CMS Price Transparency Data

Flu vaccine injection

Facility: Hackensack Meridian Mountainside Medical

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $54
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Hackensack Meridian Mountainside Medical is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.13x the Medicare baseline. Located in 1 Bay Avenue, Montclair, NJ.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $60 (125%)
Insurance Median: $54 (113%)
Cash: $60 (125% of Medicare)
Ins. Median: $54 (113% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 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.

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
UnitedHealthcare $7 15%
Healthscope Benefits [2290] $7 - $54 15%
Aetna $10 - $55 21%
Oncology Patient Assistance Programs [2295] $26 54%
Wtc Healthcare Sme Karna [8005] $26 54%
Create Flex / Select [3580] $26 54%
Black Lung [6055] $26 54%
Web Tpa [2115] $26 - $55 54%
Selecthealth [3740] $26 54%
Worker's Comp [2125] $26 - $59 54%
Lucent Health [6000] $26 54%
Medicare (plans) $26 54%
Healthcare Highways [2210] $26 - $54 54%
First Health [1375] $47 - $54 98%
Cigna $50 - $61 105%
New Era Life Insurance Company [1705] $54 113%
PHCS [1780] $54 113%
Healthfirst [2395] $54 113%
Planned Administrators Inc [2360] $54 113%
Resource One Administrators [2815] $54 113%
Administrative Concepts [1005] $54 113%
Multiplan [1680] $54 113%
Universal Fidelity [2085] $54 113%
Mayo Clinic Health Solutions [2280] $54 113%
Pan American Life Insurance Co [1770] $54 113%
Gilsbar [1425] $54 113%
Healthcost Solutions [2415] $54 113%
Healthnet [1495] $54 113%
Pba [1775] $54 113%
Hometown Health [2155] $54 113%
Mutual of Omaha [1685] $54 113%
Trustmark [2030] $54 113%
Allied National Global Care [1035] $54 113%
Allied Benefit Systems Inc [1030] $55 115%
1199 Seiu Benefit Fund [3505] $55 115%
Meritain Health [1655] $55 115%
Humana $59 123%
Emblem Health [2430] $59 123%
Mvp Health Plan [2180] $61 128%
National Association of Letter Carriers [1695] $61 128%
Samba Health [2305] $61 128%
Mva [1690] $63 132%
Amerihealth [3520] $63 132%

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