How many shoppable procedure prices are published for Hackensack Meridian Health Carrier Clinic?

Hackensack Meridian Health Carrier Clinic in Belle Mead, NJ currently has 46 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hackensack Meridian Health Carrier Clinic's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hackensack Meridian Health Carrier Clinic's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Psychiatric Hospital Voluntary non-profit - Private 232 Beds · urban Updated: 12/31/2025

Hackensack Meridian Health Carrier Clinic

252 Route 601, Belle Mead, NJ 08502 · 46 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.50×vs. Fair Market Price

Typical commercial prices here are +50% above the fair benchmark (1.50×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 45% of the Time

File Completeness85

Price Logic100

Peer Alignment66

Clean Billing43

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Hackensack Meridian Health Carrier Clinic prices routine shoppable procedures near 1.1× Medicare (p50 1.38×) while skewing captive emergency, lab, and upper-quartile codes to 4.3× Medicare (p75 2.14×, +55% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#47 of 52 in NJ · 88th State Percentile#2,635 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 45% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (0.9×) services average 3.91× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 2.14×) jump +55% above the median procedure ratio (Q50 1.38×)
Unnegotiated chargemaster list prices average 11.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER3.91× Divergence

4.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+55% Upper Tail

Q25 0.85× · Q50 1.38× · Q75 2.14×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

45% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Hackensack Meridian Health Carrier Clinic

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 46 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$2,331	$14	166.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$316	$301	$185	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$209	$217	$110	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$198	$210	$123	1.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$242	$219	$181	1.2×
Family therapy session CPT Code: `90847`	$199	$193	$173	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$144	$158	$64	2.5×
X-ray, lower back CPT Code: `72110`	$408	$148	$112	1.3×
Group therapy session CPT Code: `90853`	$165	$128	$100	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$216	$146	$166	0.9×
X-ray, shoulder CPT Code: `73030`	$275	$100	$92	1.1×
X-ray, foot CPT Code: `73630`	$260	$94	$92	1.0×
X-ray, ankle CPT Code: `73610`	$253	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$220	$80	$93	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$136	$150	$11	unverified
Culture, blood CPT Code: `87040`	$92	$92	$11	8.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$106	$117	$18	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$131	$48	$19	2.5×
Blood test, vitamin D CPT Code: `82306`	$180	$65	$31	2.1×
X-ray, chest (two views) CPT Code: `71046`	$199	$72	$93	0.8×
X-ray, hip CPT Code: `73502`	$189	$69	$93	0.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$102	$37	$14	2.6×
X-ray, chest (single view) CPT Code: `71045`	$172	$62	$92	0.7×
X-ray, pelvis CPT Code: `72170`	$192	$70	$110	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$60	$66	$8	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$75	$27	$9	3.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$22	$22	$10	2.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$84	$30	$14	2.1×
Drug screening test HCPCS Code: `G0480`	$143	$52	$116	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$43	$47	$3	unverified
Blood test, amylase CPT Code: `82150`	$55	$20	$7	2.9×
Blood test, magnesium CPT Code: `83735`	$55	$20	$7	2.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$14	$5	2.8×
Blood test, lipase CPT Code: `83690`	$53	$19	$7	2.7×
Hepatitis C antibody test CPT Code: `86803`	$90	$33	$15	2.2×
Blood test, liver function panel CPT Code: `80076`	$67	$16	$9	1.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$92	$33	$35	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$19	$7	$4	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$64	$23	$16	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$29	$34	0.9×
Physical therapy (gait training) CPT Code: `97116`	$77	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$29	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$78	$28	$38	0.7×
Orthotic fitting and training CPT Code: `97760`	$100	$36	$51	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$75	$27	$40	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$40	$14	$48	0.3×

Showing top 25 high-impact procedures of 46 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.8%

Audit a Bill or Quote at Hackensack Meridian Health Carrier Clinic (Zero PHI Required)

CMS CCN: 314012

CPT G0283

Select Procedure to Audit:

Fair BaseRate™ $14

Medicare Rate $13

Self-Pay Cash $59

Insurer Median $2,331

1. Amount on Your Bill or Quote ($) Pre-filled with Hackensack Meridian Health Carrier Clinic’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $38 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $38

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.8% of gross = $38).

Step 2 · Cash vs. Insurance Arbitrage Save $88 Paying Cash

Self-Pay Cash Rate ($59) Beats Your Bill

Hackensack Meridian Health Carrier Clinic's published 45 CFR § 180 self-pay cash rate is $59 (vs. $2,331 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$133 Above Fair BaseRate

Negotiate Toward $14 Fair BaseRate ($13 Medicare)

Your bill ($147) is $133 above the denoised Fair BaseRate ($14) and 11.3× the $13 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 221714106

Filing Period: 199609

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (25.8% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Hackensack Meridian Health Carrier Clinic. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-31·administrative_or_closure
Met Requirements
Recorded
2023-10-19·administrative_or_closure
Closure Notice
Recorded
2023-09-26·cap_corrective_action
CAP Request
Recorded
2023-04-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hackensack Meridian Health Carrier Clinic.

Price Index: 1.39× regional baseline

Quality: 54/100 CMS composite

Median Household Income$135,960U.S. Census ACS

Local Uninsured Share5.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 314012 EIN 221714106

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 314012) ↗ Verify IRS Form 990 (EIN 221714106) ↗ CMS HCRIS Cost Reports ↗

Published MRF File221714106-1225039399_hmh-carrier-behavioral-health-inc_standardcharges.csv

Publication / Vintage12/31/2025 · 1.95 MB

Validated Rate Rows141 (CMS v3.0.0)

File Integrity Digestef0959308ca2fe7f462f…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy