RC 489
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.
Original text from hospital filings
AMBL BP MNTR W/SOFTWARE
Teaneck, NJ
See all hospitals reporting RC 489 →Price type
Holy Name’s median price of $153 is 90% below the median hospital's median price ($1.5k), higher than 7% of the 425 hospitals reporting RC 489. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Aetna qualified health plans facility · fee schedule · outpatient | $42 | $47 | $29 | 61% | — | $12 – $91 |
| 5 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $77 | $51 | $36 | 71% | — | $0 – $77 |
| 6 | Aetna whole health facility · fee schedule · outpatient | $47 | $52 | $32 | 61% | — | $13 – $100 |
| 7 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $68 | $54 | $27 | 50% | — | $0 – $68 |
| 8 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $71 | $57 | $28 | 50% | — | $0 – $71 |
| 9 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $94 | $62 | $44 | 71% | — | $0 – $94 |
| 10 | Aetna hmo/pos facility · fee schedule · outpatient | $75 | $83 | $51 | 61% | — | $21 – $162 |
| 11 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $106 | $85 | $42 | 50% | — | $0 – $106 |
| 12 | Aetna medicare prime facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 13 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $212 | $141 | $100 | 71% | — | $0 – $212 |
| 14 | Aetna golden medicare facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 15 | Clover clover facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 16 | UnitedHealthcare medicare facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 17 | WellCare medicare facility · fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 18 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $276 | $220 | $110 | 50% | — | $0 – $276 |
| 19 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $360 | $288 | $144 | 50% | — | $0 – $360 |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $374 | $299 | $150 | 50% | — | $0 – $374 |
| 21 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $382 | $305 | $153 | 50% | — | $0 – $382 |
| 22 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $393 | $315 | $157 | 50% | — | $0 – $393 |
| 23 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $393 | $315 | $157 | 50% | — | $0 – $393 |
| 24 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $393 | $315 | $157 | 50% | — | $0 – $393 |
| 25 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $399 | $319 | $159 | 50% | — | $0 – $399 |
Last updated: Nov 10, 2025
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