Holy Name
Holy Name in Teaneck, NJ publishes cash prices for 70 common procedures listed here, from its own machine-readable price file updated Nov 10, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 53 of 70 procedures and below it for 17. By typical cash price it ranks #28 of 42 New Jersey hospitals and #53 of 74 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.
718 Teaneck Road, Teaneck, NJ 07666 Collected Oct 24, 2026 Source price file Check a bill from this hospital (201) 833-3000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 310008 · CMS hospital register NPI 1104859131
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Holy Name is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT VENOUS DOPP | $400.00 | $2,301.00 | $256.20–$419.63 | — | 83% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS IMAGING BILATERAL | $400.00 | $2,301.00 | $256.20–$419.63 | — | 83% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 MAGELLAN BOTH LEG VEINS | $400.00 | $2,301.00 | $256.20–$419.63 | 24% above | 83% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ATTRACT IVC ILIA BOTH LEG VN | $400.00 | $2,301.00 | $256.20–$419.63 | 24% above | 83% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLX VEIN IMG BOTH L/UP EXT | $400.00 | $2,474.00 | $256.20–$419.63 | 24% above | 84% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VENOUS LOW EXT | $400.00 | $2,963.00 | $256.20–$419.63 | 24% above | 87% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 BIL LOW EXTREM VENOUS DOPPLE | $400.00 | $2,531.00 | $256.20–$419.63 | 24% above | 84% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLX SCAN BOTH L/UP EXTREM | $400.00 | $2,474.00 | $256.20–$419.63 | 24% above | 84% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 CEPHALIC VEIN MAP BOTH UP EX | $400.00 | $2,301.00 | $256.20–$419.63 | 24% above | 83% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLX SCAN LT LOW EXTRM(DVT) | $200.00 | $1,786.00 | $112.71–$268.65 | 6% above | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLX SCAN RT LOW EXTRM(DVT) | $200.00 | $1,786.00 | $112.71–$268.65 | 6% above | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT VENOUS DOPP | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLX VEIN IMG RT UP EXT(DVT | $200.00 | $1,786.00 | $112.71–$268.65 | 6% above | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLX VEIN IMG LT UP EXT(DVT | $200.00 | $1,786.00 | $112.71–$268.65 | 6% above | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CEPHALIC VEIN MAP RT UPP EXT | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CEPHALIC VEIN MAP LT UPP EXT | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 MAP SAPHENOUS VEIN LT LEG | $200.00 | $1,786.00 | $112.71–$268.65 | 6% above | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 MAGELLAN LEFT LEG VEINS | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 MAGELLAN RIGHT LEG VEINS | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ATTRACT IVC ILIA LEFT LEG VN | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ATTRACT IVC ILIA RT LEG VEIN | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SAPHENOUS VEIN MAP LEFT | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SAPHENOUS VEIN MAP RIGHT | $200.00 | $1,542.00 | $112.71–$268.65 | 6% above | 87% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STEREOT | $4,500.00 | $8,485.00 | $353.45–$9,950.00 | 106% above | 47% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $4,500.00 | $5,425.00 | $353.45–$9,950.00 | 106% above | 17% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $600.00 | $567.00 | $254.25–$4,456.00 | 97% above | -6% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FX, EA WO M | $600.00 | $567.00 | $254.25–$4,456.00 | 119% above | -6% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVAER, ELEC CONV-ARRYHY | $600.00 | $2,271.00 | $232.59–$2,450.00 | 27% below | 74% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $4,500.00 | $9,149.00 | $420.61–$9,950.00 | 87% above | 51% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION | $4,500.00 | $4,000.00 | $281.07–$4,500.00 | 509% above | -13% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FX DISTAL RADIUS W/O M | $600.00 | $620.00 | $254.25–$4,456.00 | 53% below | 3% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $4,500.00 | $3,672.00 | $423.67–$9,950.00 | 202% above | -23% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTO URE.W/INSRT STENT | $4,500.00 | $5,959.00 | $331.38–$9,950.00 | 1% below | 24% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $4,500.00 | $2,408.00 | $172.48–$9,950.00 | 509% above | -87% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $1,500.00 | — | $1,500.00–$3,781.85 | 61% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR BENIGN/PREMAL LSN,1ST | $600.00 | $405.00 | $117.35–$4,456.00 | 156% above | -48% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $600.00 | $198.00 | $36.60–$4,456.00 | 657% above | -203% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $600.00 | $420.00 | $62.96–$4,456.00 | 683% above | -43% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $600.00 | $547.00 | $134.84–$4,456.00 | 153% above | -10% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PARAVERT F JNT L/S FCT 1 LV | $4,500.00 | $2,979.00 | $193.00–$9,950.00 | 279% above | -51% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC | $600.00 | $628.00 | $117.50–$4,456.00 | 44% below | 4% |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY | $4,500.00 | $4,053.00 | $1,730.00–$9,950.00 | 50% above | -11% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO INJECTION | $4,500.00 | $337.00 | $1,049.00 | 1209% above | -1235% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERSONO INJECTION | $4,500.00 | $872.00 | $120.28–$9,950.00 | 1209% above | -416% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM | $4,500.00 | $2,337.00 | $120.28–$9,950.00 | 1209% above | -93% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGRAPHY | $4,500.00 | $1,212.00 | $193.56–$1,123.77 | 1209% above | -271% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ABSCESS DRAINAGE | $600.00 | $1,166.00 | $210.60–$4,456.00 | 126% above | 49% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D CUT/SUB ABSC CYST SIM/SG | $600.00 | $1,166.00 | $210.60–$4,456.00 | 126% above | 49% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIG/TRIG PT/GANG | $600.00 | $610.00 | $84.13–$4,456.00 | 25% above | 2% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND SHEATH/LIGAM | $4,500.00 | $581.00 | $84.13–$9,950.00 | 836% above | -675% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJ MJ JOINT-SHLD/HIP/ | $600.00 | $1,282.00 | $95.56–$4,456.00 | 48% above | 53% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 AR/CNT, ASP/I M JT | $4,500.00 | $4,269.00 | $95.56–$9,950.00 | 1013% above | -5% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 EXAM:ASPIRATION &/OR INJECT | $4,500.00 | $1,049.00 | $95.56–$9,950.00 | 1013% above | -329% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR/INJ MED JT-WRIST/ELB/A | $600.00 | $570.00 | $78.90–$4,456.00 | 30% above | -5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO,ASPIR/INJ INTERM JOIN | $4,500.00 | $1,049.00 | $78.90–$9,950.00 | 871% above | -329% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 AR/CNT, ASP/INJ; M JNT | $4,500.00 | $704.00 | $78.90–$9,950.00 | 871% above | -539% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIR SMALL JOINT (FGS/TOES) | $600.00 | $610.00 | $76.65–$4,456.00 | 34% above | 2% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 AR/CNT, ASP/INJ; S JNT | $4,500.00 | $672.00 | $76.65–$9,950.00 | 909% above | -570% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER | $4,500.00 | $2,054.00 | $581.46–$9,950.00 | 641% above | -119% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REP SCALP/TR/EXTR 2.5CM OR L | $600.00 | $591.00 | $312.22–$4,456.00 | 7% below | -2% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER INTRLMNR LMBR/SA | $4,500.00 | $1,916.00 | $213.45–$9,950.00 | 393% above | -135% |
| Lower-back epidural injection, without imaging guidance CPT 62322 LUMBAR EPIDURAL | $4,500.00 | $3,038.00 | $170.51–$9,950.00 | 329% above | -48% |
| Lower-back epidural injection, without imaging guidance CPT 62322 STERIOD, EPIDURAL OR CAUDA | $4,500.00 | $3,038.00 | $170.51–$9,950.00 | 329% above | -48% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL INJ DIAG/THER | $4,500.00 | $3,038.00 | $170.51–$9,950.00 | 329% above | -48% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 FORAMEN EPIDURAL L/S | $4,500.00 | $3,564.00 | $237.42–$9,950.00 | 203% above | -26% |
| Miscarriage treatment with D&C, first trimester CPT 59820 D&C | $4,500.00 | $4,243.00 | $795.57–$9,950.00 | 25% above | -6% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES TRK ARM/LEG .5CM | $600.00 | $947.00 | $179.96–$4,456.00 | 41% below | 37% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BE LE FA/EA/EY/NO <=.5CM | $600.00 | $2,041.00 | $232.14–$4,456.00 | 28% below | 71% |
| Nail removal (partial or complete), one nail CPT 11730 AVLS NL PLT PRT/CMP SMP SGL | $600.00 | $624.00 | $117.74–$4,456.00 | 129% above | 4% |
| Occipital nerve block (injection for headaches) CPT 64405 N BLK , OCCIPITAL | $4,500.00 | $1,562.00 | $110.26–$9,950.00 | 586% above | -188% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $600.00 | $1,730.00 | $227.95–$4,456.00 | 45% below | 65% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $600.00 | $1,518.00 | $195.13–$4,456.00 | 18% above | 60% |
| Prostate biopsy CPT 55700 BIX PROSTATE | $4,500.00 | $8,744.00 | $279.26–$9,950.00 | 87% above | 49% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE | $4,500.00 | $9,312.00 | $279.26–$9,950.00 | 87% above | 52% |
| Prostate biopsy CPT 55700 PROSTATE NEEDLE BIOPSY | $4,500.00 | $8,744.00 | $279.26–$9,950.00 | 87% above | 49% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $4,500.00 | $3,387.00 | $411.69–$9,950.00 | 73% above | -33% |
| Removal of a breast lump, open surgery CPT 19120 SINGLE BREAST LESION | $4,500.00 | $6,426.00 | $855.63–$9,950.00 | 12% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB, SUBQ | $600.00 | $1,093.00 | $222.82–$4,456.00 | 20% above | 45% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY | $4,500.00 | $11,083.00 | $1,143.00–$10,549.00 | 8% above | 59% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $600.00 | $523.00 | $130.41–$4,456.00 | 73% above | -15% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $600.00 | $745.00 | $84.00–$4,456.00 | 7% below | 19% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION SPLINT SHORT ARM | $600.00 | $477.00 | $84.00–$4,456.00 | 7% below | -26% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $600.00 | $567.00 | $121.35–$4,456.00 | 69% above | -6% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $600.00 | $802.00 | $103.94–$4,456.00 | 3% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP. SCALP/TRUNK/EXT 2.5CM L | $600.00 | $959.00 | $94.71–$4,456.00 | 126% above | 37% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 MIN O/P SURG PROC 2.5 OR LES | $4,500.00 | $347.00 | $94.71–$9,950.00 | 1597% above | -1197% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $4,500.00 | $1,518.00 | $90.27–$4,456.00 | 779% above | -196% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $4,500.00 | $3,161.00 | $251.26–$9,950.00 | 385% above | -42% |
| Skin tag removal, up to 15 tags CPT 11200 ECX MULP ANY AREA UP TO 15 | $600.00 | $236.00 | $164.90–$4,456.00 | 78% above | -154% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE;DIAGNOSTIC | $4,500.00 | $2,255.00 | $135.30–$9,950.00 | 390% above | -100% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC, LUM DIAG | $4,500.00 | $3,250.00 | $135.30–$9,950.00 | 390% above | -38% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBER PUNCTURE FOR DIAG INJ | $4,500.00 | $1,494.00 | $135.30–$9,950.00 | 390% above | -201% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC | $4,500.00 | $2,202.00 | $135.30–$9,950.00 | 390% above | -104% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP. SCALP/TRUNK/EX 2.6-7.5C | $600.00 | $899.00 | $124.97–$4,456.00 | 126% above | 33% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 MIN O/P SURG PROC 2.6 - 7.5 | $4,500.00 | $447.00 | $124.97–$9,950.00 | 1597% above | -907% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SKIN,FC/EARS/LIPS LESS 2 | $600.00 | $834.00 | $118.27–$4,456.00 | 38% above | 28% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FACIAL WOUND - SIMPLE | $4,500.00 | $1,818.00 | $118.27–$9,950.00 | 936% above | -148% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS TUBE INS. PNEU | $600.00 | $1,441.00 | $237.47–$4,456.00 | 25% below | 58% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS, IMAGING | $4,500.00 | $3,463.00 | $237.47–$9,950.00 | 459% above | -30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGG PNT 1-2 MUSC | $600.00 | $1,004.00 | $78.12–$4,456.00 | 57% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US | $4,500.00 | $7,082.00 | $332.64–$9,950.00 | 106% above | 36% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $4,500.00 | $4,800.00 | $332.64–$9,950.00 | 106% above | 6% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BX SINGLE/MULTIPLE | $1,750.00 | $2,731.00 | $290.99–$2,450.00 | 49% above | 36% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,750.00 | $2,854.00 | $290.99–$9,950.00 | 49% above | 39% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,750.00 | $3,453.00 | $257.86–$9,950.00 | 44% above | 49% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/ LITHOTRIPSY | $4,500.00 | $15,068.00 | $890.58–$10,294.00 | 36% below | 70% |
| Vein ablation, radiofrequency, first vein CPT 36475 EVLT P/C RF FIRST VEIN | $4,500.00 | $6,913.00 | $576.25–$9,950.00 | 4% below | 35% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT WART/MILIA UP TO 14 | $600.00 | $254.00 | $149.14–$4,456.00 | 131% above | -136% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID. SKIN/SUBCUTANEOUS TI | $600.00 | $1,093.00 | $127.96–$4,456.00 | 19% above | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 EMERGENCY ROOM-CRITICAL CARE | $600.00 | $3,000.00 | $469.00–$2,779.00 | 44% below | 80% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER TRIAGE ASSESSMENT | $600.00 | $300.00 | $25.16–$2,450.00 | 169% above | -100% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SUTURE/STAPLE REMVL ER LVL 1 | $600.00 | $413.00 | $25.16–$2,450.00 | 169% above | -45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1 | $600.00 | $600.00 | $25.16–$2,450.00 | 169% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 2 | $600.00 | $900.00 | $93.04–$2,450.00 | 183% above | 33% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 3 | $600.00 | $1,600.00 | $157.98–$2,450.00 | 71% above | 63% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL 4 | $600.00 | $1,900.00 | $269.33–$2,450.00 | 12% above | 68% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5 | $600.00 | $2,200.00 | $390.90–$2,450.00 | 20% below | 73% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PED URGENT CENTER VISIT | $600.00 | $206.00 | $102.77–$2,450.00 | 960% above | -191% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.holyname.org/HospitalCharges/resources/221487322_holy-name_standardcharges.csv