Unscheduled unlisted evaluation and management visit 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

SPORTS/CAMP PHYSICALS

Teaneck, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Name’s median price of $61 is 14% below the median hospital's median price ($71), higher than 40% of the 484 hospitals reporting CPT 99499. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99499 at Holy Name

Negotiated rates from the hospital’s own file: 7 payers, 17 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	$41	$29	$17	59%	—	$5 – $41
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$43	$30	$18	59%	—	$5 – $43
3	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$46	$33	$19	59%	—	$5 – $46
4	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$56	$40	$24	59%	—	$6 – $56
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$61	$43	$26	59%	—	$7 – $61
6	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$64	$45	$27	59%	—	$7 – $64
7	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$82	$58	$34	59%	—	$9 – $82
8	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$112	$79	$47	59%	—	$13 – $112
9	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$128	$90	$53	59%	—	$15 – $128
10	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$166	$117	$69	59%	—	$19 – $166
11	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$217	$153	$91	59%	—	$25 – $217
12	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$225	$158	$94	59%	—	$26 – $225
13	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$230	$162	$96	59%	—	$26 – $230
14	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$236	$167	$99	59%	—	$27 – $236
15	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$236	$167	$99	59%	—	$27 – $236
16	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$236	$167	$99	59%	—	$27 – $236
17	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$240	$169	$100	59%	—	$27 – $240

Last updated: Nov 10, 2025

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