CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Bayshore Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$21,967

about 1.7× the $12,807 Medicare rate · typically $16,071–$35,649

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,825

Below the fair price — a good deal

about $6,142 under the fair price · 1.2× Medicare

Medicare pays $12,807 Fair price $21,967 This hospital $15,825 Cash price $15,348

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 6 of 8 other NJ hospitals charge less.

Cheapest $14,255 Priciest $17,251

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

A fair price for a Heart stent placement (inpatient stay) is about $21,967 (about 1.7× the $12,807 Medicare rate). Bayshore Medical Center charges insurers about $15,825, or about $15,348 in cash — below the fair price — a good deal. 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	$15,105 - $68,366	118%
Blue Cross Blue Shieldmajor	$14,386	112%
Aetnamajor	$14,386 - $50,468	112%
Cignamajor	$49,755 - $54,873	388%
Amerigroup	$14,386	112%
Clover Health	$15,825	124%
WellCare	$14,386	112%
+ 4 smaller / regional plans	$6,542 - $58,690

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 15,348), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Bayshore Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Bayshore Medical Center

Compare: Heart stent placement (inpatient stay) at other NJ hospitals

Valley Hospital · Paramus $14,255
Cape Regional Medical Center Inc · Cape May Court House $14,518
Shore Medical Center · Somers Point $14,609
Carewell Health Medical Center · East Orange $15,632
Southern Ocean Medical Center · Manahawkin $15,685
Riverview Medical Center · Red Bank $15,719
St Luke's Warren Hospital · Phillipsburg $16,991
Jfk University Medical Center · Edison $17,251

Insurance negotiated median for the same procedure, sorted lowest first.