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
TREAT NAVICULAR FX, W/MANIPU
Teaneck, NJ
See all hospitals reporting CPT 25624 →Price type
Holy Name’s median price of $305 is 83% below the median hospital's median price ($1.8k), higher than 1% of the 1,801 hospitals reporting CPT 25624. 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 | $53 | $53 | — | — | — | $53 – $53 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 4 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $217 | $217 | — | — | — | $217 – $217 |
| 5 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 6 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $301 | $301 | — | — | — | $301 – $301 |
| 7 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | — | — | — | $310 – $310 |
| 8 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | — | — | — | $310 – $310 |
| 9 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $310 | $310 | — | — | — | $310 – $310 |
| 10 | Cigna hmo/pos facility · fee schedule · outpatient | $334 | $334 | — | — | — | $334 – $334 |
| 11 | Aetna worker's comp facility · case rate · outpatient | $904 | $904 | — | — | — | $904 – $904 |
| 12 | Aetna whole health facility · fee schedule · outpatient | $971 | $971 | — | — | — | $971 – $971 |
| 13 | Aetna qualified health plans facility · case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Aetna medicare prime facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Aetna golden medicare facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Clover clover facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | UnitedHealthcare medicare facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | WellCare medicare facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 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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