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
$174
Median
$113
High
$525
Each hospital's average Regence rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 14.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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7 hospital rates
iThe hospitals that file a Regence 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 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 3 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | St Peters Hospital Albany, NY facility · fee schedule · both | 1 | $525 | $525 | — | — | — | $525 – $525 |
| 5 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $242 | $242 | — | — | — | $242 – $242 |
| 6 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $242 | $242 | — | — | — | $242 – $242 |
| 7 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
← Payers reporting CPT 80376 · Snapshot 20261113T090226Z-3ce6c0b8