CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Overlook Medical Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 1.1× the $40 Medicare rate · typically $17–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Above the fair price
about $12 over the fair price · 1.4× Medicare
Medicare pays $40 Fair price $45 This hospital $57 Cash price $144 Hospital's list price $1,387

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 $17 Priciest $57

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

A fair price for a Diagnostic procedure preparation is about $45 (about 1.1× the $40 Medicare rate). Overlook Medical Center charges insurers about $57, or about $144 in cash — 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 $45. 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 $39 - $267 97%
Blue Cross Blue Shieldmajor $18 - $236 45%
Aetnamajor $16 - $167 40%
Cignamajor $18 - $62 45%
Humanamajor $145 359%
Kaiser Permanentemajor $153 379%
Ambetter (Centene) $123 - $186 304%
AmeriHealth $18 - $134 45%
GEHA $145 - $267 359%
Harvard Pilgrim $145 - $267 359%
Health Net $139 - $236 344%
MagnaCare $139 - $222 344%
MVP Health Care $57 141%
Oscar Health $145 359%
Tufts Health Plan $57 141%
UPMC Health Plan $20 49%
WellCare $19 47%
+ 79 smaller / regional plans $20 - $278
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.

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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