CMS Price Transparency Data

Total hip replacement

Facility: Bayshore Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15,554
about 1.2× the $13,117 Medicare rate · typically $11,211–$21,040
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,231
About the fair price
about $1,323 under the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $15,554 This hospital $14,231 Cash price $14,242 Hospital's list price $16,225

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 7 of 8 other NJ hospitals charge less.

Cheapest $9,176 Priciest $14,240

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

A fair price for a Total hip replacement is about $15,554 (about 1.2× the $13,117 Medicare rate). Bayshore Medical Center charges insurers about $14,231, or about $14,242 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 $2,379 - $26,868 18%
Blue Cross Blue Shieldmajor $14,242 109%
Aetnamajor $2,661 - $15,524 20%
Cignamajor $12,980 - $14,221 99%
AmeriHealth $13,941 - $15,790 106%
Clover Health $2,920 22%
WellCare $14,242 109%
+ 6 smaller / regional plans $1,613 - $21,455
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