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
A C JTS
Teaneck, NJ
See all hospitals reporting CPT 73050 →Price type
Holy Name’s median price of $210 is 76% above the median hospital's median price ($119), higher than 74% of the 2,517 hospitals reporting CPT 73050. 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 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | $1 | 2% | — | $52 – $54 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $54 | $55 | $1 | 2% | — | $54 – $57 |
| 3 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $62 | $63 | $1 | 2% | — | $62 – $65 |
| 5 | Aetna whole health facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $81 | $82 | $2 | 2% | — | $81 – $85 |
| 8 | Aetna medicare prime facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 9 | Aetna golden medicare facility · fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 10 | Clover clover facility · fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 11 | UnitedHealthcare medicare facility · fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 13 | WellCare medicare facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $109 | $111 | $3 | 2% | — | $109 – $114 |
| 15 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $154 | $157 | $4 | 2% | — | $154 – $162 |
| 16 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 17 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $197 | $200 | $5 | 2% | — | $197 – $207 |
| 18 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $210 | $213 | $5 | 2% | — | $210 – $220 |
| 19 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $275 | $279 | $6 | 2% | — | $275 – $288 |
| 20 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $291 | $296 | $7 | 2% | — | $291 – $305 |
| 21 | Cigna hmo/pos facility · fee schedule · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 22 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $299 | $304 | $7 | 2% | — | $299 – $314 |
| 23 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $299 | $304 | $7 | 2% | — | $299 – $314 |
| 24 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $299 | $304 | $7 | 2% | — | $299 – $314 |
| 25 | UnitedHealthcare uhc facility · other · outpatient | $643 | $643 | — | — | — | $643 – $643 |
Last updated: Nov 10, 2025
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