CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Bayshore Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.9× the $95 Medicare rate · typically $64–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $9 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $89 This hospital $98 Hospital's list price $374

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 $42 Priciest $98

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

A fair price for a Office visit, established patient (20-29 min) is about $89 (about 0.9× the $95 Medicare rate). Bayshore Medical Center charges insurers about $98 — 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.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $111 - $212 117%
Aetnamajor $68 - $337 71%
Cignamajor $299 314%
AmeriHealth $321 - $364 337%
Clover Health $67 70%
+ 6 smaller / regional plans $70 - $337
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