RC 099

AMBULATORY at Holy Name

Teaneck, NJ

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Pricing by billing methodology

Price type

Payers reporting RC 099 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	$38	$38	—	—	—	$38 – $38
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
3	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
4	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
6	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
7	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	—	—	—	$76 – $76
8	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
9	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
10	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
11	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$201	$201	—	—	—	$201 – $201
12	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$209	$209	—	—	—	$209 – $209
13	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$213	$213	—	—	—	$213 – $213
14	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$220	$220	—	—	—	$220 – $220
15	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$220	$220	—	—	—	$220 – $220
16	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$220	$220	—	—	—	$220 – $220
17	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$223	$223	—	—	—	$223 – $223

Last updated: Nov 10, 2025

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