CMS Price Transparency Data

Blood test, magnesium

Facility: Hackensack Meridian Mountainside Medical

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $97
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 14.48x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Hackensack Meridian Mountainside Medical is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 14.48x the Medicare baseline. Located in 1 Bay Avenue, Montclair, NJ.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $8 (119%)
Insurance Median: $97 (1448%)
Cash: $8 (119% of Medicare)
Ins. Median: $97 (1448% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 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 1448% of the Medicare baseline (a markup of 1348%). 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] $12 - $97 179%
UnitedHealthcare $12 179%
Aetna $17 254%
Black Lung [6055] $47 701%
Create Flex / Select [3580] $47 701%
Healthcare Highways [2210] $47 - $97 701%
Lucent Health [6000] $47 701%
Medicare (plans) $47 701%
Oncology Patient Assistance Programs [2295] $47 701%
Selecthealth [3740] $47 701%
Web Tpa [2115] $47 701%
Worker'S Comp [2125] $47 - $106 701%
Wtc Healthcare Sme Karna [8005] $47 701%
First Health [1375] $86 - $97 1284%
Cigna $91 1358%
Administrative Concepts [1005] $97 1448%
Allied National Global Care [1035] $97 1448%
Gilsbar [1425] $97 1448%
Healthcost Solutions [2415] $97 1448%
Healthfirst [2395] $97 1448%
Healthnet [1495] $97 1448%
Hometown Health [2155] $97 1448%
Mayo Clinic Health Solutions [2280] $97 1448%
Multiplan [1680] $97 1448%
Mutual Of Omaha [1685] $97 1448%
New Era Life Insurance Company [1705] $97 1448%
Pan American Life Insurance Co [1770] $97 1448%
Pba [1775] $97 1448%
Phcs [1780] $97 1448%
Planned Administrators Inc [2360] $97 1448%
Resource One Administrators [2815] $97 1448%
Trustmark [2030] $97 1448%
Universal Fidelity [2085] $97 1448%
Emblem Health [2430] $106 1582%
Humana $106 1582%
Blue Cross Blue Shield $112 1672%
Amerihealth [3520] $114 1701%
Mva [1690] $114 1701%

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