CMS Price Transparency Data

Rabies immune globulin

Facility: Hackensack Meridian Mountainside Medical

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90375
  • Insurance Median: $4,357
  • Cash Discount Price: $1,838
  • vs. Medicare Baseline: 15.83x Medicare
The contracted insurance negotiated median rate for a Rabies immune globulin at Hackensack Meridian Mountainside Medical is $4,357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,838. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 15.83x the Medicare baseline. Located in 1 Bay Avenue, Montclair, NJ.
Cash / Self-Pay
$1,838

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,357

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$275.18

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $275.18 (100%)
Cash / Self-Pay: $1,838 (668%)
Insurance Median: $4,357 (1583%)
Cash: $1,838 (668% of Medicare)
Ins. Median: $4,357 (1583% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $275.18 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 1583% of the Medicare baseline (a markup of 1483%). 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
UnitedHealthcare $316 - $1,578 115%
Healthscope Benefits [2290] $316 - $12,771 115%
Cigna $871 - $4,357 317%
Samba Health [2305] $871 - $4,357 317%
National Association of Letter Carriers [1695] $871 - $4,357 317%
Mvp Health Plan [2180] $871 - $4,357 317%
Amerihealth [3520] $1,202 - $6,010 437%
Web Tpa [2115] $1,232 - $7,438 448%
Healthcare Highways [2210] $1,232 - $12,771 448%
Worker's Comp [2125] $1,232 - $6,160 448%
Oncology Patient Assistance Programs [2295] $1,232 - $6,160 448%
Black Lung [6055] $1,232 - $6,160 448%
Medicare (plans) $1,232 - $6,160 448%
Wtc Healthcare Sme Karna [8005] $1,232 - $6,160 448%
Create Flex / Select [3580] $1,232 - $6,160 448%
Selecthealth [3740] $1,232 - $6,160 448%
Lucent Health [6000] $1,232 - $6,160 448%
Aetna $1,340 - $7,438 487%
1199 Seiu Benefit Fund [3505] $1,488 - $7,438 541%
Meritain Health [1655] $1,488 - $7,438 541%
Allied Benefit Systems Inc [1030] $1,488 - $7,438 541%
Medicaid / KanCare $1,503 - $7,513 546%
First Health [1375] $2,254 - $12,771 819%
Hometown Health [2155] $2,554 - $12,771 928%
Allied National Global Care [1035] $2,554 - $12,771 928%
Administrative Concepts [1005] $2,554 - $12,771 928%
New Era Life Insurance Company [1705] $2,554 - $12,771 928%
Trustmark [2030] $2,554 - $12,771 928%
Multiplan [1680] $2,554 - $12,771 928%
Resource One Administrators [2815] $2,554 - $12,771 928%
Healthcost Solutions [2415] $2,554 - $12,771 928%
PHCS [1780] $2,554 - $12,771 928%
Mayo Clinic Health Solutions [2280] $2,554 - $12,771 928%
Healthnet [1495] $2,554 - $12,771 928%
Universal Fidelity [2085] $2,554 - $12,771 928%
Pba [1775] $2,554 - $12,771 928%
Planned Administrators Inc [2360] $2,554 - $12,771 928%
Mutual of Omaha [1685] $2,554 - $12,771 928%
Gilsbar [1425] $2,554 - $12,771 928%
Healthfirst [2395] $2,554 - $12,771 928%
Pan American Life Insurance Co [1770] $2,554 - $12,771 928%
Mva [1690] $3,005 - $15,025 1092%

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