CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Hackensack Meridian Mountainside Medical

Billing Code: 90371 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90371
  • Insurance Median: $1,049
  • Cash Discount Price: $451
  • vs. Medicare Baseline: 7.48x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Hackensack Meridian Mountainside Medical is $1,049. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 7.48x the Medicare baseline. Located in 1 Bay Avenue, Montclair, NJ.
Cash / Self-Pay
$451

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,049

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$140.21

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $140.21 (100%)
Cash / Self-Pay: $451 (322%)
Insurance Median: $1,049 (748%)
Cash: $451 (322% of Medicare)
Ins. Median: $1,049 (748% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $140.21 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 748% of the Medicare baseline (a markup of 648%). 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] $223 - $1,802 159%
UnitedHealthcare $223 159%
Mvp Health Plan [2180] $615 439%
National Association of Letter Carriers [1695] $615 439%
Samba Health [2305] $615 439%
Cigna $615 439%
Amerihealth [3520] $848 605%
Healthcare Highways [2210] $869 - $1,802 620%
Black Lung [6055] $869 620%
Wtc Healthcare Sme Karna [8005] $869 620%
Worker's Comp [2125] $869 620%
Oncology Patient Assistance Programs [2295] $869 620%
Medicare (plans) $869 620%
Web Tpa [2115] $869 - $1,049 620%
Create Flex / Select [3580] $869 620%
Lucent Health [6000] $869 620%
Selecthealth [3740] $869 620%
Aetna $945 - $1,049 674%
Meritain Health [1655] $1,049 748%
1199 Seiu Benefit Fund [3505] $1,049 748%
Allied Benefit Systems Inc [1030] $1,049 748%
Medicaid / KanCare $1,060 756%
First Health [1375] $1,590 - $1,802 1134%
Mayo Clinic Health Solutions [2280] $1,802 1285%
PHCS [1780] $1,802 1285%
Allied National Global Care [1035] $1,802 1285%
Healthfirst [2395] $1,802 1285%
Planned Administrators Inc [2360] $1,802 1285%
Mutual of Omaha [1685] $1,802 1285%
Healthnet [1495] $1,802 1285%
Hometown Health [2155] $1,802 1285%
Resource One Administrators [2815] $1,802 1285%
Universal Fidelity [2085] $1,802 1285%
Pba [1775] $1,802 1285%
Pan American Life Insurance Co [1770] $1,802 1285%
Gilsbar [1425] $1,802 1285%
Administrative Concepts [1005] $1,802 1285%
Trustmark [2030] $1,802 1285%
New Era Life Insurance Company [1705] $1,802 1285%
Healthcost Solutions [2415] $1,802 1285%
Multiplan [1680] $1,802 1285%
Mva [1690] $2,120 1512%

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