40/100
#1,590 nationally
Hackensack Meridian Mountainside Medical
1 Bay Avenue, Montclair, NJ 07042 · (973) 429-6000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Hackensack Meridian Mountainside Medical billed $4.77 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 91
- inpatient and outpatient combined
- Rank in NJ
- #6
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 37% of U.S. hospitals.
Better than 55% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 36% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
316 | $92,243 | $20,235 | +41% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
263 | $23,112 | $2,898 | +19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
161 | $62,231 | $13,034 | +43% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
148 | $18,306 | $2,022 | +56% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
110 | $22,779 | $2,967 | +37% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
74 | $15,665 | $3,704 | -24% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
74 | $19,546 | $5,499 | -29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
72 | $9,016 | $1,698 | -11% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
66 | $38,384 | $8,048 | +19% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
65 | $66,861 | $13,841 | +44% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$113,475 | $21,098 | +127% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$136,299 | $20,010 | +122% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$85,111 | $15,493 | +75% |
|
Other Musculoskeletal System and Connective Tissue Diagnoses with Complications
MS-DRG 565 · Inpatient stay |
$68,277 | $11,327 | +62% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$90,862 | $17,115 | +61% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$36,241 | $4,022 | +60% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$69,105 | $9,928 | +58% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$74,353 | $13,115 | +57% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$6,759 | $1,925 | -40% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$14,624 | $3,923 | -39% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$37,694 | $11,045 | -37% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$14,299 | $3,477 | -30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$19,546 | $5,499 | -29% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$8,265 | $1,700 | -26% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$26,405 | $6,042 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$15,665 | $3,704 | -24% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.