29/100
#1,911 nationally
Overlook Medical Center
99 Beauvoir Avenue, Summit, NJ 07901 · (908) 522-2000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Overlook Medical Center billed $5.99 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.0x
- volume-weighted across all its priced work
- Procedures priced
- 165
- inpatient and outpatient combined
- Rank in NJ
- #29
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 21% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 22% of U.S. hospitals.
Better than 29% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
843 | $31,224 | $3,045 | +61% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
386 | $67,050 | $14,716 | +7% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
381 | $15,969 | $2,114 | +36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
360 | $127,698 | $20,090 | +96% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
299 | $13,693 | $1,788 | +36% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
275 | $81,221 | $13,446 | +87% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
201 | $95,522 | $16,806 | +74% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
174 | $40,978 | $7,755 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
170 | $83,373 | $14,141 | +79% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
163 | $30,052 | $6,430 | -14% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Major
MS-DRG 020 · Inpatient stay |
$816,575 | $109,393 | +134% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$146,812 | $21,663 | +119% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$75,191 | $9,507 | +117% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$88,346 | $9,995 | +117% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$100,198 | $14,388 | +112% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$81,778 | $10,157 | +108% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$112,961 | $17,698 | +99% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$160,208 | $23,891 | +99% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
$46,089 | $10,598 | -31% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$29,777 | $9,272 | -21% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$19,601 | $3,868 | -16% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$30,052 | $6,430 | -14% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$52,534 | $11,321 | -12% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$26,655 | $6,414 | -11% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$13,021 | $2,630 | -10% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$31,188 | $6,590 | -9% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.