CMS Price Transparency Data

X-ray, pelvis

Facility: Overlook Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$110
about 1.0× the $107 Medicare rate · typically $53–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$178
Above the fair price
about $68 over the fair price · 1.7× Medicare
Medicare pays $107 Fair price $110 This hospital $178 Hospital's list price $32,540

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 $32 Priciest $178

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

A fair price for a X-ray, pelvis is about $110 (about 1.0× the $107 Medicare rate). Overlook Medical Center charges insurers about $178 — 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 $110. 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.

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 $178 167%
Blue Cross Blue Shieldmajor $19 - $15,638 18%
Aetnamajor $28 - $22,063 26%
Cignamajor $49 - $14,930 46%
Humanamajor $278 260%
Kaiser Permanentemajor $294 275%
Ambetter (Centene) $123 - $14,930 115%
AmeriHealth $123 - $18,064 115%
GEHA $178 167%
Harvard Pilgrim $178 167%
Health Net $36 - $22,063 34%
MagnaCare $267 - $427 250%
MVP Health Care $58 54%
Oscar Health $278 260%
Tufts Health Plan $58 54%
UPMC Health Plan $123 - $14,930 115%
WellCare $123 - $14,930 115%
+ 79 smaller / regional plans $20 - $22,063
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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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