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
$1
Average
$668
Median
$149
High
$697.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1701 hospitals; the 90th percentile is 7.9× 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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2,560 hospital rates
iThe hospitals that file a Aetna 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 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $248 | $254 | $79 | 31% | 573–609 | $160 – $371 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $201 | $201 | $164 | 82% | 530 | $37 – $365 |
| 3 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $16 | $21 | $8 | 35% | 438 | $16 – $32 |
| 4 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $191 | $196 | $25 | 13% | 412–484 | $191 – $318 |
| 5 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $24 | $24 | $8 | 33% | 378 | $16 – $32 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $24 | $24 | $8 | 33% | 368–386 | $16 – $32 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $103 | $103 | $67 | 65% | 328 | $37 – $170 |
| 8 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $59 | $72 | $31 | 42% | 290–317 | $48 – $139 |
| 9 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $44 | $22 | 49% | 243–270 | $26 – $79 |
| 10 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $16 | $21 | $8 | 35% | 226–235 | $16 – $32 |
| 11 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $180 | $179 | $27 | 15% | 208–226 | $132 – $211 |
| 12 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $19.4k | $19.4k | — | — | 196 | $19.4k – $19.4k |
| 13 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 3 | $116 | $122 | $59 | 48% | 184–220 | $62 – $212 |
| 14 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $163 | $163 | $34 | 21% | 158–167 | $129 – $197 |
| 15 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $163 | $163 | $34 | 21% | 158–167 | $129 – $197 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $149 | $133 | $61 | 46% | 144 | $50 – $198 |
| 17 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $41 | $41 | — | — | 144 | $41 – $41 |
| 18 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $258 | $258 | $18 | 7% | 139–148 | $239 – $276 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $97 | $89 | $36 | 41% | 135 | $41 – $129 |
| 20 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | — | — | 131 | $91 – $91 |
| 21 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $167 | $163 | $4 | 2% | 109–127 | $158 – $167 |
| 22 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $246 | $246 | — | — | 108 | $246 – $246 |
| 23 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | 108 | $241 – $241 |
| 24 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $166 | $166 | — | — | 105 | $166 – $166 |
| 25 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $257 | $321 | $111 | 35% | 105 | $257 – $513 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7