CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Overlook Medical Center

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,575
about 1.3× the $1,223 Medicare rate · typically $1,343–$2,661
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,368
Below the fair price — a good deal
about $207 under the fair price · 1.1× Medicare
Medicare pays $1,223 Fair price $1,575 This hospital $1,368 Cash price $1,573 Hospital's list price $12,669

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $849 Priciest $1,368

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $1,575 (about 1.3× the $1,223 Medicare rate). Overlook Medical Center charges insurers about $1,368, or about $1,573 in cash — below the fair price — a good deal. Located in Summit, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $1,368 112%
Aetnamajor $1,368 - $1,915 112%
Cignamajor $1,368 112%
Ambetter (Centene) $1,368 112%
AmeriHealth $1,368 - $6,049 112%
UPMC Health Plan $1,368 112%
WellCare $1,368 112%
+ 13 smaller / regional plans $397 - $12,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 99 Beauvoir Avenue, Summit, NJ 07901
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals