Sepsis treatment (inpatient stay)
Facility: Overlook Medical Center
Billing Code: 871 (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 Sepsis treatment (inpatient stay) is about $25,044 (about 1.8× the $14,117 Medicare rate). Overlook Medical Center charges insurers about $45,996, or about $23,547 in cash — well 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 $25,044. 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 | $51,203 - $52,788 | 363% |
| Blue Cross Blue Shieldmajor | $18,815 - $48,288 | 133% |
| Aetnamajor | $15,394 - $49,188 | 109% |
| Cignamajor | $17,105 - $50,595 | 121% |
| Humanamajor | $44,722 | 317% |
| Ambetter (Centene) | $38,806 | 275% |
| AmeriHealth | $17,447 | 124% |
| GEHA | $52,788 | 374% |
| Harvard Pilgrim | $52,788 | 374% |
| Health Net | $8,682 - $49,188 | 62% |
| MVP Health Care | $45,996 | 326% |
| Oscar Health | $44,722 | 317% |
| Tufts Health Plan | $45,996 | 326% |
| UPMC Health Plan | $18,815 | 133% |
| WellCare | $18,302 | 130% |
| + 38 smaller / regional plans | $7,532 - $52,788 |
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: Sepsis treatment (inpatient stay) at other NJ hospitals
- Valley Hospital · Paramus $15,248
- Shore Medical Center · Somers Point $15,824
- Carewell Health Medical Center · East Orange $16,877
- Riverview Medical Center · Red Bank $17,977
- Bayshore Medical Center · Holmdel $18,098
- Southern Ocean Medical Center · Manahawkin $18,557
- Deborah Heart and Lung Center · Browns Mills $19,238
- Jersey Shore University Medical Center · Neptune $19,810
Insurance negotiated median for the same procedure, sorted lowest first.