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
GRP ADAPT BHV TX BY PHY/QHP
Teaneck, NJ
See all hospitals reporting CPT 97158 →Price type
Holy Name’s median price of $35 is 8% below the median hospital's median price ($38), higher than 40% of the 975 hospitals reporting CPT 97158. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 6 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 · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Aetna golden medicare facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Clover clover facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 5 | WellCare medicare facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Cigna hmo/pos facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
Last updated: Nov 10, 2025
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