CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Overlook Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$23,083
about 1.8× the $12,807 Medicare rate · typically $15,940–$48,525
modeled estimate · not a bill or quote
What this hospital charges insurers
$42,411
Well above the fair price
about $19,328 over the fair price · 3.3× Medicare
Medicare pays $12,807 Fair price $23,083 This hospital $42,411 Cash price $21,296 Hospital's list price $137,222

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 $14,255 Priciest $42,411

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

A fair price for a Heart stent placement (inpatient stay) is about $23,083 (about 1.8× the $12,807 Medicare rate). Overlook Medical Center charges insurers about $42,411, or about $21,296 in cash — well 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 $23,083. 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.

5 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 $47,213 - $48,675 369%
Blue Cross Blue Shieldmajor $16,992 133%
Aetnamajor $13,902 - $45,355 109%
Cignamajor $15,447 - $46,652 121%
Humanamajor $41,237 322%
Ambetter (Centene) $35,097 274%
AmeriHealth $15,756 123%
GEHA $48,675 380%
Harvard Pilgrim $48,675 380%
Health Net $8,682 - $45,355 68%
MVP Health Care $42,411 331%
Oscar Health $41,237 322%
Tufts Health Plan $42,411 331%
UPMC Health Plan $16,992 133%
WellCare $16,528 129%
+ 36 smaller / regional plans $7,532 - $48,675
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 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