Lab test identifying specific drugs in a sample at Overlook Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Drug Tst(S) Def 8-14 Classes per Day Antidepressants

Summit, NJ

See all hospitals reporting HCPCS G0481 →

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Pricing by billing methodology

Price type

How this price compares nationally

Overlook Medical Center’s median price of $157 is 5% below the median hospital's median price ($164), higher than 15% of the 1,702 hospitals reporting HCPCS G0481. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0481 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 59 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	Cigna omc cigna local plus fee schedule · both	$38	$38	—	—	—	$38 – $38
2	Cigna omc cigna local plus fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
3	Cigna omc cigna oap fee schedule · both	$38	$38	—	—	—	$38 – $38
4	Cigna omc cigna oap fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
5	Cigna omc cigna ppo fee schedule · both	$38	$38	—	—	—	$38 – $38
6	Cigna omc cigna ppo fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
7	Anthem omc medicaid percent of total billed charges · bothfrom % of charges	$66	$66	$39	59%	—	$27 – $105
8	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$66	$66	$39	59%	—	$27 – $105
9	Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges	$79	$79	$47	59%	—	$33 – $126
10	Aetna omc aetna whole health fee schedule · both	$127	$127	—	—	—	$127 – $127
11	Aetna omc aetna whole health fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
12	Aetna omc aetna nnj prime fee schedule · both	$141	$141	—	—	—	$141 – $141
13	Aetna omc aetna nnj prime fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
14	Blue Cross Blue Shield omc horizon omnia fee schedule · both	$144	$144	—	—	—	$144 – $144
15	Blue Cross Blue Shield omc horizon omnia fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
16	Tricare omc tricare-east (humana military) fee schedule · both	$150	$150	—	—	—	$150 – $150
17	Tricare omc tricare-east (humana military) fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
18	Aetna omc aetna ahs employee fee schedule · both	$157	$157	—	—	—	$157 – $157
19	Aetna omc aetna ahs employee fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
20	Aetna omc aetna medicare fee schedule · both	$157	$157	—	—	—	$157 – $157
21	Aetna omc aetna medicare fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
22	Anthem omc horizon braven fee schedule · both	$157	$157	—	—	—	$157 – $157
23	Anthem omc horizon braven fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
24	Blue Cross Blue Shield omc horizon braven fee schedule · both	$157	$157	—	—	—	$157 – $157
25	Blue Cross Blue Shield omc horizon braven fee schedule · outpatient	$157	$157	—	—	—	$157 – $157

Page 1 of 3 · 59 rates

Last updated: Apr 1, 2026

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