CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Bayshore Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,324
about 1.5× the $23,504 Medicare rate · typically $26,811–$60,577
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,870
Below the fair price — a good deal
about $7,454 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $34,324 This hospital $26,870 Cash price $26,180

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NJ hospitals compared.

Cheapest $24,753 Priciest $30,046

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,324 (about 1.5× the $23,504 Medicare rate). Bayshore Medical Center charges insurers about $26,870, or about $26,180 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 $25,765 - $116,614 110%
Blue Cross Blue Shieldmajor $24,538 104%
Aetnamajor $24,538 - $86,084 104%
Cignamajor $93,598 398%
Amerigroup $24,538 104%
Clover Health $26,992 115%
WellCare $24,538 104%
+ 4 smaller / regional plans $6,542 - $100,110
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