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
Cf Ewhfo Rigid WO Jnts
Summit, NJ
See all hospitals reporting HCPCS L3765 →Price type
Overlook Medical Center’s median price of $1.4k is 6% below the median hospital's median price ($1.5k), higher than 23% of the 1,094 hospitals reporting HCPCS L3765. 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, 50 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 | Anthem omc medicaid percent of total billed charges · bothfrom % of charges | $704 | $704 | — | — | — | $704 – $704 |
| 2 | Medicaid omc medicaid percent of total billed charges · bothfrom % of charges | $704 | $704 | — | — | — | $704 – $704 |
| 3 | Aetna omc aetna percent of total billed charges · bothfrom % of charges | $843 | $843 | — | — | — | $843 – $843 |
| 4 | Aetna omc aetna whole health percent of total billed charges · bothfrom % of charges | $843 | $843 | — | — | — | $843 – $843 |
| 5 | Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges | $845 | $845 | — | — | — | $845 – $845 |
| 6 | Cigna omc cigna local plus percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Cigna omc cigna oap percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Cigna omc cigna ppo percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | UnitedHealthcare oxford tertiary percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | UnitedHealthcare united tertiary percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Aetna omc aetna nnj prime fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Aetna omc aetna nnj prime fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Tricare omc tricare-east (humana military) fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Tricare omc tricare-east (humana military) fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Aetna omc aetna ahs employee fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Aetna omc aetna ahs employee fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Aetna omc aetna medicare fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Aetna omc aetna medicare fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Anthem omc horizon braven fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Anthem omc horizon braven fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Blue Cross Blue Shield omc horizon braven fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Blue Cross Blue Shield omc horizon braven fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Cigna omc cigna medicare fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Cigna omc cigna medicare fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Highmark omc horizon braven fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Apr 1, 2026
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