Sup Rev Cd 636 Hcpcs Q4110 at Overlook Medical Center

Summit, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Overlook Medical Center’s median price of $2.0k is 1353% above the median hospital's median price ($137), higher than 89% of the 1,579 hospitals reporting HCPCS Q4110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4110 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 17 payers, 33 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	$50	$50	—	—	—	$50 – $50
2	Cigna omc cigna oap fee schedule · both	$59	$59	—	—	—	$59 – $59
3	Cigna omc cigna ppo fee schedule · both	$65	$65	—	—	—	$65 – $65
4	Blue Cross Blue Shield omc horizon commercial fee schedule · both	$122	$122	—	—	—	$122 – $122
5	Blue Cross Blue Shield omc horizon omnia fee schedule · both	$122	$122	—	—	—	$122 – $122
6	Anthem omc medicaid percent of total billed charges · bothfrom % of charges	$671	$671	$97	14%	—	$574 – $767
7	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$671	$671	$97	14%	—	$574 – $767
8	Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges	$805	$805	$116	14%	—	$689 – $921
9	Humana omc qualcare percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	$196	14%	—	$1.2k – $1.6k
10	Oscar omc qualcare percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	$196	14%	—	$1.2k – $1.6k
11	Aetna omc aetna ahs employee other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
12	Aetna omc aetna medicare fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
13	Aetna omc aetna nnj prime other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
14	Ambetter omc ambetter wellcare of nj other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
15	Anthem omc horizon braven other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
16	Blue Cross Blue Shield omc horizon braven other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
17	Cigna omc cigna medicare fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
18	Highmark omc highmark wholecare / gateway health plan inc other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
19	Highmark omc horizon braven other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
20	Tricare omc tricare contract other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
21	Tricare omc tricare-east (humana military) other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
22	WellCare omc wellcare phw other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
23	WellCare omc wellcare/fedelis medicare other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
24	Amerihealth Caritas omc amerihealth caritas other · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
25	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$2.1k	$2.1k	$308	14%	—	$1.8k – $2.4k

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Last updated: Apr 1, 2026

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