Hip or knee replacement (inpatient stay)
Facility: Overlook Medical Center
Billing Code: 470 (MS-DRG)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $23,313 (about 1.7× the $14,044 Medicare rate). Overlook Medical Center charges insurers about $30,527, or about $22,517 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 $23,313. 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
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 | $29,610 - $30,527 | 211% |
| Blue Cross Blue Shieldmajor | $1,531 - $47,170 | 11% |
| Aetnamajor | $5,941 - $48,356 | 42% |
| Cignamajor | $16,359 - $49,739 | 116% |
| Humanamajor | $43,965 | 313% |
| Ambetter (Centene) | $37,108 | 264% |
| AmeriHealth | $16,686 | 119% |
| GEHA | $30,527 | 217% |
| Harvard Pilgrim | $30,527 | 217% |
| Health Net | $8,682 - $48,356 | 62% |
| MVP Health Care | $45,217 | 322% |
| Oscar Health | $43,965 | 313% |
| Tufts Health Plan | $45,217 | 322% |
| UPMC Health Plan | $17,994 | 128% |
| WellCare | $17,504 | 125% |
| + 42 smaller / regional plans | $5,203 - $49,739 |
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.
Other Procedures at Overlook Medical Center
Compare: Hip or knee replacement (inpatient stay) at other NJ hospitals
- Valley Hospital · Paramus $15,142
- Shore Medical Center · Somers Point $15,215
- Carewell Health Medical Center · East Orange $16,253
- Southern Ocean Medical Center · Manahawkin $17,238
- Riverview Medical Center · Red Bank $17,275
- Bayshore Medical Center · Holmdel $17,391
- Jersey Shore University Medical Center · Neptune $18,886
- Jfk University Medical Center · Edison $18,963
Insurance negotiated median for the same procedure, sorted lowest first.