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
REV/RPLCT HPGLSL NSTM ARY PG
Teaneck, NJ
See all hospitals reporting CPT 64583 →Price type
Holy Name’s median price of $14.7k is 25% above the median hospital's median price ($11.7k), higher than 76% of the 1,353 hospitals reporting CPT 64583. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 6 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 | Aetna medicare prime facility · fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 2 | Aetna golden medicare facility · fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 3 | Clover clover facility · fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 5 | WellCare medicare facility · fee schedule · outpatient | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 6 | Cigna hmo/pos facility · fee schedule · outpatient | $45.2k | $45.2k | — | — | — | $45.2k – $45.2k |
Last updated: Nov 10, 2025
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