CMS Price Transparency Data

Culture, bacterial

Facility: Overlook Medical Center

Billing Code: 87070 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9
about 1.0× the $9 Medicare rate · typically $9–$15
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
Above the fair price
about $2 over the fair price · 1.2× Medicare
Medicare pays $9 Fair price $9 This hospital $11 Hospital's list price $245

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 $7 Priciest $11

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

A fair price for a Culture, bacterial is about $9 (about 1.0× the $9 Medicare rate). Overlook Medical Center charges insurers about $11 — above the fair price. Located in Summit, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $9. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
UnitedHealthcaremajor $9 104%
Blue Cross Blue Shieldmajor $7 - $6,272 81%
Aetnamajor $8 - $8,781 93%
Cignamajor $8 - $6,272 93%
Humanamajor $144 - $251 1671%
Kaiser Permanentemajor $118 - $206 1369%
Ambetter (Centene) $18 - $6,272 209%
AmeriHealth $9 - $6,335 104%
GEHA $9 104%
Harvard Pilgrim $9 104%
Health Net $15 - $319 174%
MagnaCare $15 - $300 174%
MVP Health Care $10 116%
Oscar Health $144 - $251 1671%
Tufts Health Plan $10 116%
UPMC Health Plan $9 - $6,272 104%
WellCare $9 - $6,272 104%
+ 79 smaller / regional plans $7 - $12,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 25 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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