Image guidance for targeting radiation treatment 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

XRAY GUIDANCE FIELD PLACE-76

Teaneck, NJ

See all hospitals reporting CPT 77387 →

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Name’s median price of $432 is 24% above the median hospital's median price ($347), higher than 56% of the 1,638 hospitals reporting CPT 77387. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77387 at Holy Name

Negotiated rates from the hospital’s own file: 8 payers, 19 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	$106	$106	—	—	—	$106 – $106
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
3	Optum all products facility · fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
4	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
6	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
7	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$166	$166	—	—	—	$166 – $166
8	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	—	—	—	$214 – $214
9	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$224	$224	—	—	—	$224 – $224
10	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$318	$318	—	—	—	$318 – $318
11	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	—	$333 – $333
12	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$406	$406	—	—	—	$406 – $406
13	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$432	$432	—	—	—	$432 – $432
14	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$565	$565	—	—	—	$565 – $565
15	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$599	$599	—	—	—	$599 – $599
16	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$617	$617	—	—	—	$617 – $617
17	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$617	$617	—	—	—	$617 – $617
18	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$617	$617	—	—	—	$617 – $617
19	UnitedHealthcare uhc facility · other · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Last updated: Nov 10, 2025

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