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
$1
Average
$29
Median
$21
High
$140
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167 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 2 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Ascension Providence Waco, TX fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Ascension Providence Waco, TX fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 12 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 3 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 4 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 3 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 3 | $23 | $23 | — | — | — | $23 – $23 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 25 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting CPT 80376 · Snapshot 20261113T090226Z-3ce6c0b8