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
HC IV Therpy Seq Up to 1 Hr
Low
$55
Average
$362
Median
$174
High
$3.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 9.1× 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 | Medicare other · both · +18 other terms | 52 | $77 | $87 | $42 | 48% | 12,119–12,218 | $27 – $329 |
| 2 | UnitedHealthcare fee schedule · outpatient · +39 other terms | 485 | $86 | $207 | $308 | 149% | 936–1,161 | $1 – $3.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 463 | $101 | $155 | $196 | 127% | 709–970 | $1 – $2.0k |
| 4 | Kaiser fee schedule · outpatient · +23 other terms | 111 | $120 | $155 | $152 | 98% | 478–541 | $1 – $1.2k |
| 5 | Wellmark outpatient · +21 other terms | 22 | $203 | $200 | $87 | 44% | 365–554 | $9 – $366 |
| 6 | Aetna fee schedule · outpatient · +36 other terms | 510 | $80 | $137 | $119 | 86% | 290–776 | $1 – $850 |
| 7 | Anthem fee schedule · outpatient · +29 other terms | 153 | $84 | $399 | $1.0k | 255% | 285–483 | $2 – $9.9k |
| 8 | Humana fee schedule · outpatient · +34 other terms | 394 | $77 | $114 | $358 | 315% | 262–424 | $1 – $8.3k |
| 9 | Molina fee schedule · outpatient · +32 other terms | 189 | $75 | $105 | $96 | 92% | 234–351 | $1 – $879 |
| 10 | Bcbs Al facility · other · outpatient · +4 other terms | 4 | $431 | $447 | $47 | 11% | 93–156 | $400 – $522 |
| 11 | Cigna fee schedule · outpatient · +30 other terms | 227 | $98 | $617 | $1.9k | 311% | 32–59 | $1 – $12.6k |
| 12 | First Health fee schedule · outpatient · +20 other terms | 43 | $332 | $334 | $242 | 73% | 32–59 | $26 – $1.0k |
| 13 | Bcbs In other · both | 11 | $263 | $271 | $43 | 16% | 29–47 | $175 – $349 |
| 14 | Bcbs Fl facility · other · outpatient · +5 other terms | 2 | $259 | $280 | $79 | 28% | 26–44 | $197 – $387 |
| 15 | Florida Blue percent of total billed charges · bothfrom % of charges · +1 other terms | 1 | $544 | $544 | $91 | 17% | 3–30 | $452 – $690 |
| 16 | Aetna Better Health fee schedule · outpatient · +18 other terms | 38 | $65 | $83 | $89 | 107% | 2–20 | $22 – $370 |
| 17 | Medica fee schedule · outpatient · +22 other terms | 38 | $102 | $107 | $55 | 51% | 2–20 | $25 – $429 |
| 18 | Excellus facility · fee schedule · outpatient · +16 other terms | 23 | $74 | $970 | $4.2k | 438% | 1–10 | $5 – $22k |
| 19 | Premera facility · fee schedule · both · +15 other terms | 22 | $95 | $109 | $48 | 44% | 1–10 | $50 – $264 |
| 20 | WellCare fee schedule · outpatient · +23 other terms | 176 | $77 | $83 | $32 | 39% | — | $5 – $284 |
| 21 | MultiPlan fee schedule · outpatient · +20 other terms | 134 | $282 | $322 | $245 | 76% | — | $41 – $1.7k |
| 22 | Devoted facility · fee schedule · outpatient · +17 other terms | 107 | $72 | $97 | $334 | 346% | — | $44 – $4.9k |
| 23 | Ambetter facility · fee schedule · outpatient · +22 other terms | 100 | $129 | $160 | $505 | 315% | — | $33 – $7.0k |
| 24 | Tricare facility · fee schedule · outpatient · +18 other terms | 96 | $72 | $244 | $926 | 379% | — | $26 – $6.6k |
| 25 | Highmark facility · fee schedule · outpatient · +19 other terms | 84 | $101 | $111 | $95 | 85% | — | $19 – $612 |
← Hospitals reporting CPT 96367 · Snapshot 20261111T120946Z-9134e7f7