Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · OTHER 0523T · MONTCLAIR, NJ

0523T — Hc Intraprocedural Coronary Ffp W/3d Funcjl Mappin

What each payer pays HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL (CCN 310054) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$10,637 All-payer median here
$8,898 Cash / self-pay here
59 payer/plan-name variants
← This hospital National rates for 0523T →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
MVP Health Care $18,009 69.3% 1
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $14,081 32.4% 1
Cigna Healthcare $14,081 32.4% 3
SAMBA HEALTH [2305] $14,081 32.4% 1
ALLIED NATIONAL $10,637 0.0% 1
Amerigroup $10,637 0.0% 2
BCBS [1155] $10,637 0.0% 2
BCBS MEDICARE REPLACEMENT [1160] $10,637 0.0% 1
Centers for Medicare & Medicaid Services $10,637 0.0% 4
Clover Health $10,637 0.0% 1
Create Health Plan $10,637 0.0% 1
EmblemHealth $10,637 0.0% 1
FIDELIS CARE (CENTERCARE) $10,637 0.0% 1
FIDELIS CARE OF NJ MEDICAID [3770] $10,637 0.0% 1
First Health Network $10,637 0.0% 2
GEHA (Government Employees Health Association) $10,637 0.0% 1
Gilsbar $10,637 0.0% 1
Healthcare Highways $10,637 0.0% 1
HEALTH COST SOLUTIONS (HCS) $10,637 0.0% 1
Healthfirst, Inc. $10,637 0.0% 2
Health Net $10,637 0.0% 1
HealthSCOPE Benefits EHC Repricing $10,637 0.0% 1
Hometown Health $10,637 0.0% 1
Horizon BCBS of NJ $10,637 0.0% 10
Humana $10,637 0.0% 2
LUCENT HEALTH $10,637 0.0% 1
MANAGED MEDICAID [3845] $10,637 0.0% 1
MANAGED MEDICARE [1600] $10,637 0.0% 1
Mayo Clinic Health Solutions (MMSI) $10,637 0.0% 1
MCS Life Insurance Company $10,637 0.0% 1
Meritain Health $10,637 0.0% 2
MultiPlan $10,637 0.0% 1
MUTUAL OF OMAHA INSURANCE $10,637 0.0% 1
MVA [1690] $10,637 0.0% 1
WORKER'S COMP [2125] $10,637 0.0% 2
ADMINISTRATIVE CONCEPTS $10,637 0.0% 1
Aetna $10,637 0.0% 5
ALLIED BENEFIT SYSTEMS $10,637 0.0% 1
WellCare Health Plans $10,637 0.0% 1
1199 NATIONAL BENEFIT FUND $10,637 0.0% 1
NEW ERA LIFE INSURANCE COMPANY [1705] $10,637 0.0% 1
NIPPON LIFE INS CO [3695] $10,637 0.0% 1
PAN AMERICAN LIFE INSURANCE CO [1770] $10,637 0.0% 1
PBA [1775] $10,637 0.0% 1
PENDING COUNTY RCA [3910] $10,637 0.0% 1
PHCS (Private Healthcare Systems) $10,637 0.0% 1
Planned Administrators, Inc. $10,637 0.0% 1
QUALCARE [3725] $10,637 0.0% 3
RESOURCEONE ADMINISTRATORS $10,637 0.0% 1
TRUSTMARK $10,637 0.0% 1
UMR (UnitedHealthcare TPA) $10,637 0.0% 2
United Behavioral Health (Optum) $10,637 0.0% 3
UnitedHealthcare $10,637 0.0% 5
UNIVERSAL FIDELITY ADMINISTRATORS COMPANY $10,637 0.0% 1
US DEPARTMENT OF LABOR - BLACK LUNG $10,637 0.0% 1
VA / CHAMPVA $10,637 0.0% 1
WebTPA Employer Services LLC $10,637 0.0% 1
MAGNACARE $9,197 -13.5% 1
AmeriHealth Caritas $7,168 -32.6% 4

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.