MRI of upper arm without 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

MRI-UPPER EXTREMITY W/O CON

Teaneck, NJ

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How this price compares nationally

Holy Name’s median price of $679 is about the same as the median hospital's median price ($673), higher than 50% of the 2,510 hospitals reporting CPT 73218. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73218 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	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
2	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$177	$177	—	—	—	$177 – $177
3	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$240	$219	$68	31%	—	$128 – $290
4	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$252	$230	$71	31%	—	$134 – $304
5	Aetna medicare prime facility · fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
6	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
7	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$288	$263	$81	31%	—	$153 – $348
8	Aetna golden medicare facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
9	Clover clover facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
10	UnitedHealthcare medicare facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
11	WellCare medicare facility · fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
12	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$375	$343	$106	31%	—	$200 – $454
13	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$400	$400	—	—	—	$400 – $400
14	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$506	$462	$143	31%	—	$269 – $611
15	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$717	$655	$203	31%	—	$382 – $867
16	Aetna whole health facility · fee schedule · outpatient	$694	$694	—	—	—	$694 – $694
17	UnitedHealthcare uhc facility · other · outpatient	$810	$810	—	—	—	$810 – $810
18	Cigna hmo/pos facility · fee schedule · outpatient	$812	$812	—	—	—	$812 – $812
19	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$915	$836	$259	31%	—	$487 – $1.1k
20	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$975	$891	$276	31%	—	$519 – $1.2k
21	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.2k	$361	31%	—	$679 – $1.5k
22	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.2k	$382	31%	—	$719 – $1.6k
23	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.3k	$393	31%	—	$741 – $1.7k
24	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.3k	$393	31%	—	$741 – $1.7k
25	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.3k	$393	31%	—	$741 – $1.7k

Last updated: Nov 10, 2025

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