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
$5
Average
$49
Median
$50
High
$209
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60 hospital rates
iThe hospitals that file a Kaiser 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 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 2 | $77 | $77 | $38 | 49% | — | $39 – $114 |
| 2 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Benefis Senior Services Great Falls, MT fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 4 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 6 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 8 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 9 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 10 | ES REHABILITATION LLC Atlanta, GA facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 12 | KAISER FOUNDATION HOSPITAL & REHAB CENTER - VALLEJO VALLEJO, CA fee schedule · both | 3 | $30 | $50 | $29 | 57% | — | $29 – $90 |
| 13 | KAISER FOUNDATION HOSPITAL - ANTIOCH ANTIOCH, CA fee schedule · both | 3 | $30 | $50 | $29 | 57% | — | $29 – $90 |
| 14 | KAISER FOUNDATION HOSPITAL - BALDWIN PARK BALDWIN PARK, CA fee schedule · both | 3 | $23 | $32 | $16 | 51% | — | $18 – $55 |
| 15 | KAISER FOUNDATION HOSPITAL - DOWNEY Downey, CA fee schedule · both | 3 | $23 | $32 | $16 | 51% | — | $18 – $55 |
| 16 | KAISER FOUNDATION HOSPITAL - FONTANA FONTANA, CA fee schedule · both | 3 | $23 | $32 | $16 | 51% | — | $18 – $55 |
| 17 | KAISER FOUNDATION HOSPITAL - FREMONT FREMONT, CA fee schedule · both | 3 | $30 | $50 | $29 | 57% | — | $29 – $90 |
| 18 | KAISER FOUNDATION HOSPITAL - FRESNO FRESNO, CA fee schedule · both | 3 | $30 | $50 | $29 | 57% | — | $29 – $90 |
| 19 | KAISER FOUNDATION HOSPITAL - LOS ANGELES LOS ANGELES, CA fee schedule · both | 3 | $23 | $32 | $16 | 51% | — | $18 – $55 |
| 20 | KAISER FOUNDATION HOSPITAL - MANTECA 95337, CA fee schedule · both | 3 | $30 | $50 | $29 | 57% | — | $29 – $90 |
| 21 | KAISER FOUNDATION HOSPITAL - MOANALUA HONOLULU, HI fee schedule · both | 3 | $81 | $81 | $44 | 54% | — | $27 – $134 |
| 22 | KAISER FOUNDATION HOSPITAL - MODESTO 95356, CA fee schedule · both | 3 | $30 | $50 | $29 | 57% | — | $29 – $90 |
| 23 | KAISER FOUNDATION HOSPITAL - MORENO VALLEY MORENO VALLEY, CA fee schedule · both | 3 | $23 | $32 | $16 | 51% | — | $18 – $55 |
| 24 | KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Oakland, CA fee schedule · both | 3 | $30 | $50 | $29 | 57% | — | $29 – $90 |
| 25 | KAISER FOUNDATION HOSPITAL - ONTARIO ONTARIO, CA fee schedule · both | 3 | $23 | $32 | $16 | 51% | — | $18 – $55 |
← Payers reporting CPT 80376 · Snapshot 20261113T090226Z-3ce6c0b8