CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Bayshore Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,543
about 1.7× the $14,117 Medicare rate · typically $17,800–$37,925
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,098
Below the fair price — a good deal
about $5,445 under the fair price · 1.3× Medicare
Medicare pays $14,117 Fair price $23,543 This hospital $18,098 Cash price $16,645

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NJ hospitals compared.

Cheapest $15,248 Priciest $19,869

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

A fair price for a Sepsis treatment (inpatient stay) is about $23,543 (about 1.7× the $14,117 Medicare rate). Bayshore Medical Center charges insurers about $18,098, or about $16,645 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 $16,382 - $74,144 116%
Blue Cross Blue Shieldmajor $15,602 111%
Aetnamajor $15,602 - $54,733 111%
Cignamajor $53,960 - $59,510 382%
Amerigroup $15,602 111%
AmeriHealth $13,707 97%
Clover Health $17,162 122%
WellCare $15,602 111%
+ 5 smaller / regional plans $5,778 - $78,632
Government programs also on file: Military & VA.

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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