RC 076

C.P.M. - TOPOX - PAD at Holy Name

Teaneck, NJ

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Pricing by billing methodology

Price type

Payers reporting RC 076 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	$0	$6	$7	127%	—	$0 – $17
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$0	$6	$7	127%	—	$0 – $18
3	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$0	$6	$8	127%	—	$0 – $19
4	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$0	$8	$10	127%	—	$0 – $23
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$0	$8	$11	127%	—	$0 – $26
6	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$0	$9	$11	127%	—	$0 – $27
7	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$0	$11	$14	127%	—	$0 – $34
8	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$0	$15	$20	127%	—	$0 – $47
9	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$0	$18	$22	127%	—	$0 – $53
10	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$0	$23	$29	127%	—	$0 – $69
11	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$0	$30	$38	127%	—	$0 – $90
12	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$0	$31	$39	127%	—	$0 – $93
13	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$0	$32	$40	127%	—	$0 – $95
14	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$0	$32	$41	127%	—	$0 – $98
15	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$0	$32	$41	127%	—	$0 – $98
16	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$0	$32	$41	127%	—	$0 – $98
17	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$0	$33	$42	127%	—	$0 – $100

Last updated: Nov 10, 2025

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