CPT 80376
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
DRUG/SUBSTANCE NOS 4-6
Low
$0
Average
$576
Median
$77
High
$12.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 23.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +19 other terms | 208 | $19 | $25 | $153 | 601% | 1–10 | $1 – $3.6k |
| 2 | Aetna fee schedule · outpatient · +15 other terms | 175 | $0 | $80 | $676 | 850% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +15 other terms | 134 | $52 | $76 | $59 | 78% | — | $0 – $227 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 94 | $24 | $50 | $72 | 142% | — | $0 – $427 |
| 5 | Cigna fee schedule · outpatient · +14 other terms | 91 | $52 | $76 | $46 | 60% | — | $1 – $242 |
| 6 | Molina fee schedule · outpatient · +10 other terms | 88 | $21 | $21 | $8 | 38% | — | $1 – $124 |
| 7 | Aetna Better Health fee schedule · outpatient · +5 other terms | 64 | $20 | $19 | $5 | 24% | — | $0 – $24 |
| 8 | Anthem fee schedule · outpatient · +16 other terms | 58 | $9 | $21 | $32 | 158% | — | $0 – $134 |
| 9 | Kaiser fee schedule · both · +7 other terms | 41 | $50 | $41 | $26 | 63% | — | $18 – $134 |
| 10 | WellCare fee schedule · both · +9 other terms | 21 | $108 | $76 | $52 | 69% | — | $7 – $126 |
| 11 | Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms | 15 | $119 | $121 | $4 | 3% | — | $115 – $127 |
| 12 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $28 | $30 | $7 | 23% | — | $19 – $47 |
| 13 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 15 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Medcost percent of total billed charges · bothfrom % of charges · +2 other terms | 15 | $43 | $42 | $4 | 9% | — | $35 – $54 |
| 15 | Bcbs Tx fee schedule · outpatient | 13 | $22 | $23 | $0 | 1% | — | $22 – $23 |
| 16 | First Health fee schedule · outpatient · +9 other terms | 13 | $19 | $19 | $3 | 14% | — | $0 – $19 |
| 17 | Optum facility · case rate · outpatient · +2 other terms | 13 | $25 | $25 | $10 | 39% | — | $7 – $42 |
| 18 | Wellmark fee schedule · both · +7 other terms | 13 | $25 | $25 | — | — | — | $25 – $25 |
| 19 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $83 | $62 | $36 | 59% | — | $24 – $104 |
| 20 | Highmark fee schedule · outpatient · +7 other terms | 11 | $14 | $14 | $0 | 3% | — | $14 – $21 |
| 21 | Ambetter fee schedule · both · +7 other terms | 10 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Bcbs Nj fee schedule · outpatient | 10 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | Magellan percent of total billed charges · outpatientfrom % of charges | 10 | $79 | $79 | — | — | — | $79 – $79 |
| 24 | Medica fee schedule · outpatient · +9 other terms | 10 | $50 | $51 | $13 | 26% | — | $31 – $65 |
| 25 | Medicaid fee schedule · both · +2 other terms | 10 | $7 | $9 | $5 | 58% | — | $7 – $25 |
← Hospitals reporting CPT 80376 · Snapshot 20261113T090226Z-3ce6c0b8