CT scan of spine with contrast dye 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

CT T SPINE W/ CONTRAST

Teaneck, NJ

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $705 is 61% above the median hospital's median price ($438), higher than 63% of the 2,536 hospitals reporting CPT 72129. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72129 at Holy Name

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	Aetna medicare prime facility · fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
2	Aetna golden medicare facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
3	Clover clover facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
4	UnitedHealthcare medicare facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
5	WellCare medicare facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
6	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$334	$353	$27	8%	—	$334 – $391
7	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$351	$371	$28	8%	—	$351 – $411
8	Aetna whole health facility · fee schedule · outpatient	$382	$382	—	—	—	$382 – $382
9	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$401	$424	$32	8%	—	$401 – $470
10	UnitedHealthcare uhc facility · other · outpatient	$543	$543	—	—	—	$543 – $543
11	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$523	$553	$42	8%	—	$523 – $613
12	Cigna hmo/pos facility · fee schedule · outpatient	$609	$609	—	—	—	$609 – $609
13	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$705	$745	$57	8%	—	$705 – $826
14	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$1000	$1.1k	$81	8%	—	$1000 – $1.2k
15	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$103	8%	—	$1.3k – $1.5k
16	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	$110	8%	—	$1.4k – $1.6k
17	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.9k	$144	8%	—	$1.8k – $2.1k
18	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$2.0k	$152	8%	—	$1.9k – $2.2k
19	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$2.0k	$157	8%	—	$1.9k – $2.3k
20	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$2.0k	$157	8%	—	$1.9k – $2.3k
21	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$2.0k	$157	8%	—	$1.9k – $2.3k

Last updated: Nov 10, 2025

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