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
$11
Average
$45
Median
$14
High
$451
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30 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $11 | $11 | $1 | 8% | — | $10 – $12 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 10 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 12 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 16 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 18 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | St Peters Hospital Albany, NY facility · fee schedule · both | 3 | $525 | $451 | $142 | 32% | — | $114 – $525 |
| 20 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 22 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · outpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · outpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
| 25 | WEST PENN ALLEGHENY HEALTH SYSTEM INC MONROEVILLE, PA fee schedule · inpatient | 11 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting CPT 80376 · Snapshot 20261113T090226Z-3ce6c0b8