Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Mra Upp Extrm WO
Summit, NJ
See all hospitals reporting HCPCS C8935 →Price type
Overlook Medical Center’s median price of $594 is 59% above the median hospital's median price ($373), higher than 69% of the 1,285 hospitals reporting HCPCS C8935. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 48 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare omc tricare-east (humana military) fee schedule · both | $274 | $274 | — | — | — | $274 – $274 |
| 2 | Tricare omc tricare-east (humana military) fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 3 | Aetna omc aetna medicare fee schedule · both | $280 | $280 | — | — | — | $280 – $280 |
| 4 | Aetna omc aetna nnj prime other · both | $280 | $280 | — | — | — | $280 – $280 |
| 5 | Anthem omc horizon braven other · both | $280 | $280 | — | — | — | $280 – $280 |
| 6 | Blue Cross Blue Shield omc horizon braven other · both | $280 | $280 | — | — | — | $280 – $280 |
| 7 | Cigna omc cigna medicare fee schedule · both | $280 | $280 | — | — | — | $280 – $280 |
| 8 | Highmark omc highmark wholecare / gateway health plan inc other · both | $280 | $280 | — | — | — | $280 – $280 |
| 9 | Highmark omc horizon braven other · both | $280 | $280 | — | — | — | $280 – $280 |
| 10 | WellCare omc wellcare phw other · both | $280 | $280 | — | — | — | $280 – $280 |
| 11 | WellCare omc wellcare/fedelis medicare other · both | $280 | $280 | — | — | — | $280 – $280 |
| 12 | Amerihealth Caritas omc amerihealth caritas other · both | $283 | $283 | — | — | — | $283 – $283 |
| 13 | Aetna omc aetna ahs employee fee schedule · both | $285 | $285 | — | — | — | $285 – $285 |
| 14 | Aetna omc aetna ahs employee fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 15 | Tricare omc tricare contract fee schedule · both | $285 | $285 | — | — | — | $285 – $285 |
| 16 | Tricare omc tricare contract fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 17 | UnitedHealthcare oxford tertiary fee schedule · both | $376 | $376 | — | — | — | $376 – $376 |
| 18 | UnitedHealthcare oxford tertiary fee schedule · outpatient | $376 | $376 | — | — | — | $376 – $376 |
| 19 | Aetna omc aetna htc other · both | $393 | $393 | — | — | — | $393 – $393 |
| 20 | UnitedHealthcare united tertiary fee schedule · both | $462 | $462 | — | — | — | $462 – $462 |
| 21 | UnitedHealthcare united tertiary fee schedule · outpatient | $462 | $462 | — | — | — | $462 – $462 |
| 22 | Cigna omc cigna local plus per diem · both | $499 | $499 | — | — | — | $499 – $499 |
| 23 | Cigna omc cigna local plus per diem · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 24 | Cigna omc cigna oap per diem · both | $587 | $587 | — | — | — | $587 – $587 |
| 25 | Cigna omc cigna oap per diem · outpatient | $587 | $587 | — | — | — | $587 – $587 |
Last updated: Apr 1, 2026
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