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
FL NDL/CATH SP/PARASP Dx/RX
Teaneck, NJ
See all hospitals reporting CPT 77003 →Price type
Holy Name’s median price of $707 is 140% above the median hospital's median price ($295), higher than 84% of the 2,128 hospitals reporting CPT 77003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 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 | $204 | $204 | $4 | 2% | — | $200 – $207 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $214 | $214 | $4 | 2% | — | $210 – $218 |
| 3 | Aetna whole health facility · fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 4 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $232 | $232 | $4 | 2% | — | $228 – $236 |
| 5 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $245 | $245 | $4 | 2% | — | $241 – $249 |
| 6 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $282 | $282 | $5 | 2% | — | $277 – $287 |
| 7 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $319 | $319 | $6 | 2% | — | $314 – $325 |
| 8 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $430 | $430 | $8 | 2% | — | $423 – $438 |
| 9 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $610 | $610 | $11 | 2% | — | $599 – $621 |
| 10 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $638 | $638 | $11 | 2% | — | $627 – $650 |
| 11 | UnitedHealthcare uhc facility · other · outpatient | $643 | $643 | — | — | — | $643 – $643 |
| 12 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $779 | $779 | $14 | 2% | — | $765 – $792 |
| 13 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $830 | $830 | $15 | 2% | — | $815 – $844 |
| 14 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $19 | 2% | — | $1.1k – $1.1k |
| 15 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $20 | 2% | — | $1.1k – $1.2k |
| 16 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $21 | 2% | — | $1.2k – $1.2k |
| 17 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $21 | 2% | — | $1.2k – $1.2k |
| 18 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $21 | 2% | — | $1.2k – $1.2k |
Last updated: Nov 10, 2025
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