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
$392
Median
$138
High
$19.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
490 hospitals; the 90th percentile is 19.8× 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.
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820 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $138 | $142 | $43 | 30% | 1,433 | $88 – $204 |
| 2 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $247 | $249 | $70 | 28% | 773–800 | $197 – $494 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 6 | $214 | $199 | $43 | 22% | 558 | $112 – $243 |
| 4 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $247 | $234 | $26 | 11% | 522–549 | $197 – $257 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 6 | $206 | $187 | $34 | 18% | 510 | $112 – $206 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 5 | $225 | $198 | $44 | 22% | 475 | $112 – $225 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 6 | $150 | $145 | $18 | 13% | 402 | $112 – $173 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 6 | $169 | $149 | $44 | 30% | 324 | $53 – $178 |
| 9 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 2 | $93 | $93 | $43 | 46% | 255–273 | $50 – $135 |
| 10 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 3 | $64 | $65 | $39 | 60% | 174 | $26 – $108 |
| 11 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $77 | $78 | $52 | 67% | 144–162 | $26 – $134 |
| 12 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $77 | $54 | 70% | 144 | $23 – $134 |
| 13 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $79 | $25 | 31% | 136–154 | $44 – $101 |
| 14 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $78 | $24 | 31% | 128 | $53 – $102 |
| 15 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $247 | $236 | $25 | 11% | 120–165 | $197 – $257 |
| 16 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 2 | $127 | $96 | $48 | 50% | 84 | $28 – $134 |
| 17 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 2 | $124 | $124 | $10 | 8% | 78 | $114 – $134 |
| 18 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 3 | $62 | $63 | $42 | 67% | 74–92 | $21 – $108 |
| 19 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO percent of total billed charges · outpatientfrom % of charges | 2 | $179 | $178 | $10 | 6% | 45 | $166 – $193 |
| 20 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 2 | $133 | $133 | $3 | 2% | 42 | $129 – $136 |
| 21 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 3 | $72 | $72 | $44 | 62% | 38 | $28 – $118 |
| 22 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $153 | $153 | — | — | 38 | $153 – $153 |
| 23 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $52 | $52 | $12 | 23% | 37–73 | $40 – $65 |
| 24 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $71 | $71 | — | — | 31 | $71 – $71 |
| 25 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $165 | $165 | — | — | 25–34 | $165 – $165 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7