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
$256
Median
$106
High
$10.8k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
184 hospitals; the 90th percentile is 16.8× 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.
Filter by billing methodology
Filter by billing class
208 hospital rates
iThe hospitals that file a Ambetter 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 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $237 | $249 | $36 | 15% | 438 | $212 – $309 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | 150 | $29 – $29 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 31 | $70 – $70 |
| 4 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 24 | $22 – $22 |
| 5 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | — | — | 23 | $41 – $41 |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | $3 | 3% | 19 | $85 – $90 |
| 7 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | 19 | $247 – $247 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | 13 | $29 – $29 |
| 9 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | 3–30 | $158 – $158 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | $16 | 8% | 2–20 | $170 – $202 |
| 11 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $60 | $60 | — | — | 2–20 | $60 – $60 |
| 12 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $117 | $111 | $8 | 7% | 2–20 | $101 – $117 |
| 13 | Cumberland County Hospital System Inc Fayetteville, NC facility · other · outpatient | 1 | $589 | $589 | — | — | 1–10 | $589 – $589 |
| 14 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 15 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 16 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 17 | UMMC HOLMES COUNTY LEXINGTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 18 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ other · outpatient | 1 | $265 | $265 | — | — | 1–10 | $265 – $265 |
| 19 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $1 | 6% | — | $16 – $18 |
| 21 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $18 | $18 | $1 | 5% | — | $17 – $19 |
| 22 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $1 | 6% | — | $16 – $19 |
| 23 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $17 | $17 | $1 | 8% | — | $16 – $19 |
| 24 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $2 | 10% | — | $15 – $19 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $879 | $879 | — | — | — | $879 – $879 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7