CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Hackensack Meridian Mountainside Medical

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $62
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 15.78x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Hackensack Meridian Mountainside Medical is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 15.78x the Medicare baseline. Located in 1 Bay Avenue, Montclair, NJ.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $5 (127%)
Insurance Median: $62 (1578%)
Cash: $5 (127% of Medicare)
Ins. Median: $62 (1578% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.93 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 1578% of the Medicare baseline (a markup of 1478%). 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] $8 - $62 204%
UnitedHealthcare $8 204%
Aetna $11 280%
Black Lung [6055] $30 763%
Create Flex / Select [3580] $30 763%
Healthcare Highways [2210] $30 - $62 763%
Lucent Health [6000] $30 763%
Medicare (plans) $30 763%
Oncology Patient Assistance Programs [2295] $30 763%
Selecthealth [3740] $30 763%
Web Tpa [2115] $30 763%
Worker'S Comp [2125] $30 - $68 763%
Wtc Healthcare Sme Karna [8005] $30 763%
First Health [1375] $55 - $62 1399%
Cigna $59 1501%
Administrative Concepts [1005] $62 1578%
Allied National Global Care [1035] $62 1578%
Gilsbar [1425] $62 1578%
Healthcost Solutions [2415] $62 1578%
Healthfirst [2395] $62 1578%
Healthnet [1495] $62 1578%
Hometown Health [2155] $62 1578%
Mayo Clinic Health Solutions [2280] $62 1578%
Multiplan [1680] $62 1578%
Mutual Of Omaha [1685] $62 1578%
New Era Life Insurance Company [1705] $62 1578%
Pan American Life Insurance Co [1770] $62 1578%
Pba [1775] $62 1578%
Phcs [1780] $62 1578%
Planned Administrators Inc [2360] $62 1578%
Resource One Administrators [2815] $62 1578%
Trustmark [2030] $62 1578%
Universal Fidelity [2085] $62 1578%
Emblem Health [2430] $68 1730%
Humana $68 1730%
Blue Cross Blue Shield $72 1832%
Amerihealth [3520] $74 1883%
Mva [1690] $74 1883%

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