Unlisted diagnostic X-ray procedure 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

MAMMOGRAM DIAGNOSTIC,W/CONTR

Teaneck, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Name’s median price of $106 is 16% below the median hospital's median price ($126), higher than 40% of the 1,714 hospitals reporting CPT 76499. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76499 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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	$19	46%	—	$23 – $61
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$44	$44	$20	46%	—	$24 – $64
3	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	$23	46%	—	$27 – $73
4	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$30	46%	—	$36 – $95
5	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	$38	46%	—	$46 – $122
6	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	$40	46%	—	$48 – $128
7	Aetna medicare prime facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
8	Aetna golden medicare facility · fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
9	Clover clover facility · fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
10	UnitedHealthcare medicare facility · fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
11	WellCare medicare facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
12	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	$57	46%	—	$68 – $182
13	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$159	$159	$73	46%	—	$87 – $232
14	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$170	$170	$77	46%	—	$92 – $247
15	Cigna hmo/pos facility · fee schedule · outpatient	$222	$222	$80	36%	—	$142 – $301
16	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$222	$222	$101	46%	—	$121 – $323
17	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$235	$235	$107	46%	—	$128 – $342
18	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	$110	46%	—	$132 – $352
19	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	$110	46%	—	$132 – $352
20	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	$110	46%	—	$132 – $352
21	UnitedHealthcare uhc facility · other · outpatient	$727	$727	$84	11%	—	$643 – $810

Last updated: Nov 10, 2025

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