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
STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY
Hackensack, NJ
See all hospitals reporting CPT 61864 →Price type
Hmh Hospitals Corporation’s median price of $690 is 76% below the median hospital's median price ($2.8k), higher than 31% of the 1,220 hospitals reporting CPT 61864. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $179 | $179 | — | — | — | $179 – $179 |
| 3 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 5 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $586 | $586 | — | — | — | $586 – $586 |
| 6 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 7 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $690 | $690 | — | — | — | $690 – $690 |
| 8 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $786 | $786 | — | — | — | $786 – $786 |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $786 | $786 | — | — | — | $786 – $786 |
| 10 | Aetna asa facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 11 | Aetna hmo facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 12 | Aetna ppo facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
Last updated: Dec 31, 2025
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