How many shoppable procedure prices are published for Hackensack Meridian Mountainside Medical?

Hackensack Meridian Mountainside Medical in Montclair, NJ currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Hackensack Meridian Mountainside Medical's CMS Care Compare overall star rating?

CMS Care Compare assigns Hackensack Meridian Mountainside Medical an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 193 Beds · urban Updated: 2/12/2026

Hackensack Meridian Mountainside Medical

1 Bay Avenue, Montclair, NJ 07042 · 97 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 86% of the Time

File Completeness66

Price Logic95

Peer Alignment71

Clean Billing89

Real Cash Discount100

High-Markup Tier

2-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Hackensack Meridian Mountainside Medical prices routine shoppable procedures near 9.6× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 15.1× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

Regional Benchmark in NJU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 86% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 62% patient recommendation (57/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.8× markup over Medicare rates
Captive ER (13.9×) & laboratory (17.0×) services average 1.57× higher multiples than routine shoppable care (9.6×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 12.7× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

9.6× Medicare

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

Back-Door Captive & ER1.57× Divergence

15.1× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

9.6× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.8× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

10.7× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

13.9× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

17.0× MedicareWatchout

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

7.2× MedicareWatchout

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

86% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 57/100Elevated

Procedure Prices at Hackensack Meridian Mountainside Medical

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$1,838	$1,838	$322	5.7×
Colonoscopy with biopsy CPT Code: `45380`	$1,521	$1,521	$1,256	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,313	$1,313	$1,021	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,210	$1,210	$987	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,176	$1,176	$981	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$894	$894	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$707	$707	$583	1.2×
Blood transfusion CPT Code: `36430`	$564	$564	$498	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$504	$504	$369	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$451	$451	$151	3.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$461	$461	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$461	$461	$511	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$375	$375	$86	4.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$312	$312	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$312	$312	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$312	$312	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$312	$312	$343	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$262	$262	$201	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$207	$207	$166	1.2×
Family therapy session CPT Code: `90847`	$207	$207	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$207	$207	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$207	$207	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$230	$230	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$230	$230	$258	0.9×
X-ray, pelvis CPT Code: `72170`	$137	$137	$110	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$146	$146	$148	1.0×
X-ray, chest (single view) CPT Code: `71045`	$114	$114	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$114	$114	$92	1.2×
X-ray, foot CPT Code: `73630`	$114	$114	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$114	$114	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$114	$114	$93	1.2×
X-ray, hand CPT Code: `73130`	$114	$114	$93	1.2×
X-ray, hip CPT Code: `73502`	$114	$114	$93	1.2×
X-ray, ankle CPT Code: `73610`	$114	$114	$93	1.2×
X-ray, lower back CPT Code: `72110`	$137	$137	$112	1.2×
Group therapy session CPT Code: `90853`	$119	$119	$100	1.2×
Ultrasound, pelvis CPT Code: `76856`	$137	$137	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$137	$137	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$137	$137	$134	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$121	$121	$123	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$137	$137	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$137	$137	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$137	$137	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$137	$137	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$137	$137	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$137	$137	$169	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$101	$101	$86	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$103	$103	$126	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$948	$948	$203	4.7×
Pneumococcal vaccine HCPCS Code: `90732`	$698	$698	$140	5.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$496	$496	$111	4.5×
Typhoid vaccine HCPCS Code: `90675`	$359	$359	$347	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$120	$120	$39	3.1×
Drug screening test HCPCS Code: `G0480`	$132	$132	$116	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$92	$92	$37	2.5×
Blood antibody screen CPT Code: `86850`	$69	$69	$46	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$53	$53	$40	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$60	$60	$48	1.3×
Orthotic fitting and training CPT Code: `97760`	$63	$63	$51	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$60	$60	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$60	$60	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$77	$77	$64	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$46	$46	$38	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$45	$45	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$45	$45	$38	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$18	$18	$14	1.3×
Physical therapy (gait training) CPT Code: `97116`	$39	$39	$33	1.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$4	$3	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$16	$16	$14	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$40	$40	$35	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$10	$10	$9	1.1×
Blood test, vitamin D CPT Code: `82306`	$34	$34	$31	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$36	$36	$34	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$5	$4	1.3×
Blood test, calcium CPT Code: `82310`	$6	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$6	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	$8	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$8	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$9	$8	1.1×
Culture, bacterial CPT Code: `87070`	$10	$10	$9	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$21	$21	$19	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$11	$10	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$22	$22	$20	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$12	$11	1.1×
Culture, blood CPT Code: `87040`	$12	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$16	$16	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$17	$17	$16	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$19	$19	$18	1.1×
Blood test, liver function panel CPT Code: `80076`	$9	$9	$9	1.0×
Blood test, amylase CPT Code: `82150`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$3	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$5	$5	1.0×

Showing top 25 high-impact procedures of 97 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Hackensack Meridian Mountainside Medical (Zero PHI Required)

CMS CCN: 310054

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $1,838

Insurer Median $1,838

1. Amount on Your Bill or Quote ($) Pre-filled with Hackensack Meridian Mountainside Medical’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $7,177 Paying Cash

Self-Pay Cash Rate ($1,838) Beats Your Bill

Hackensack Meridian Mountainside Medical's published 45 CFR § 180 self-pay cash rate is $1,838 (vs. $1,838 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$8,693 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($9,015) is $8,693 above the denoised Fair BaseRate ($322) and 32.8× the $275 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Hackensack Meridian Mountainside Medical as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall2/5 Stars (2/5)

Safety Composite57/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait234 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (570 completed HCAHPS patient surveys). 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hackensack Meridian Mountainside Medical.

Price Index: 1.76× regional baseline

Quality: 51/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-63.9%

Aetna

-48.1%

Humana

+98.5%

AmeriHealth

+108.1%

Blue Cross Blue Shield

+128.0%

Median Household Income$76,712U.S. Census ACS

Local Uninsured Share11.6%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 84/100 · Corroborated CMS CCN 310054

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 310054) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2/12/2026

Validated Rate Rows4,995 (CMS v3.0.0)

File Integrity DigestVerified · CCN 310054

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