X-ray of lower spine with bending views at Holy Name

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

L/S SPINE COMPL,INC BEND(6VW

Teaneck, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Name’s median price of $294 is 69% above the median hospital's median price ($174), higher than 70% of the 2,497 hospitals reporting CPT 72114. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72114 at Holy Name

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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$76	$75	$2	2%	—	$72 – $76
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$79	$78	$2	2%	—	$76 – $79
3	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	$2	2%	—	$82 – $86
4	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$91	$90	$2	2%	—	$87 – $91
5	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$102	$102	$2	2%	—	$100 – $105
6	Aetna medicare prime facility · fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
7	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$119	$117	$3	2%	—	$113 – $119
8	Aetna golden medicare facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
9	Clover clover facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
10	UnitedHealthcare medicare facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
11	WellCare medicare facility · fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
12	Aetna whole health facility · fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
13	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	$4	2%	—	$146 – $153
14	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$160	$157	$4	2%	—	$152 – $160
15	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$227	$223	$5	2%	—	$216 – $227
16	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$232	$232	$6	2%	—	$226 – $237
17	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$289	$285	$6	2%	—	$276 – $289
18	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$308	$303	$7	2%	—	$294 – $308
19	Cigna hmo/pos facility · fee schedule · outpatient	$364	$364	—	—	—	$364 – $364
20	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$403	$397	$9	2%	—	$384 – $403
21	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$427	$420	$9	2%	—	$407 – $427
22	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$439	$433	$10	2%	—	$419 – $439
23	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$439	$433	$10	2%	—	$419 – $439
24	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$439	$433	$10	2%	—	$419 – $439
25	UnitedHealthcare uhc facility · other · outpatient	$643	$643	—	—	—	$643 – $643

Last updated: Nov 10, 2025

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