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 |
|---|---|---|---|---|
| Low cost skin substitute app HCPCS C5278 | not published | $1,921.00 | not published | 0 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $117.70 | $2,035.00 | $117.70 – $2,083.00 | 10 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $197.04 | $3,843.00 | $197.04 – $1,762.00 | 10 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $395.29 | $3,414.00 | $347.76 – $2,083.00 | 10 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $117.70 | $3,051.00 | $117.70 – $1,762.00 | 10 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $395.29 | $6,039.00 | $395.29 – $4,332.00 | 11 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $395.29 | $4,675.00 | $395.29 – $4,332.00 | 11 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $267.55 | $4,439.00 | $267.55 – $4,332.00 | 11 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $117.70 | $743.00 | $50.46 – $295.04 | 9 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $117.70 | $1,019.00 | $68.87 – $295.04 | 9 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $117.70 | $990.00 | $89.00 – $295.04 | 9 |
| Lower jaw bone graft CPT 21215 | $6,547.81 | $11,858.00 | $6,547.81 – $7,857.37 | 6 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $97.46 | $561.00 | $38.52 – $219.04 | 9 |
| Low frequency non-thermal Ultrasound CPT 97610 | $219.93 | $589.00 | $219.93 – $263.92 | 6 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | $110.65 | not published | 0 |
| Lsh uterus 250 g or less CPT 58541 | $11,523.76 | $14,849.00 | $11,523.76 – $13,828.52 | 6 |
| Lsh uterus above 250 g CPT 58543 | $11,523.76 | $18,398.00 | $11,523.76 – $13,828.52 | 6 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $11,523.76 | $17,606.00 | $11,523.76 – $13,828.52 | 6 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $11,523.76 | $17,606.00 | $11,523.76 – $13,828.52 | 6 |
| Lso corset front HCPCS L0972 | not published | not published | $101.64 – $101.64 | 1 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | $203.00 | $34.99 – $243.18 | 3 |
| Lso full corset HCPCS L0976 | not published | not published | $142.53 – $142.53 | 1 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $150.70 – $150.70 | 1 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | $1,971.00 | $1,227.21 – $1,227.21 | 1 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $466.82 – $3,242.73 | 4 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $67.55 – $469.44 | 4 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $907.06 – $907.06 | 1 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,345.24 – $1,345.24 | 1 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $266.82 – $266.82 | 1 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $119.61 – $831.21 | 4 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | $1,559.00 | $973.66 – $973.66 | 1 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $999.59 – $999.59 | 1 |
| L/s ratio fetal lung CPT 83661 | $21.99 | $180.00 | $21.99 – $100.77 | 10 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.54 – $1.54 | 1 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $56.70 – $56.70 | 1 |
| Lumbar derotation pad HCPCS L1240 | not published | $115.00 | $69.85 – $69.85 | 1 |
| Lumbar diskogram s&i CPT 72295 | $2,161.44 | $5,369.00 | $152.54 – $4,750.01 | 8 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $69.54 – $69.54 | 1 |
| Lumbar sling HCPCS L1090 | not published | not published | $89.67 – $89.67 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $20,355.21 | $24,087.00 | $20,355.21 – $24,426.25 | 6 |
| Lumizyme injection HCPCS J0221 | $206.62 | not published | $175.63 – $389.60 | 8 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $344.68 | $1,540.00 | $344.68 – $910.00 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $65.75 | $289.00 | $65.75 – $910.00 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $173.18 | $1,375.00 | $173.18 – $910.00 | 7 |
| Lung perfusion imaging CPT 78580 | $444.77 | $1,760.00 | $256.91 – $1,021.05 | 9 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $206.13 | not published | $175.21 – $387.04 | 8 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $41.96 | not published | $35.67 – $80.32 | 8 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $312.69 | not published | $312.69 – $589.12 | 7 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $253.18 | not published | $253.18 – $303.82 | 6 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | $1,205.28 | not published | 0 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $27.11 | not published | $27.11 – $32.53 | 6 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | $433.00 | $268.54 – $268.54 | 1 |
| Lyme dis dna dir probe CPT 87475 | $20.05 | not published | $20.05 – $91.88 | 10 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | $2,164.00 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $595.79 | $2,420.00 | $305.21 – $1,325.05 | 9 |
| Lymphocyte culture mixed CPT 86821 | $36.56 | not published | $36.56 – $167.53 | 10 |
| Lymphocyte transformation mitogen CPT 86353 | $49.03 | $2,475.00 | $49.03 – $224.67 | 10 |
| Lymphocytotoxicity assay CPT 86805 | $189.51 | $395.00 | $114.76 – $868.40 | 10 |
| Lymphocytotoxicity assay CPT 86806 | $47.59 | not published | $47.59 – $218.07 | 10 |
| Lymph vessel x-ray arm/leg CPT 75801 | $684.33 | $1,797.00 | $405.57 – $1,466.44 | 7 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,719.44 | $3,216.00 | $405.57 – $3,807.12 | 7 |
| Lymph vessel x-ray trunk CPT 75805 | $3,483.84 | $4,070.00 | $457.48 – $7,747.94 | 7 |
| Lymph vessel x-ray trunk CPT 75807 | $3,483.84 | $7,150.00 | $457.48 – $7,747.94 | 7 |
| Lysis intranasal synechia 30560 CPT 30560 | $563.67 | $1,134.00 | $563.67 – $676.40 | 6 |
| Lysis of labial adhesions CPT 56441 | $3,519.29 | $6,002.00 | $3,519.29 – $4,223.15 | 6 |
| Lysis penil circumic lesion CPT 54162 | $2,267.41 | $5,710.00 | $2,267.41 – $2,720.90 | 6 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $12.98 – $12.98 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $15.25 – $16.48 | 2 |
| Macroscopic exam arthropod CPT 87168 | $4.27 | $105.00 | $4.27 – $19.57 | 10 |
| Macroscopic exam parasite CPT 87169 | $4.31 | $50.00 | $4.31 – $19.75 | 10 |
| Magnesium CPT 83735 | $6.70 | $138.00 | $6.70 – $30.70 | 10 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | $18.76 | $0.43 – $0.43 | 1 |
| Magnetic image bone marrow CPT 77084 | $267.55 | $3,630.00 | $267.55 – $4,332.00 | 11 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $31.70 – $31.70 | 2 |
| Malaria antibody CPT 86750 | $13.19 | not published | $13.19 – $60.44 | 10 |
| Male sling procedure CPT 53440 | $14,380.79 | $16,993.00 | $14,380.79 – $17,256.95 | 6 |
| Mammosite ced HCPCS C1728 | not published | $4,960.00 | not published | 0 |
| Manipulate finger w/anesth CPT 26340 | $1,771.43 | $3,211.00 | $1,771.43 – $2,125.72 | 6 |
| Manipulate wrist w/anesthes CPT 25259 | $1,771.43 | $3,208.00 | $1,771.43 – $2,125.72 | 6 |
| Manipulation of hip joint CPT 27275 | $1,771.43 | $3,704.00 | $1,771.43 – $2,125.72 | 6 |
| Manipulation of spine CPT 22505 | $1,771.43 | not published | $1,771.43 – $2,125.72 | 6 |
| Manipulat palm cord post inj CPT 26341 | $265.51 | $725.00 | $265.51 – $318.62 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | $10.46 | $1.90 – $1.90 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | $137.00 | $64.84 – $64.84 | 1 |
| Manual diff wbc count b-coat CPT 85009 | $5.07 | $20.00 | $5.07 – $23.23 | 10 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | $848.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | not published | $3,300.00 | not published | 0 |
| Map tachycard site(s) CPT 93609 | not published | $9,061.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $50.45 | not published | $42.88 – $93.97 | 8 |
| Marker biop eviva buckle ss HCPCS A4648 | not published | $2,467.60 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $11,379.91 | not published | $11,379.91 – $13,655.89 | 6 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | $2,955.00 | not published | 0 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $74.26 – $521.85 | 4 |
| Mastectomy form HCPCS L8020 | not published | not published | $227.76 – $227.76 | 1 |
| Mastectomy partial CPT 19301 | $4,238.48 | $6,738.00 | $4,238.48 – $5,086.17 | 6 |
| Mast mod rad CPT 19307 | $7,218.34 | $11,631.00 | $7,218.34 – $8,662.01 | 6 |
| Mastoidectomy CPT 69501 | $6,547.81 | $12,000.00 | $6,547.81 – $7,857.37 | 6 |
| Mastoidectomy complete 69502 CPT 69502 | $6,547.81 | $10,380.00 | $6,547.81 – $7,857.37 | 6 |
| Mastoids complete CPT 70130 | $117.70 | $442.00 | $58.94 – $295.04 | 9 |
| Mastoid surgery revision CPT 69603 | $6,547.81 | $12,000.00 | $6,547.81 – $7,857.37 | 6 |
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.