PREVENTIVE ESTAB FACILITYFEE at Holy Name

Teaneck, NJ

Pricing by billing methodology

Price type

How this price compares nationally

Holy Name’s median price of $60 is 54% below the median hospital's median price ($130), higher than 6% of the 1,276 hospitals reporting CPT 99395. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99395 at Holy Name

Negotiated rates from the hospital’s own file: 8 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	$26	$26	$14	56%	—	$11 – $40
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$27	$27	$15	56%	—	$12 – $42
3	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	$16	56%	—	$13 – $45
4	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	$20	56%	—	$15 – $55
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$39	$39	$22	56%	—	$17 – $60
6	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	$23	56%	—	$18 – $63
7	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	$29	56%	—	$23 – $81
8	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	$40	56%	—	$31 – $110
9	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	$45	56%	—	$35 – $125
10	Optum all products facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
11	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	$59	56%	—	$46 – $163
12	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	$77	56%	—	$60 – $213
13	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	$79	56%	—	$62 – $221
14	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$144	$144	$81	56%	—	$63 – $225
15	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	$83	56%	—	$65 – $232
16	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	$83	56%	—	$65 – $232
17	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	$83	56%	—	$65 – $232
18	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	$85	56%	—	$66 – $235

Last updated: Nov 10, 2025

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