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
CH DRAIN W CONT MONIT RS&I
Teaneck, NJ
See all hospitals reporting CPT 75984 →Price type
Holy Name’s median price of $917 is 177% above the median hospital's median price ($331), higher than 85% of the 1,957 hospitals reporting CPT 75984. 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 | $205 | $205 | — | — | — | $205 – $205 |
| 2 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $264 | $264 | — | — | — | $264 – $264 |
| 3 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 4 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 5 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 6 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $365 | $365 | — | — | — | $365 – $365 |
| 7 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $413 | $413 | — | — | — | $413 – $413 |
| 8 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $557 | $557 | — | — | — | $557 – $557 |
| 9 | UnitedHealthcare uhc facility · other · outpatient | $643 | $643 | — | — | — | $643 – $643 |
| 10 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $790 | $790 | — | — | — | $790 – $790 |
| 11 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $827 | $827 | — | — | — | $827 – $827 |
| 12 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Nov 10, 2025
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