Shore Medical Center
100 Medical Center Way, Somers Point, NJ 08244 · 142 Priced Procedures · 62% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Aligned Regional Benchmark Peer
Shore Medical Center prices shoppable and inpatient services (1.6× to 1.0× Medicare, divergence 0.63×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 52% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (66/100 safety score) with 62% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (14.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.02× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.00× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 4,946) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Shore Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 142 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $26,855 | 0.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $16,284 | 0.9× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $16,172 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,811 | 0.8× |
| Total hip replacement CPT Code: 27130 | $14,002 | 1.0× |
| Total knee replacement CPT Code: 27447 | $14,002 | 1.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,802 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,739 | 0.8× |
| Inguinal hernia repair CPT Code: 49505 | $5,104 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $4,930 | 1.5× |
| Bunion correction surgery CPT Code: 28296 | $4,930 | 1.4× |
| Breast lump removal CPT Code: 19120 | $4,405 | 1.1× |
| Cataract surgery with lens implant CPT Code: 66984 | $3,737 | 1.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,013 | 2.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,013 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,357 | 0.9× |
| C-section delivery (full package) CPT Code: 59510 | $2,263 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,749 | 1.8× |
| Trauma team activation HCPCS Code: G0390 | $1,500 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,112 | 1.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $794 | 0.9× |
| Behavioral health counseling (group) HCPCS Code: H0009 | $667 | 2.5× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $615 | 1.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $573 | 1.1× |
| Psychological testing by technician CPT Code: 96138 | $503 | 1.3× |
Audit a Bill or Quote at Shore Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $9,300
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (14.4% of gross = $9,300).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Shore Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($64,452) is $33,677 above the denoised Fair BaseRate ($30,775) and 2.7× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (14.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Shore Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-07-23·administrative_or_closure
Closure Notice
Recorded - 2024-04-19·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare (376 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Shore Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.