Spinal fusion, single level (inpatient stay)
Facility: Overlook Medical Center
Billing Code: 451 (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 Spinal fusion, single level (inpatient stay) is about $34,672 (about 1.5× the $23,504 Medicare rate). Overlook Medical Center charges insurers about $60,277, or about $36,576 in cash — 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 $34,672. 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 | $33,555 - $34,594 | 143% |
| Blue Cross Blue Shieldmajor | $29,207 | 124% |
| Aetnamajor | $23,896 - $77,363 | 102% |
| Cignamajor | $26,551 - $79,576 | 113% |
| Humanamajor | $70,339 | 299% |
| Ambetter (Centene) | $60,277 | 256% |
| AmeriHealth | $27,083 | 115% |
| GEHA | $34,594 | 147% |
| Harvard Pilgrim | $34,594 | 147% |
| Health Net | $8,682 - $77,363 | 37% |
| MVP Health Care | $72,342 | 308% |
| Oscar Health | $70,339 | 299% |
| Tufts Health Plan | $72,342 | 308% |
| UPMC Health Plan | $29,207 | 124% |
| WellCare | $28,410 | 121% |
| + 37 smaller / regional plans | $7,532 - $79,576 |
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: Spinal fusion, single level (inpatient stay) at other NJ hospitals
- Shore Medical Center · Somers Point $24,753
- Valley Hospital · Paramus $25,358
- Carewell Health Medical Center · East Orange $26,027
- Riverview Medical Center · Red Bank $26,690
- Southern Ocean Medical Center · Manahawkin $26,754
- Bayshore Medical Center · Holmdel $26,870
- Jfk University Medical Center · Edison $28,738
- Centrastate Medical Center · Freehold $29,671
Insurance negotiated median for the same procedure, sorted lowest first.