CMS Price Transparency Data

Injection procedure for pain management

Facility: Overlook Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$987

about 1.4× the $721 Medicare rate · typically $711–$3,004

modeled estimate · not a bill or quote

What this hospital charges insurers

$804

Below the fair price — a good deal

about $183 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $987 This hospital $804 Cash price $930 Hospital's list price $3,854

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 $736 Priciest $804

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

A fair price for a Injection procedure for pain management is about $987 (about 1.4× the $721 Medicare rate). Overlook Medical Center charges insurers about $804, or about $930 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.

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	$3,133 - $3,229	434%
Blue Cross Blue Shieldmajor	$516 - $2,545	72%
Aetnamajor	$620 - $1,125	86%
Cignamajor	$804 - $2,690	111%
Humanamajor	$1,647	228%
Kaiser Permanentemajor	$1,647	228%
Ambetter (Centene)	$804	111%
AmeriHealth	$804 - $6,049	111%
GEHA	$3,229	448%
Harvard Pilgrim	$3,229	448%
Health Net	$1,497 - $2,545	208%
MagnaCare	$1,497 - $2,392	208%
MVP Health Care	$2,445	339%
Oscar Health	$1,647	228%
Tufts Health Plan	$2,445	339%
UPMC Health Plan	$804	111%
WellCare	$804	111%
+ 72 smaller / regional plans	$106 - $12,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 23 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 930), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0260.

Insurance Before you use insurance

Call your insurance company to confirm Overlook Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0260.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Overlook Medical Center

Compare: Injection procedure for pain management at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.