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 Who W Nontorsion Jnts
Summit, NJ
See all hospitals reporting HCPCS L3905 →Price type
Overlook Medical Center’s median price of $1.5k is 32% above the median hospital's median price ($1.1k), higher than 84% of the 1,132 hospitals reporting HCPCS L3905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 20 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 | $869 | $869 | — | — | — | $869 – $869 |
| 2 | Medicaid omc medicaid percent of total billed charges · bothfrom % of charges | $869 | $869 | — | — | — | $869 – $869 |
| 3 | Aetna omc aetna percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Aetna omc aetna whole health percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Cigna omc cigna local plus percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Cigna omc cigna oap percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Cigna omc cigna ppo percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | UnitedHealthcare oxford tertiary percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | UnitedHealthcare united tertiary percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Humana omc qualcare percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Oscar omc qualcare percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 13 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 14 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 15 | Blue Cross Blue Shield omc horizon omnia percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 16 | First Health first health percent of total billed charges · bothfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 17 | Blue Cross Blue Shield omc horizon commercial percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 18 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 19 | Anthem omc empire bcbsny hmo ppo percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | Anthem omc empire bcbsny indemn percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Last updated: Apr 1, 2026
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