Self-care management training 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

HOME/SELF MANAGE MOD 59

Teaneck, NJ

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $197 is 186% above the median hospital's median price ($69), higher than 95% of the 2,563 hospitals reporting CPT 97535. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97535 at Holy Name

Negotiated rates from the hospital’s own file: 8 payers, 26 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	Optum all products facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
2	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$42	$41	$4	11%	—	$35 – $52
3	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$44	$43	$5	11%	—	$37 – $55
4	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$48	$46	$5	11%	—	$40 – $59
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$50	$49	$5	11%	—	$42 – $62
6	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$58	$57	$6	11%	—	$49 – $72
7	Aetna qualified health plans facility · fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
8	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$66	$64	$7	11%	—	$55 – $82
9	Ambetter ambetter facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
10	Aetna whole health facility · fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
11	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$85	$82	$9	11%	—	$71 – $105
12	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$92	$89	$9	11%	—	$77 – $114
13	Aetna hmo/pos facility · fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
14	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$171	$166	$17	11%	—	$143 – $213
15	Blue Cross Blue Shield indemnity facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
16	Blue Cross Blue Shield managed facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
17	Blue Cross Blue Shield ppo facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
18	First Health first health facility · other · outpatient	$210	$210	—	—	—	$210 – $210
19	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$224	$217	$23	11%	—	$187 – $278
20	Aetna worker's comp facility · other · outpatient	$225	$225	—	—	—	$225 – $225
21	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$237	$230	$24	11%	—	$198 – $294
22	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$244	$237	$25	11%	—	$204 – $303
23	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$244	$237	$25	11%	—	$204 – $303
24	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$244	$237	$25	11%	—	$204 – $303
25	Cigna hmo/pos facility · other · outpatient	$258	$258	—	—	—	$258 – $258

Page 1 of 2 · 26 rates

Last updated: Nov 10, 2025

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