, Holmdel, NJ 07733
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals