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
THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC
Low
$0
Average
$436
Median
$184
High
$5.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 19.8× 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 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 297 | $77 | $217 | $1.0k | 474% | 2,023–2,293 | $0 – $16.9k |
| 2 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 274 | $112 | $681 | $2.1k | 311% | 1,356–1,860 | $0 – $16.9k |
| 3 | Optum other · outpatient · +18 other terms | 24 | $153 | $2.2k | $4.2k | 189% | 325–415 | $20 – $11.8k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 140 | $83 | $144 | $633 | 440% | 222–258 | $1 – $8.3k |
| 5 | Kaiser fee schedule · outpatient · +19 other terms | 34 | $283 | $262 | $287 | 110% | 213 | $1 – $2.6k |
| 6 | Medicare other · outpatient · +11 other terms | 14 | $47 | $1.9k | $4.0k | 213% | 153–270 | $23 – $11.8k |
| 7 | Bcbs Fl facility · other · outpatient · +4 other terms | 2 | $218 | $218 | $39 | 18% | 128–155 | $180 – $257 |
| 8 | Medical Mutual facility · other · outpatient · +14 other terms | 6 | $110 | $211 | $214 | 101% | 125–134 | $44 – $730 |
| 9 | Molina fee schedule · both · +28 other terms | 57 | $42 | $62 | $79 | 128% | 61–142 | $9 – $727 |
| 10 | Cigna Healthspring other · outpatient · +3 other terms | 9 | $84 | $126 | $116 | 92% | 35 | $29 – $342 |
| 11 | Healthpartners fee schedule · outpatient · +12 other terms | 9 | $34 | $32 | $6 | 17% | 20–74 | $15 – $34 |
| 12 | Bcbs Ar fee schedule · both | 1 | $46 | $46 | — | — | 19 | $46 – $46 |
| 13 | Medica fee schedule · outpatient · +18 other terms | 36 | $52 | $50 | $58 | 115% | 12–120 | $9 – $296 |
| 14 | Anthem fee schedule · outpatient · +24 other terms | 65 | $66 | $652 | $1.4k | 215% | 11–110 | $13 – $7.6k |
| 15 | Bcbs Al facility · other · outpatient · +2 other terms | 4 | $63 | $67 | $7 | 11% | 5–50 | $58 – $76 |
| 16 | Caresource fee schedule · outpatient · +18 other terms | 38 | $104 | $145 | $99 | 69% | 3–30 | $1 – $296 |
| 17 | Florida Blue percent of total billed charges · bothfrom % of charges · +1 other terms | 1 | $147 | $147 | $26 | 18% | 3–30 | $125 – $191 |
| 18 | Aetna fee schedule · outpatient · +29 other terms | 131 | $138 | $196 | $156 | 79% | 1–10 | $1 – $827 |
| 19 | Cigna fee schedule · outpatient · +28 other terms | 112 | $162 | $1.2k | $2.7k | 232% | 1–10 | $1 – $12.6k |
| 20 | Oscar facility · other · outpatient · +15 other terms | 24 | $413 | $19.9k | $120.6k | 606% | 1–10 | $17 – $810.4k |
| 21 | Ambetter other · outpatient · +15 other terms | 20 | $255 | $553 | $368 | 67% | 1–10 | $31 – $928 |
| 22 | MultiPlan fee schedule · outpatient · +18 other terms | 110 | $258 | $307 | $155 | 51% | — | $1 – $867 |
| 23 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms | 61 | $152 | $142 | $85 | 60% | — | $10 – $598 |
| 24 | Highmark facility · fee schedule · outpatient · +16 other terms | 46 | $31 | $1.1k | $3.8k | 334% | — | $1 – $21.5k |
| 25 | Medicaid fee schedule · both · +11 other terms | 35 | $53 | $89 | $141 | 158% | — | $6 – $727 |
← Hospitals reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7