Bayshore Medical Center
BAYSHORE MEDICAL CENTER in Holmdel, NJ charges 8.4x the Medicare reimbursement rate on average across 55 analyzed procedures at this nonprofit-private hospital.
Holmdel, NJ 07733 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.4x
Charge / Medicare rate
Max markup
16.5x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $38,234 | $19,117 | — | 16.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $49,799 | $24,900 | — | 13x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $67,290 | $33,645 | — | 12.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $60,796 | $30,398 | — | 11.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $48,634 | $24,317 | — | 11.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $65,887 | $32,944 | — | 11x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $101,272 | $50,636 | — | 10.8x |
| CELLULITIS WITHOUT MCC | 603 | $55,608 | $27,804 | — | 10.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $43,499 | $21,750 | — | 10.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $48,957 | $24,478 | — | 10.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $52,114 | $26,057 | — | 10.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $45,215 | $22,607 | — | 9.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $50,789 | $25,395 | — | 9.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $45,302 | $22,651 | — | 9.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $42,397 | $21,198 | — | 9.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $47,652 | $23,826 | — | 9.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $110,504 | $55,252 | — | 9.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $53,260 | $26,630 | — | 9.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $51,055 | $25,527 | — | 9.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $61,720 | $30,860 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $95,931 | $47,965 | — | 8.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $72,093 | $36,047 | — | 8.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $76,269 | $38,134 | — | 8.5x |
| RENAL FAILURE WITH CC | 683 | $48,342 | $24,171 | — | 8.5x |
| CELLULITIS WITH MCC | 602 | $76,401 | $38,201 | — | 8.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $71,973 | $35,987 | — | 8.3x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $48,906 | $24,453 | — | 8.3x |
| HYPERTENSION WITHOUT MCC | 305 | $32,711 | $16,356 | — | 8.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $63,427 | $31,713 | — | 8.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $68,403 | $34,202 | — | 8.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $60,669 | $30,334 | — | 8.1x |
| DIABETES WITH MCC | 637 | $72,735 | $36,368 | — | 8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $70,093 | $35,046 | — | 8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $62,697 | $31,349 | — | 8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $82,846 | $41,423 | — | 7.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $88,107 | $44,054 | — | 7.4x |
| RENAL FAILURE WITH MCC | 682 | $83,821 | $41,911 | — | 7.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $160,118 | $80,059 | — | 7.2x |
| COAGULATION DISORDERS | 813 | $75,913 | $37,956 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $72,666 | $36,333 | — | 7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $97,945 | $48,972 | — | 6.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $88,662 | $44,331 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $92,907 | $46,453 | — | 6.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $44,404 | $22,202 | — | 6.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $42,398 | $21,199 | — | 6.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $79,512 | $39,756 | — | 6.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $116,327 | $58,163 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $54,373 | $27,186 | — | 6.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $87,343 | $43,672 | — | 6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $80,433 | $40,216 | — | 5.9x |
Showing 50 of 55 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use