RC 004

DEVEL PLAN OF CARE at Holy Name

Teaneck, NJ

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Pricing by billing methodology

Price type

Payers reporting RC 004 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	$24	$23	$13	59%	—	$4 – $38
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$25	$24	$14	59%	—	$4 – $40
3	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$27	$26	$15	59%	—	$4 – $44
4	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$33	$31	$18	59%	—	$5 – $53
5	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$37	$35	$21	59%	—	$6 – $60
6	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$74	$71	$41	59%	—	$12 – $121
7	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$96	$92	$54	59%	—	$16 – $157
8	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$126	$120	$70	59%	—	$20 – $205
9	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$131	$124	$73	59%	—	$21 – $213
10	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$133	$127	$74	59%	—	$22 – $217
11	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$137	$131	$77	59%	—	$22 – $223
12	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$137	$131	$77	59%	—	$22 – $223
13	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$137	$131	$77	59%	—	$22 – $223
14	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$139	$133	$78	59%	—	$23 – $227
15	Aetna qualified health plans facility · fee schedule · outpatient	$131	$136	$11	8%	—	$131 – $161
16	Aetna hmo/pos facility · fee schedule · outpatient	$148	$140	$81	58%	—	$24 – $233
17	Aetna whole health facility · fee schedule · outpatient	$144	$150	$13	8%	—	$144 – $178

Last updated: Nov 10, 2025

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