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
SEL,ADD'L VESS RS&I
Teaneck, NJ
See all hospitals reporting CPT 75774 →Price type
Holy Name’s median price of $2.5k is 228% above the median hospital's median price ($764), higher than 87% of the 1,891 hospitals reporting CPT 75774. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 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 whole health facility · fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 2 | UnitedHealthcare uhc facility · other · outpatient | $643 | $643 | — | — | — | $643 – $643 |
| 3 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $721 | $721 | — | — | — | $721 – $721 |
| 4 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $757 | $757 | — | — | — | $757 – $757 |
| 5 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $820 | $820 | — | — | — | $820 – $820 |
| 6 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $867 | $867 | — | — | — | $867 – $867 |
| 7 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $998 | $998 | — | — | — | $998 – $998 |
| 8 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 13 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 14 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 15 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 16 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 17 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 18 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
Last updated: Nov 10, 2025
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