CMS Price Transparency Data

Blood test, amylase

Facility: Hackensack Meridian Mountainside Medical

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $126
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 19.44x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Hackensack Meridian Mountainside Medical is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 19.44x the Medicare baseline. Located in 1 Bay Avenue, Montclair, NJ.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)
Cash / Self-Pay: $7 (108%)
Insurance Median: $126 (1944%)
Cash: $7 (108% of Medicare)
Ins. Median: $126 (1944% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.48 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1944% of the Medicare baseline (a markup of 1844%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Healthscope Benefits [2290] $16 - $126 247%
UnitedHealthcare $16 247%
Aetna $23 355%
Black Lung [6055] $61 941%
Create Flex / Select [3580] $61 941%
Healthcare Highways [2210] $61 - $126 941%
Lucent Health [6000] $61 941%
Medicare (plans) $61 941%
Oncology Patient Assistance Programs [2295] $61 941%
Selecthealth [3740] $61 941%
Web Tpa [2115] $61 941%
Worker'S Comp [2125] $61 - $138 941%
Wtc Healthcare Sme Karna [8005] $61 941%
First Health [1375] $111 - $126 1713%
Cigna $118 1821%
Administrative Concepts [1005] $126 1944%
Allied National Global Care [1035] $126 1944%
Gilsbar [1425] $126 1944%
Healthcost Solutions [2415] $126 1944%
Healthfirst [2395] $126 1944%
Healthnet [1495] $126 1944%
Hometown Health [2155] $126 1944%
Mayo Clinic Health Solutions [2280] $126 1944%
Multiplan [1680] $126 1944%
Mutual Of Omaha [1685] $126 1944%
New Era Life Insurance Company [1705] $126 1944%
Pan American Life Insurance Co [1770] $126 1944%
Pba [1775] $126 1944%
Phcs [1780] $126 1944%
Planned Administrators Inc [2360] $126 1944%
Resource One Administrators [2815] $126 1944%
Trustmark [2030] $126 1944%
Universal Fidelity [2085] $126 1944%
Emblem Health [2430] $138 2130%
Humana $138 2130%
Blue Cross Blue Shield $146 2253%
Amerihealth [3520] $148 2284%
Mva [1690] $148 2284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Bay Avenue, Montclair, NJ 07042
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals