Hackensack Meridian Mountainside Medical
1 Bay Avenue, Montclair, NJ 07042 · Acute care hospital · Emergency room
These are Hackensack Meridian Mountainside Medical's own posted figures from its standard-charges file dated February 12, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
153 of the services we track have a posted price here. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $3,596.00 | $3,596.00 | $377.58 – $4,631.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $2,013.00 | $2,013.00 | $98.79 – $3,208.00 |
| Emergency room visit, level 2 CPT 99282 | $2,494.00 | $2,494.00 | $103.00 – $3,208.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,869.00 | $2,869.00 | $165.00 – $3,208.00 |
| Emergency room visit, level 4 CPT 99284 | $549.39 | $3,119.00 | $165.00 – $3,208.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,938.00 | $3,938.00 | $165.00 – $3,938.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $256.37 | $844.20 | $88.64 – $22,900.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Office visit, established patient, brief (often a nurse) CPT 99211 | $10.56 | $603.00 | $9.18 – $847.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $31.40 | $245.00 | $25.73 – $264.01 |
| Abdominal X-ray, 1 view CPT 74018 | $113.60 | $380.00 | $39.90 – $380.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $113.60 | $276.00 | $28.98 – $467.23 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $137.20 | $523.00 | $54.92 – $827.05 |
| Breast ultrasound, one breast, complete CPT 76641 | $137.20 | $701.00 | $73.61 – $1,095.57 |
| Breast ultrasound, one breast, limited CPT 76642 | $113.60 | $549.96 | $57.75 – $1,095.57 |
| Chest X-ray, 1 view CPT 71045 | $113.60 | $265.00 | $27.83 – $365.19 |
| Chest X-ray, 2 views CPT 71046 | $113.60 | $390.00 | $40.95 – $390.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $229.68 | $3,110.00 | $199.72 – $4,253.39 |
| CT angiogram of the head CPT 70496 | $229.68 | $2,174.00 | $199.72 – $3,813.01 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $460.77 | $3,145.00 | $330.23 – $3,404.86 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $460.77 | $7,247.00 | $400.67 – $7,247.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $311.87 | $2,975.00 | $271.19 – $2,975.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $137.20 | $2,797.20 | $119.31 – $2,889.30 |
| CT scan of the chest, with contrast CPT 71260 | $229.68 | $2,982.00 | $199.72 – $3,480.05 |
| CT scan of the chest, without contrast CPT 71250 | $137.20 | $2,597.00 | $119.31 – $2,975.22 |
| CT scan of the head, without contrast CPT 70450 | $137.20 | $3,145.00 | $119.31 – $3,145.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $137.20 | $1,473.00 | $119.31 – $2,975.22 |
| CT scan of the pelvis, with contrast CPT 72193 | $229.68 | $3,399.90 | $199.72 – $3,399.90 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $137.20 | $2,753.00 | $119.31 – $2,753.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $145.95 | $800.00 | $84.00 – $1,260.12 |
| Diagnostic mammogram, one breast CPT 77065 | $114.55 | $604.80 | $63.50 – $984.97 |
| Foot X-ray, 3 or more views CPT 73630 | $113.60 | $870.00 | $91.35 – $1,305.00 |
| Hand X-ray, 3 or more views CPT 73130 | $113.60 | $260.00 | $27.30 – $467.23 |
| Knee X-ray, 3 views CPT 73562 | $113.60 | $785.00 | $82.43 – $1,177.50 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $311.87 | $1,551.00 | $162.86 – $1,591.80 |
| Leg or arm vein ultrasound, one side CPT 93971 | $137.20 | $1,354.00 | $119.31 – $1,354.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $137.20 | $712.95 | $74.86 – $712.95 |
| MRI of the abdomen, without and with contrast CPT 74183 | $460.77 | $3,607.00 | $378.74 – $8,270.48 |
| MRI of the brain, without and with contrast CPT 70553 | $460.77 | $5,953.00 | $400.67 – $8,270.48 |
| MRI of the brain, without contrast CPT 70551 | $311.87 | $3,831.00 | $271.19 – $5,101.92 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $311.87 | $4,019.00 | $271.19 – $7,652.88 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $311.87 | $4,302.00 | $271.19 – $5,101.92 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $311.87 | $4,037.00 | $271.19 – $5,101.92 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $311.87 | $4,234.00 | $271.19 – $5,101.92 |
| MRI of the pelvis, without and with contrast CPT 72197 | $460.77 | $4,383.00 | $400.67 – $8,270.48 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $311.87 | $3,196.20 | $271.19 – $7,652.88 |
| Neck X-ray, 2 or 3 views CPT 72040 | $113.60 | $567.00 | $59.54 – $567.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $137.20 | $1,147.00 | $119.31 – $1,147.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $137.20 | $3,234.00 | $119.31 – $3,234.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $137.20 | $1,354.00 | $119.31 – $1,354.00 |
| Screening mammogram, both breasts CPT 77067 | $120.72 | $950.00 | $99.75 – $1,040.77 |
| Shoulder X-ray, 2 or more views CPT 73030 | $113.60 | $614.00 | $64.47 – $921.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $137.20 | $722.00 | $75.81 – $1,074.09 |
| Transvaginal ultrasound CPT 76830 | $137.20 | $1,065.00 | $111.83 – $1,065.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $137.20 | $1,230.00 | $119.31 – $1,230.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $137.20 | $770.00 | $80.85 – $932.94 |
| Wrist X-ray, 3 or more views CPT 73110 | $113.60 | $806.00 | $84.63 – $1,209.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $137.20 | $692.00 | $72.66 – $692.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $9.73 | $142.00 | $8.46 – $142.00 |
| Blood culture CPT 87040 | $11.87 | $208.00 | $10.32 – $208.00 |
| Blood draw (venipuncture) CPT 36415 | $10.15 | $109.00 | $5.70 – $109.00 |
| BNP test (heart failure) CPT 83880 | $45.15 | $264.00 | $27.72 – $336.22 |
| C-reactive protein (CRP) test CPT 86140 | $5.96 | $129.00 | $5.18 – $129.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $40.35 | $143.61 | $15.08 – $344.49 |
| Complete blood count (CBC) with differential CPT 85025 | $8.94 | $117.00 | $7.77 – $117.00 |
| Complete blood count (CBC), automated CPT 85027 | $7.44 | $87.00 | $6.47 – $87.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $12.14 | $305.00 | $10.56 – $305.00 |
| D-dimer test (blood clots) CPT 85379 | $11.71 | $79.00 | $8.30 – $87.18 |
| Drug screen, instrument chemistry CPT 80307 | $71.46 | $204.00 | $21.42 – $571.12 |
| Ferritin (iron stores) test CPT 82728 | $15.67 | $195.00 | $13.63 – $195.00 |
| Free T4 (thyroid) test CPT 84439 | $10.37 | $375.00 | $9.02 – $375.00 |
| Glucose (blood sugar) test CPT 82947 | $4.52 | $73.50 | $3.93 – $73.50 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $40.35 | $143.61 | $15.08 – $344.49 |
| Hemoglobin A1c test CPT 83036 | $11.17 | $161.00 | $9.71 – $161.00 |
| Hepatitis C antibody test CPT 86803 | $16.41 | $315.00 | $14.27 – $315.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $27.69 | $38.85 | $4.08 – $236.36 |
| Iron test CPT 83540 | $7.44 | $127.05 | $6.47 – $127.05 |
| Kidney function panel CPT 80069 | $9.98 | $241.50 | $8.68 – $241.50 |
| Lipase test (pancreas) CPT 83690 | $7.92 | $125.00 | $6.89 – $125.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $15.40 | $324.00 | $13.39 – $324.00 |
| Liver function panel CPT 80076 | $9.40 | $187.00 | $8.17 – $187.00 |
| Magnesium test CPT 83735 | $7.71 | $114.00 | $6.70 – $114.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.91 | $103.00 | $6.01 – $103.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $17.31 | $259.00 | $15.05 – $259.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.93 | $96.00 | $4.29 – $96.00 |
| PSA (prostate specific antigen), free CPT 84154 | $21.15 | $322.35 | $18.39 – $322.35 |
| PSA (prostate specific antigen), total CPT 84153 | $21.15 | $519.75 | $18.39 – $519.75 |
| Rapid strep test CPT 87880 | $19.01 | $228.00 | $16.53 – $228.00 |
| Sed rate (ESR) test CPT 85652 | $3.11 | $49.35 | $2.70 – $49.35 |
| TB skin test CPT 86580 | $31.60 | $89.00 | $9.35 – $89.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $19.32 | $232.00 | $16.80 – $232.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $68.94 | $850.00 | $59.94 – $850.00 |
| Troponin test (heart damage) CPT 84484 | $14.34 | $200.00 | $12.47 – $200.00 |
| Urinalysis, automated, with microscope CPT 81001 | $3.65 | $145.00 | $3.17 – $145.00 |
| Urinalysis, automated, without microscope CPT 81003 | $2.59 | $72.00 | $2.25 – $72.00 |
| Urinalysis, manual, without microscope CPT 81002 | $4.00 | $39.90 | $3.48 – $39.90 |
| Urine culture, colony count CPT 87086 | $9.28 | $331.00 | $8.07 – $331.00 |
| Urine pregnancy test CPT 81025 | $9.90 | $79.00 | $8.30 – $79.00 |
| Vitamin B12 test CPT 82607 | $17.34 | $192.00 | $15.08 – $192.00 |
| Vitamin D test CPT 82306 | $34.04 | $382.00 | $29.60 – $382.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $311.87 | $1,626.00 | $170.73 – $1,626.00 |
| ECG tracing only (no interpretation) CPT 93005 | $76.63 | $307.00 | $32.24 – $656.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $707.42 | $2,138.00 | $224.49 – $2,138.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,149.84 | $27,657.00 | $2,903.99 – $27,657.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,684.34 | $9,907.80 | $1,040.32 – $9,907.80 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $2,090.44 | $4,809.60 | $505.01 – $4,809.60 |
| Colonoscopy with biopsy CPT 45380 | $1,521.26 | $3,195.00 | $335.48 – $13,478.79 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,521.26 | $3,000.00 | $315.00 – $13,478.79 |
| Colonoscopy, diagnostic CPT 45378 | $1,176.29 | $2,750.00 | $288.75 – $13,478.79 |
| Cystoscopy (bladder scope) CPT 52000 | $861.17 | $2,003.00 | $210.32 – $13,478.79 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,176.29 | $2,234.67 | $234.64 – $13,478.79 |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,521.26 | $3,500.00 | $367.50 – $13,478.79 |
| Prostate biopsy CPT 55700 | $2,643.00 | $4,246.68 | $445.90 – $22,900.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,176.29 | $3,740.00 | $392.70 – $22,900.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,176.29 | $3,520.00 | $369.60 – $22,900.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,209.65 | $2,753.85 | $289.15 – $13,478.79 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,209.65 | $2,750.00 | $288.75 – $13,478.79 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $259.56 | $1,666.00 | $174.93 – $4,494.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $380.86 | $1,420.65 | $149.17 – $22,900.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,148.66 | $5,799.00 | $480.07 – $22,900.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $893.50 | $2,935.00 | $308.18 – $22,900.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,148.66 | $3,324.20 | $349.04 – $22,900.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $707.81 | $1,733.88 | $182.06 – $22,900.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $201.86 | $736.05 | $77.29 – $736.05 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $201.86 | $1,892.00 | $175.53 – $2,627.00 |
| Sleep study with CPAP titration CPT 95811 | $1,312.65 | $6,960.45 | $730.85 – $6,960.45 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,312.65 | $6,580.35 | $690.94 – $6,580.35 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $201.86 | $326.55 | $34.29 – $1,032.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $36.05 | $540.00 | $26.99 – $540.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $109.96 | $455.00 | $47.78 – $643.57 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $109.96 | $862.00 | $90.51 – $862.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $39.76 | $338.00 | $32.12 – $355.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $52.53 | $352.00 | $20.51 – $355.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $207.30 | $801.15 | $65.75 – $801.15 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $207.30 | $801.15 | $65.75 – $801.15 |
| Group psychotherapy CPT 90853 | $119.35 | $1,142.40 | $40.00 – $1,142.40 |
| Psychiatric diagnostic evaluation CPT 90791 | $207.30 | $1,211.70 | $121.00 – $1,311.00 |
| Psychotherapy, 30 minutes CPT 90832 | $207.30 | $543.90 | $49.25 – $543.90 |
| Psychotherapy, 45 minutes CPT 90834 | $207.30 | $576.00 | $60.48 – $576.00 |
| Psychotherapy, 60 minutes CPT 90837 | $207.30 | $487.20 | $51.16 – $487.20 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $91.83 | $260.40 | $27.34 – $563.00 |
| IV hydration, each additional hour CPT 96361 | $59.53 | $425.00 | $44.63 – $563.00 |
| IV hydration, first hour CPT 96360 | $271.83 | $638.00 | $66.99 – $638.00 |
| IV push injection of a drug, first CPT 96374 | $271.83 | $353.00 | $37.07 – $563.00 |
| IV push injection, each additional drug CPT 96375 | $59.53 | $293.00 | $30.77 – $563.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $16.10 | $16.10 | ? – $16.10 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $56.52 | $56.52 | ? – $56.52 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $90.44 | $90.44 | ? – $90.44 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $1.59 | $6.01 | ? – $6.13 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $28.96 | $28.96 | ? – $28.96 |
| Morphine injection, up to 10 mg HCPCS J2270 | $220.43 | $220.43 | $1.11 – $220.43 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $13.13 | $13.13 | ? – $13.13 |
| Propofol injection, per 10 mg HCPCS J2704 | $81.64 | $81.64 | $1.35 – $81.64 |
| Saline IV solution, 1000 ml HCPCS J7030 | $18.84 | $18.84 | ? – $18.84 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.