CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Overlook Medical Center

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$20
about 1.1× the $19 Medicare rate · typically $20–$27
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $19 Fair price $20 This hospital $21 Cash price $59 Hospital's list price $1,149

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 $19 Priciest $21

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

A fair price for a Prostate cancer screening (blood test) is about $20 (about 1.1× the $19 Medicare rate). Overlook Medical Center charges insurers about $21, or about $59 in cash — about the fair price. 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 $19 98%
Blue Cross Blue Shieldmajor $15 - $386 78%
Aetnamajor $17 - $36 88%
Cignamajor $10 - $24 52%
Humanamajor $304 1574%
Kaiser Permanentemajor $250 1295%
Ambetter (Centene) $40 207%
AmeriHealth $20 - $219 104%
GEHA $19 98%
Harvard Pilgrim $19 98%
Health Net $32 - $386 166%
MagnaCare $32 - $363 166%
MVP Health Care $10 - $22 52%
Oscar Health $304 1574%
Tufts Health Plan $10 - $22 52%
UPMC Health Plan $21 109%
WellCare $21 109%
+ 79 smaller / regional plans $10 - $454
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