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
N BLK, TRIGEMINAL
Teaneck, NJ
See all hospitals reporting CPT 64400 →Price type
Holy Name’s median price of $350 is 11% below the median hospital's median price ($395), higher than 40% of the 2,360 hospitals reporting CPT 64400. 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, 21 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 | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 3 | Aetna whole health facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Aetna medicare prime facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 6 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $324 | $324 | — | — | — | $324 – $324 |
| 7 | Aetna golden medicare facility · fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 8 | Clover clover facility · fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 10 | WellCare medicare facility · fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 11 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 12 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $448 | $448 | — | — | — | $448 – $448 |
| 13 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 14 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 15 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 16 | Cigna hmo/pos facility · fee schedule · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 17 | Aetna worker's comp facility · other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | UnitedHealthcare uhc facility · case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | First Health first health facility · case rate · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 20 | Aetna qualified health plans facility · case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 21 | Aetna hmo/pos facility · case rate · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
Last updated: Nov 10, 2025
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