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
L/S AP & LAT
Teaneck, NJ
See all hospitals reporting CPT 72100 →Price type
Holy Name’s median price of $373 is 159% above the median hospital's median price ($144), higher than 86% of the 2,629 hospitals reporting CPT 72100. 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, 25 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 whole health facility · fee schedule · outpatient | $88.89 | $88.89 | $88.89 – $88.89 |
| 2 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $97.74 | $96.69 | $93.11 – $97.74 |
| 3 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $102.63 | $101.52 | $97.77 – $102.63 |
| 4 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $110.78 | $109.64 | $105.87 – $111.14 |
| 5 | Aetna medicare prime facility · fee schedule · outpatient | $112.71 | $112.71 | $112.71 – $112.71 |
| 6 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $117.50 | $116.24 | $111.94 – $117.50 |
| 7 | Aetna golden medicare facility · fee schedule · outpatient | $125.23 | $125.23 | $125.23 – $125.23 |
| 8 | Clover clover facility · fee schedule · outpatient | $125.23 | $125.23 | $125.23 – $125.23 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $125.23 | $125.23 | $125.23 – $125.23 |
| 10 | WellCare medicare facility · fee schedule · outpatient | $126.48 | $126.48 | $126.48 – $126.48 |
| 11 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $134.81 | $133.43 | $128.84 – $135.25 |
| 12 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $153.00 | $151.35 | $145.75 – $153.00 |
| 13 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $196.42 | $194.41 | $187.73 – $197.06 |
| 14 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $206.24 | $204.02 | $196.47 – $206.24 |
| 15 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $292.54 | $289.38 | $278.67 – $292.54 |
| 16 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $305.00 | $301.88 | $291.50 – $306.00 |
| 17 | Cigna hmo/pos facility · fee schedule · outpatient | $364.44 | $364.44 | $364.44 – $364.44 |
| 18 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $373.32 | $369.29 | $355.63 – $373.32 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $397.80 | $393.51 | $378.95 – $397.80 |
| 20 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $520.20 | $514.59 | $495.55 – $520.20 |
| 21 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $550.80 | $544.86 | $524.70 – $550.80 |
| 22 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $567.45 | $561.33 | $540.56 – $567.45 |
| 23 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $567.45 | $561.33 | $540.56 – $567.45 |
| 24 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $567.45 | $561.33 | $540.56 – $567.45 |
| 25 | UnitedHealthcare uhc facility · other · outpatient | $643.00 | $643.00 | $643.00 – $643.00 |
Last updated: Nov 10, 2025
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