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
REML FB EXT CANL W/O ANESTH
Teaneck, NJ
See all hospitals reporting CPT 69200 →Price type
Holy Name’s median price of $152 is 12% below the median hospital's median price ($172), higher than 39% of the 2,361 hospitals reporting CPT 69200. 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, 23 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 | $55.66 | $55.66 | $25.39 – $85.92 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $58.44 | $58.44 | $26.66 – $90.22 |
| 3 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $87.13 | $87.13 | $39.75 – $134.50 |
| 4 | Aetna qualified health plans facility · fee schedule · outpatient | $90.69 | $90.69 | $90.69 – $90.69 |
| 5 | Aetna whole health facility · fee schedule · outpatient | $100.11 | $100.11 | $100.11 – $100.11 |
| 6 | Aetna medicare prime facility · fee schedule · outpatient | $136.62 | $136.62 | $136.62 – $136.62 |
| 7 | Aetna golden medicare facility · fee schedule · outpatient | $151.80 | $151.80 | $151.80 – $151.80 |
| 8 | Clover clover facility · fee schedule · outpatient | $151.80 | $151.80 | $151.80 – $151.80 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $151.80 | $151.80 | $151.80 – $151.80 |
| 10 | WellCare medicare facility · fee schedule · outpatient | $153.32 | $153.32 | $153.32 – $153.32 |
| 11 | Aetna hmo/pos facility · fee schedule · outpatient | $159.00 | $159.00 | $159.00 – $159.00 |
| 12 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $226.53 | $226.53 | $103.35 – $349.70 |
| 13 | Cigna hmo/pos facility · fee schedule · outpatient | $291.21 | $291.21 | $159.00 – $423.41 |
| 14 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $296.23 | $296.23 | $135.15 – $457.30 |
| 15 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $313.65 | $313.65 | $143.10 – $484.20 |
| 16 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $323.13 | $323.13 | $147.42 – $498.83 |
| 17 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $323.13 | $323.13 | $147.42 – $498.83 |
| 18 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $323.13 | $323.13 | $147.42 – $498.83 |
| 19 | Aetna worker's comp facility · case rate · outpatient | $904.00 | $904.00 | $904.00 – $904.00 |
| 20 | Aetna worker's comp facility · other · outpatient | $1,049 | $1,049 | $1,049 – $1,049 |
| 21 | Aetna qualified health plans facility · case rate · outpatient | $1,178 | $1,178 | $1,178 – $1,178 |
| 22 | Aetna hmo/pos facility · case rate · outpatient | $2,450 | $2,450 | $2,450 – $2,450 |
| 23 | First Health first health facility · case rate · outpatient | $4,456 | $4,456 | $4,456 – $4,456 |
Last updated: Nov 10, 2025
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