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
TEAT NAVICULAR FX W/O MANIPU
Teaneck, NJ
See all hospitals reporting CPT 25622 →Price type
Holy Name’s median price of $425 is 9% above the median hospital's median price ($390), higher than 54% of the 1,824 hospitals reporting CPT 25622. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 4 | Aetna medicare prime facility · fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 5 | Aetna golden medicare facility · fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 6 | Clover clover facility · fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 8 | WellCare medicare facility · fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 9 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $369 | $369 | — | — | — | $369 – $369 |
| 10 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $482 | $482 | — | — | — | $482 – $482 |
| 11 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $510 | $510 | — | — | — | $510 – $510 |
| 12 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $526 | $526 | — | — | — | $526 – $526 |
| 13 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $526 | $526 | — | — | — | $526 – $526 |
| 14 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $526 | $526 | — | — | — | $526 – $526 |
| 15 | Cigna hmo/pos facility · fee schedule · outpatient | $567 | $567 | — | — | — | $567 – $567 |
| 16 | Aetna whole health facility · fee schedule · outpatient | $636 | $636 | — | — | — | $636 – $636 |
| 17 | Aetna worker's comp facility · case rate · outpatient | $904 | $904 | — | — | — | $904 – $904 |
| 18 | Aetna qualified health plans facility · case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Aetna hmo/pos facility · case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | First Health first health facility · case rate · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
Last updated: Nov 10, 2025
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