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 |
|---|---|---|---|---|
| Perq plmt bile duct stent CPT 47538 | $6,457.82 | $13,770.00 | $6,457.82 – $7,749.38 | 6 |
| Perq plmt bile duct stent CPT 47539 | $6,457.82 | $13,301.00 | $6,457.82 – $7,749.38 | 6 |
| Perq plmt bile duct stent CPT 47540 | $6,457.82 | $13,301.00 | $6,457.82 – $7,749.38 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $269.20 | $990.00 | $269.20 – $323.04 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | $3,591.33 | $6,181.00 | $3,591.33 – $4,309.59 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | $3,591.33 | $7,323.00 | $3,591.33 – $4,309.59 | 6 |
| Perq transcath closure each CPT 93592 | not published | $1,253.00 | not published | 0 |
| Perq transcath closure pda CPT 93582 | $19,875.58 | $32,701.00 | $19,875.58 – $23,850.69 | 6 |
| Perq transcath cls aortic CPT 93591 | $19,875.58 | $32,701.00 | $19,875.58 – $23,850.69 | 6 |
| Perq transcath cls mitral CPT 93590 | $19,875.58 | $32,701.00 | $19,875.58 – $23,850.69 | 6 |
| Perq transcath septal reduxn CPT 93583 | not published | $9,430.00 | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $3,591.33 | $9,583.00 | $3,591.33 – $4,309.59 | 6 |
| Perq tx malar fracture CPT 21355 | $3,589.62 | $7,095.00 | $3,589.62 – $4,307.55 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $6,547.81 | $17,222.00 | $6,547.81 – $7,857.37 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | $3,589.62 | $10,951.00 | $3,589.62 – $4,307.55 | 6 |
| Pertussis ag if CPT 87265 | $11.98 | not published | $11.98 – $54.90 | 10 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16.89 | not published | $14.36 – $29.12 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $63.39 | not published | $53.88 – $153.87 | 8 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $54.92 – $54.92 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $22.06 – $22.06 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,614.45 | $10,120.00 | $1,614.45 – $4,009.56 | 9 |
| Pet CT whole body initial CPT 78816 | $1,614.45 | $10,450.00 | $1,614.45 – $4,009.56 | 9 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,614.45 | $4,503.00 | $369.72 – $4,009.56 | 9 |
| Pet image full body CPT 78813 | $1,614.45 | $4,247.00 | $1,500.31 – $4,009.56 | 9 |
| Pet image ltd area CPT 78811 | $1,444.98 | $4,247.00 | $1,168.09 – $4,009.56 | 9 |
| Pet image skull-thigh CPT 78812 | $1,614.45 | $4,247.00 | $1,447.32 – $4,009.56 | 9 |
| Pet image w/ct lmtd CPT 78814 | $1,614.45 | $10,626.00 | $1,614.45 – $4,009.56 | 9 |
| Pet not otherwise specified HCPCS G0235 | $444.77 | not published | $444.77 – $1,021.05 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $193.25 – $2,884.17 | 3 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | not published | $173,600.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $30.24 | $79.00 | $30.24 – $36.29 | 6 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $43.07 | $118.00 | $43.07 – $51.68 | 6 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $15.47 | $428.00 | $15.47 – $18.56 | 6 |
| Phalangectomy ea toe 28150 CPT 28150 | $3,591.33 | $6,065.00 | $3,591.33 – $4,309.59 | 6 |
| Pharmacologic management w/psytx CPT 90863 | not published | $145.00 | $393.00 – $468.00 | 2 |
| Ph body fluid CPT 83986 | $3.58 | $95.00 | $3.58 – $16.40 | 10 |
| Phencyclidine (pcp) CPT 83992 | not published | $180.00 | $32.27 – $85.22 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | $243.21 | $23.26 – $23.26 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $15.30 | $165.00 | $15.30 – $70.11 | 10 |
| Phentolaine mesylate inj HCPCS J2760 | $436.51 | $2,323.99 | $371.03 – $523.81 | 6 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | $7.32 | not published | 0 |
| Phenylep ketorolac opth soln HCPCS J1097 | $107.83 | not published | $107.83 – $129.40 | 6 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | $3.14 | $0.56 – $0.56 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $13.25 | $166.00 | $13.25 – $60.72 | 10 |
| Phlebotomy therapeutic CPT 99195 | $142.67 | $428.00 | $142.67 – $171.21 | 6 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,483.84 | $8,931.00 | $3,483.84 – $4,180.61 | 6 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,483.84 | $9,820.00 | $3,483.84 – $4,180.61 | 6 |
| Phosphorus CPT 84100 | $4.74 | $80.00 | $4.74 – $21.72 | 10 |
| Phosphorus 24 hour urine CPT 84105 | $5.78 | $1,395.00 | $5.78 – $26.49 | 10 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $65.75 | not published | $65.75 – $78.90 | 6 |
| Photochemotherapy puva CPT 96912 | $65.75 | not published | $65.75 – $78.90 | 6 |
| Photochemotherapy uv-a or b CPT 96913 | $442.22 | not published | $442.22 – $530.67 | 6 |
| Photodynamic tx addl 15 min CPT 96571 | not published | $89.00 | not published | 0 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | $195.00 | not published | 0 |
| Photo patch test CPT 95052 | $65.75 | not published | $18.54 – $71.66 | 6 |
| Photopheresis CPT 36522 | $5,185.83 | $19,284.00 | $5,185.83 – $6,222.99 | 6 |
| Photosensitivity tests CPT 95056 | $142.67 | not published | $12.79 – $155.51 | 6 |
| Phys blood bank serv authrj CPT 86079 | $59.14 | not published | $59.14 – $102.13 | 7 |
| Phys blood bank serv reactj CPT 86078 | $189.67 | not published | $90.27 – $306.15 | 7 |
| Phys blood bank serv xmatch CPT 86077 | $27.11 | not published | $27.11 – $50.64 | 7 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $126.19 | $611.00 | $126.19 – $517.00 | 10 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $126.19 | $396.00 | $126.19 – $517.00 | 10 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $126.19 | $453.00 | $126.19 – $517.00 | 10 |
| Physical Therapy Re-Evaluation CPT 97164 | $86.04 | $286.00 | $86.04 – $447.00 | 10 |
| Phys review of motion tests CPT 96004 | not published | not published | $208.72 – $208.72 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | $23.91 | $2.41 – $2.41 | 1 |
| Pierce earlobes 69090 CPT 69090 | not published | $55.00 | not published | 0 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $332.44 | $1,751.17 | $332.44 – $398.93 | 5 |
| Pik3ca gene trgt seq alys CPT 81309 | $274.83 | not published | $274.83 – $1,259.37 | 10 |
| Pild/placebo control clin tr HCPCS G0276 | $7,907.11 | not published | $7,907.11 – $9,488.53 | 6 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | $1,058.00 | $657.56 – $657.56 | 1 |
| Pin caspar distraction 12mm HCPCS C1821 | not published | $31,295.62 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $677.54 | $1,907.00 | $368.00 – $813.05 | 7 |
| Pin finger dislocation CPT 26776 | $3,591.33 | $7,527.00 | $3,591.33 – $4,309.59 | 6 |
| Pin finger fracture each CPT 26756 | $3,591.33 | $8,158.00 | $368.00 – $4,309.59 | 7 |
| Pin hand dislocation CPT 26676 | $3,591.33 | $7,527.00 | $3,591.33 – $4,309.59 | 6 |
| Pin knuckle dislocation CPT 26706 | $3,591.33 | $6,813.00 | $368.00 – $4,309.59 | 7 |
| Pin service 60m per month HCPCS G0023 | $102.38 | not published | $102.38 – $122.86 | 6 |
| Pinworm exam CPT 87172 | $4.27 | $29.00 | $4.27 – $19.57 | 10 |
| Pinworm examinations HCPCS Q0113 | $4.27 | not published | $4.27 – $19.57 | 10 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | $19.17 | $0.94 – $0.94 | 1 |
| Pituitary evaluation panel CPT 80418 | $579.48 | not published | $579.48 – $2,655.38 | 10 |
| Place breast cath for rad CPT 19297 | not published | $16,160.00 | not published | 0 |
| Place breast rad tube/caths CPT 19298 | $7,218.34 | $13,220.00 | $7,218.34 – $8,662.01 | 6 |
| Place cath intracranial art CPT 36228 | not published | $2,703.00 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | not published | $3,575.00 | not published | 0 |
| Place cecostomy tube perc CPT 49442 | $1,305.08 | $2,989.00 | $1,305.08 – $1,566.09 | 6 |
| Place device/marker, non pro HCPCS C9728 | $1,514.47 | $5,371.00 | $1,514.47 – $1,817.37 | 6 |
| Place duod/jej tube perc CPT 49441 | $2,099.70 | $5,114.00 | $2,099.70 – $2,519.64 | 6 |
| Place endorectal app HCPCS C9725 | $1,009.14 | not published | $1,009.14 – $1,210.96 | 6 |
| Place gastrostomy tube perc CPT 49440 | $2,099.70 | $4,618.00 | $2,099.70 – $2,519.64 | 6 |
| Placement bile duct support CPT 47801 | not published | $2,470.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,793.38 | $1,729.00 | $1,793.38 – $2,152.05 | 6 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | $1,492.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $778.78 | $2,168.00 | $778.78 – $934.53 | 6 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,267.41 | $5,375.00 | $2,267.41 – $2,720.90 | 6 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | $880.00 | not published | 0 |
| Placement of seton CPT 46020 | $3,035.44 | $6,702.00 | $3,035.44 – $3,642.53 | 6 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $12,552.42 | $22,482.00 | $12,552.42 – $15,062.91 | 6 |
| Place ndl musc/tis for right CPT 20555 | $3,591.33 | $7,913.00 | $3,591.33 – $4,309.59 | 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.