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
Sup Rev Cd 636 Hcpcs Q4151
Summit, NJ
See all hospitals reporting HCPCS Q4151 →Price type
Overlook Medical Center’s median price of $1.4k is 623% above the median hospital's median price ($192), higher than 91% of the 1,308 hospitals reporting HCPCS Q4151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 35 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 | $141 | $141 | — | — | — | $141 – $141 |
| 2 | Cigna omc cigna oap fee schedule · both | $166 | $166 | — | — | — | $166 – $166 |
| 3 | Cigna omc cigna ppo fee schedule · both | $183 | $183 | — | — | — | $183 – $183 |
| 4 | Blue Cross Blue Shield omc horizon commercial fee schedule · both | $399 | $399 | — | — | — | $399 – $399 |
| 5 | Blue Cross Blue Shield omc horizon omnia fee schedule · both | $399 | $399 | — | — | — | $399 – $399 |
| 6 | Anthem omc medicaid percent of total billed charges · bothfrom % of charges | $703 | $633 | $186 | 29% | — | $365 – $862 |
| 7 | Medicaid omc medicaid percent of total billed charges · bothfrom % of charges | $703 | $633 | $186 | 29% | — | $365 – $862 |
| 8 | Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges | $844 | $760 | $223 | 29% | — | $438 – $1.0k |
| 9 | Humana omc qualcare percent of total billed charges · bothfrom % of charges | $1.4k | $1.3k | $377 | 29% | — | $740 – $1.7k |
| 10 | Oscar omc qualcare percent of total billed charges · bothfrom % of charges | $1.4k | $1.3k | $377 | 29% | — | $740 – $1.7k |
| 11 | Aetna Better Health omc aetna better health percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $2.2k | $2.0k | $592 | 29% | — | $1.2k – $2.7k |
| 13 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $2.2k | $2.0k | $592 | 29% | — | $1.2k – $2.7k |
| 14 | Aetna omc aetna ahs employee other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Aetna omc aetna medicare fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Aetna omc aetna nnj prime other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Ambetter omc ambetter wellcare of nj other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | Anthem omc horizon braven other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 19 | Blue Cross Blue Shield omc horizon braven other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | Cigna omc cigna medicare fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Highmark omc highmark wholecare / gateway health plan inc other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | Highmark omc horizon braven other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Tricare omc tricare contract other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | Tricare omc tricare-east (humana military) other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | WellCare omc wellcare phw other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Apr 1, 2026
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