One-way prorated ambulance trip 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

One Way Allow Prorated Trip

Summit, NJ

See all hospitals reporting HCPCS P9604 →

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Pricing by billing methodology

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How this price compares nationally

Overlook Medical Center’s median price of $11 is 11% below the median hospital's median price ($12), higher than 43% of the 666 hospitals reporting HCPCS P9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS P9604 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 17 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 · outpatient	$6	$6	—	—	—	$6 – $6
2	Cigna omc cigna oap fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
3	Cigna omc cigna ppo fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
4	Tricare omc tricare-east (humana military) fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
5	Aetna omc aetna ahs employee fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
6	Anthem omc horizon braven fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
7	Blue Cross Blue Shield omc horizon braven fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
8	Cigna omc cigna medicare fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
9	Highmark omc horizon braven fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
10	Tricare omc tricare contract fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
11	UnitedHealthcare oxford tertiary fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
12	UnitedHealthcare united tertiary fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
13	Amerihealth Caritas omc amerihealth caritas fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
14	WellCare omc wellcare phw fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
15	WellCare omc wellcare/fedelis medicare fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
16	Highmark omc highmark wholecare / gateway health plan inc fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
17	Aetna omc aetna htc fee schedule · outpatient	$15	$15	—	—	—	$15 – $15

Last updated: Apr 1, 2026

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