CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Overlook Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$119
about 1.0× the $118 Medicare rate · typically $92–$163
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
Below the fair price — a good deal
about $19 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $119 This hospital $100 Cash price $97 Hospital's list price $741

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 $61 Priciest $100

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

A fair price for a New patient office visit (30-44 min) is about $119 (about 1.0× the $118 Medicare rate). Overlook Medical Center charges insurers about $100, or about $97 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 $157 - $363 134%
Blue Cross Blue Shieldmajor $61 - $691 52%
Aetnamajor $73 - $488 62%
Cignamajor $81 - $532 69%
Humanamajor $194 - $447 165%
Kaiser Permanentemajor $194 - $447 165%
Ambetter (Centene) $178 151%
AmeriHealth $72 - $350 61%
GEHA $157 - $363 134%
Harvard Pilgrim $157 - $363 134%
Health Net $176 - $691 150%
MagnaCare $176 - $650 150%
MVP Health Care $81 - $484 69%
Oscar Health $194 - $447 165%
Tufts Health Plan $81 - $484 69%
UPMC Health Plan $95 - $150 81%
WellCare $93 - $150 79%
+ 78 smaller / regional plans $67 - $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.

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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