Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $197.04 | $3,850.00 | $197.04 – $3,272.50 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $197.04 | $3,025.00 | $197.04 – $2,571.25 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $117.70 | $1,980.00 | $117.70 – $1,762.00 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $395.29 | $5,225.00 | $395.29 – $4,441.25 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $395.29 | $3,916.00 | $395.29 – $4,332.00 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $267.55 | $3,311.00 | $267.55 – $4,332.00 | 16 |
| Abdominal Ultrasound (complete) CPT 76700 | $117.70 | $1,362.00 | $117.70 – $1,225.80 | 16 |
| Abdominal Ultrasound (limited) CPT 76705 | $117.70 | $996.00 | $106.67 – $896.40 | 16 |
| Allergy Skin Testing CPT 95004 | $1,126.11 | $1,541.00 | $252.72 – $1,386.90 | 16 |
| Ankle X-ray CPT 73610 | $97.46 | $633.00 | $39.24 – $538.05 | 16 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | $75.00 | $12.30 – $67.50 | 12 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | $75.00 | $12.30 – $67.50 | 12 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | $173.00 | $28.37 – $155.70 | 12 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | $132.00 | $21.65 – $118.80 | 12 |
| Appendix Removal (Laparoscopic) CPT 44970 | $6,457.82 | $11,880.00 | $1,948.32 – $10,207.30 | 14 |
| Blood Clotting (PT/INR) Test CPT 85610 | $4.29 | $97.00 | $4.29 – $49.50 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $6.01 | $132.00 | $6.01 – $14.61 | 16 |
| Blood Count (CBC) Test CPT 85025 | $7.77 | $2,186.00 | $7.77 – $18.04 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $6.47 | $106.00 | $6.47 – $91.08 | 16 |
| Blood Culture Test CPT 87040 | $10.32 | $229.00 | $10.32 – $196.76 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $117.70 | $935.00 | $86.67 – $794.75 | 16 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $395.29 | $4,345.00 | $395.29 – $4,332.00 | 16 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $395.29 | $3,795.00 | $395.29 – $4,332.00 | 16 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $267.55 | $3,575.00 | $267.55 – $4,332.00 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $395.29 | $5,631.00 | $395.29 – $4,786.35 | 16 |
| Brain MRI (with contrast) CPT 70552 | $395.29 | $4,620.00 | $395.29 – $4,332.00 | 16 |
| Brain MRI (without contrast) CPT 70551 | $267.55 | $4,073.00 | $267.55 – $4,332.00 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,793.38 | $6,050.00 | $992.20 – $5,445.00 | 16 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $395.29 | $4,752.00 | $395.29 – $4,039.20 | 16 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $197.04 | $3,587.00 | $197.04 – $3,048.95 | 16 |
| CT Angiogram of the Head CPT 70496 | $197.04 | $3,443.00 | $197.04 – $2,926.55 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $395.29 | $6,430.00 | $395.29 – $5,465.50 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $395.29 | $4,650.00 | $395.29 – $3,952.50 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $267.55 | $3,740.00 | $267.55 – $3,179.00 | 16 |
| Cardiac Stress Test CPT 93015 | not published | $201.00 | $32.96 – $1,165.00 | 12 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $267.55 | $2,090.00 | $267.55 – $1,881.00 | 16 |
| Carpal Tunnel Release Surgery CPT 64721 | $2,161.44 | $5,972.00 | $979.41 – $5,131.14 | 14 |
| Cataract Surgery CPT 66984 | $2,524.45 | $7,351.00 | $1,205.56 – $6,315.98 | 14 |
| Chest CT scan (with and without contrast) CPT 71270 | $197.04 | $3,737.00 | $197.04 – $3,176.45 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $197.04 | $3,354.00 | $197.04 – $2,850.90 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $117.70 | $2,692.00 | $117.70 – $2,288.20 | 16 |
| Chest X-ray CPT 71046 | $97.46 | $497.00 | $36.57 – $422.45 | 16 |
| Chest X-ray (single view) CPT 71045 | $97.46 | $429.00 | $19.89 – $364.65 | 16 |
| Cholesterol (Lipid) Test CPT 80061 | $13.39 | $260.00 | $13.39 – $28.35 | 16 |
| Circumcision (newborn) CPT 54150 | $2,267.41 | $5,661.00 | $176.85 – $5,094.90 | 16 |
| Colonoscopy (diagnostic) CPT 45378 | $1,009.14 | $4,235.00 | $694.54 – $3,638.71 | 14 |
| Colonoscopy (with biopsy) CPT 45380 | $1,305.08 | $4,294.00 | $704.22 – $3,689.40 | 14 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,305.08 | $4,235.00 | $694.54 – $3,638.71 | 14 |
| Cystoscopy (Bladder Scope) CPT 52000 | $738.80 | $5,170.00 | $738.80 – $15,984.00 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $9.71 | $179.00 | $9.71 – $47.26 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $207.95 | $1,045.00 | $157.14 – $940.50 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | $164.52 | $737.00 | $123.32 – $663.30 | 16 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $49.09 – $49.09 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $97.46 | $649.00 | $97.46 – $1,522.00 | 13 |
| ER Visit (level 2) CPT 99282 | $175.28 | $1,348.00 | $175.28 – $1,522.00 | 13 |
| ER Visit (level 3) CPT 99283 | $306.48 | $2,090.00 | $306.48 – $1,776.50 | 13 |
| ER Visit (level 4) CPT 99284 | $471.32 | $3,025.00 | $471.32 – $2,571.25 | 13 |
| ER Visit (level 5, high severity) CPT 99285 | $678.62 | $4,125.00 | $676.50 – $3,506.25 | 13 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $606.89 | $4,021.00 | $606.89 – $3,618.90 | 16 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | $275.00 | $26.89 – $247.50 | 12 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | $314.00 | $52.02 – $282.60 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | $374.00 | $67.32 – $336.60 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | $495.00 | $89.10 – $445.50 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | $605.00 | $108.90 – $544.50 | 12 |
| Flexible Sigmoidoscopy CPT 45330 | $1,009.14 | $2,610.00 | $208.52 – $2,242.51 | 14 |
| Foot X-ray CPT 73630 | $97.46 | $649.00 | $39.24 – $551.65 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $6,457.82 | $10,973.00 | $1,799.57 – $15,984.00 | 14 |
| Hand X-ray CPT 73130 | $97.46 | $550.00 | $39.24 – $467.50 | 16 |
| Head CT scan (with and without contrast) CPT 70470 | $197.04 | $3,410.00 | $197.04 – $2,898.50 | 16 |
| Head CT scan (with contrast) CPT 70460 | $197.04 | $2,695.00 | $197.04 – $2,290.75 | 16 |
| Head CT scan (without contrast) CPT 70450 | $117.70 | $2,504.00 | $117.70 – $2,128.40 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | $3,906.18 | $9,680.00 | $1,587.52 – $8,317.06 | 14 |
| Hip X-ray CPT 73502 | $97.46 | $473.00 | $55.83 – $402.05 | 16 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $117.70 | $1,144.00 | $117.70 – $1,029.60 | 16 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $3,591.33 | $7,566.00 | $1,240.82 – $15,984.00 | 15 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $3,591.33 | $7,673.00 | $1,258.37 – $15,984.00 | 15 |
| Knee MRI (with and without contrast) CPT 73723 | $395.29 | $5,005.00 | $395.29 – $4,332.00 | 16 |
| Knee MRI (with contrast) CPT 73722 | $874.49 | $4,675.00 | $766.70 – $4,332.00 | 16 |
| Knee MRI (without contrast) CPT 73721 | $267.55 | $4,290.00 | $267.55 – $4,332.00 | 16 |
| Knee X-ray CPT 73564 | $117.70 | $809.00 | $46.88 – $687.65 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $267.55 | $2,682.00 | $267.55 – $2,413.80 | 16 |
| Liver Function Test CPT 80076 | $8.17 | $167.00 | $8.17 – $143.49 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $197.04 | $3,843.00 | $197.04 – $3,266.55 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $395.29 | $3,414.00 | $347.76 – $2,901.90 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $117.70 | $3,051.00 | $117.70 – $2,593.35 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $395.29 | $6,039.00 | $395.29 – $5,133.15 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $395.29 | $4,675.00 | $395.29 – $4,332.00 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $267.55 | $4,439.00 | $267.55 – $4,332.00 | 16 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $117.70 | $743.00 | $50.46 – $631.55 | 16 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $20,355.21 | $24,087.00 | $3,950.27 – $24,426.25 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $173.18 | $1,375.00 | $173.18 – $1,237.50 | 16 |
| Metabolic Blood Panel (Basic) CPT 80048 | $8.46 | $187.00 | $8.46 – $160.67 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $10.56 | $341.00 | $10.56 – $273.23 | 16 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $197.04 | $3,858.00 | $197.04 – $3,279.30 | 16 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $395.29 | $3,350.00 | $347.76 – $2,847.50 | 16 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $117.70 | $2,970.00 | $117.70 – $2,524.50 | 16 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $395.29 | $6,026.00 | $395.29 – $5,122.10 | 16 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $395.29 | $4,703.00 | $395.29 – $4,332.00 | 16 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $267.55 | $4,263.00 | $267.55 – $4,332.00 | 16 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $395.29 | $4,404.00 | $395.29 – $4,332.00 | 16 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $395.29 | $3,634.00 | $395.29 – $4,332.00 | 16 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $267.55 | $2,864.00 | $267.55 – $4,332.00 | 16 |
| New Patient Office Visit (level 2) CPT 99202 | not published | $440.00 | $79.20 – $396.00 | 12 |
| New Patient Office Visit (level 3) CPT 99203 | not published | $1,870.00 | $94.14 – $470.70 | 12 |
| New Patient Office Visit (level 4) CPT 99204 | not published | $2,057.00 | $99.22 – $544.50 | 12 |
| New Patient Office Visit (level 5) CPT 99205 | not published | $770.00 | $111.00 – $693.00 | 12 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,444.98 | $6,381.00 | $696.53 – $5,742.90 | 16 |
| PSA (Prostate) Test CPT 84153 | $18.39 | $328.00 | $18.39 – $281.82 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $197.04 | $3,630.00 | $197.04 – $3,085.50 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $197.04 | $3,245.00 | $197.04 – $2,758.25 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $117.70 | $2,805.00 | $117.70 – $2,384.25 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $395.29 | $5,473.00 | $395.29 – $4,652.05 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $395.29 | $4,223.00 | $395.29 – $4,332.00 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $267.55 | $3,346.00 | $267.55 – $4,332.00 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $117.70 | $1,293.00 | $115.03 – $1,163.70 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $117.70 | $583.00 | $65.71 – $524.70 | 16 |
| Postpartum Care Only CPT 59430 | not published | $417.00 | $75.06 – $375.30 | 12 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $117.70 | $825.00 | $117.70 – $742.50 | 16 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $117.70 | $1,180.00 | $117.70 – $1,062.00 | 16 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | $1,070.00 | $192.60 – $963.00 | 12 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | $1,890.00 | $340.20 – $1,701.00 | 12 |
| Rapid Strep Test CPT 87880 | $16.53 | $83.00 | $16.53 – $71.31 | 16 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,009.14 | $4,023.00 | $659.77 – $3,456.56 | 14 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,009.14 | $4,455.00 | $730.62 – $3,827.74 | 14 |
| Screening Mammogram CPT 77067 | $169.06 | $748.00 | $119.35 – $673.20 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $7,907.11 | $9,870.00 | $1,618.68 – $15,984.00 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $395.29 | $4,827.00 | $395.29 – $4,332.00 | 16 |
| Shoulder MRI (with contrast) CPT 73222 | $874.49 | $4,498.00 | $737.67 – $4,332.00 | 16 |
| Shoulder MRI (without contrast) CPT 73221 | $267.55 | $4,113.00 | $267.55 – $4,332.00 | 16 |
| Shoulder X-ray CPT 73030 | $97.46 | $688.00 | $43.28 – $584.80 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | $197.04 | $3,376.00 | $197.04 – $2,869.60 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $197.04 | $2,906.00 | $197.04 – $2,470.10 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $117.70 | $2,420.00 | $117.70 – $2,057.00 | 16 |
| Skin Biopsy CPT 11102 | $219.93 | $825.00 | $135.30 – $708.84 | 14 |
| Sleep Study (Polysomnography) CPT 95810 | $1,126.11 | $9,011.00 | $1,126.11 – $8,109.90 | 16 |
| Thyroid (TSH) Test CPT 84443 | $16.80 | $286.00 | $16.80 – $39.52 | 16 |
| Thyroid Ultrasound CPT 76536 | $117.70 | $1,210.00 | $106.67 – $1,089.00 | 16 |
| Tonsillectomy (age 12+) CPT 42826 | $3,589.62 | $5,580.00 | $915.12 – $4,794.34 | 14 |
| Tonsillectomy (child under 12) CPT 42825 | $6,547.81 | $9,966.00 | $1,634.42 – $8,562.79 | 14 |
| Total Hip Replacement CPT 27130 | $14,241.77 | $16,225.00 | $2,660.90 – $17,090.12 | 14 |
| Total Knee Replacement CPT 27447 | $14,241.77 | $17,531.00 | $2,875.08 – $17,090.12 | 14 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $6,457.82 | $12,615.00 | $2,068.86 – $10,838.81 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $395.29 | $5,984.00 | $395.29 – $5,086.40 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $395.29 | $4,835.00 | $395.29 – $4,332.00 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $267.55 | $4,329.00 | $267.55 – $4,332.00 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,037.75 | $4,476.00 | $734.06 – $3,845.78 | 14 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,037.75 | $4,106.00 | $673.38 – $3,527.88 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $3.17 | $107.00 | $3.17 – $91.93 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $2.25 | $80.00 | $2.25 – $68.74 | 16 |
| Urine Culture Test CPT 87086 | $8.07 | $154.00 | $8.07 – $122.87 | 16 |
| Vaginal Delivery (full care) CPT 59400 | not published | $5,834.00 | $368.00 – $4,958.90 | 9 |
| Vasectomy CPT 55250 | $2,267.41 | $5,816.00 | $953.82 – $4,997.11 | 14 |
| Vitamin D Test CPT 82306 | $29.60 | $450.00 | $29.60 – $386.64 | 16 |
| Wrist X-ray CPT 73110 | $97.46 | $600.00 | $39.24 – $510.00 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.