CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Overlook Medical Center

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$61
about 2.1× the $29 Medicare rate · typically $32–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $29 under the fair price · 1.1× Medicare
Medicare pays $29 Fair price $61 This hospital $32 Cash price $167 Hospital's list price $1,221

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 0 charge more and 3 charge less, among the 9 NJ hospitals compared.

Cheapest $15 Priciest $32

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (therapeutic exercise) is about $61 (about 2.1× the $29 Medicare rate). Overlook Medical Center charges insurers about $32, or about $167 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 $147 - $151 506%
Blue Cross Blue Shieldmajor $32 - $189 110%
Aetnamajor $32 - $145 110%
Cignamajor $32 - $138 110%
Humanamajor $140 482%
Kaiser Permanentemajor $122 420%
Ambetter (Centene) $32 110%
AmeriHealth $32 - $107 110%
GEHA $151 520%
Harvard Pilgrim $151 520%
Health Net $145 - $189 499%
MagnaCare $154 - $177 530%
MVP Health Care $125 430%
Oscar Health $140 482%
Tufts Health Plan $125 430%
UPMC Health Plan $32 110%
WellCare $32 110%
+ 79 smaller / regional plans $26 - $222
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

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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