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
$31
Average
$292
Median
$147
High
$799
Each hospital's average Bcbs Ca rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 11.0× 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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16 hospital rates
iThe hospitals that file a Bcbs Ca 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 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | 18 | $69 – $69 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $75 | $26 | 35% | — | $49 – $102 |
| 3 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Banner Lassen Medical Center Susanville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Banner Lassen Medical Center Susanville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · case rate · outpatient | 4 | $1.1k | $1.0k | $197 | 19% | — | $701 – $1.2k |
| 7 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · other · outpatient | 3 | $145 | $178 | $76 | 43% | — | $116 – $307 |
| 8 | Childrens Hospital of Orange County - Profit Orange, CA facility · other · outpatient | 4 | $154 | $154 | $18 | 12% | — | $121 – $176 |
| 9 | Childrens Hospital of Orange County - Profit Orange, CA facility · per diem · outpatient | 6 | $1.1k | $1.2k | $755 | 62% | — | $164 – $2.0k |
| 10 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $148 | $8 | 5% | — | $135 – $154 |
| 11 | Hayward Sisters Hospital Hayward, CA facility · case rate · outpatient | 3 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Hayward Sisters Hospital Hayward, CA facility · per diem · outpatient | 3 | $435 | $435 | — | — | — | $435 – $435 |
| 13 | Ojai Valley Community Hospital Ca. 93023 facility · fee schedule · outpatient | 1 | $103 | $103 | $2 | 2% | — | $101 – $105 |
| 14 | Oroville Hospital Oroville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $254 | $16 | 6% | — | $242 – $281 |
| 15 | Salinas Valley Memorial Healthcare System SALINAS, CA percent of total billed charges · inpatientfrom % of charges | 1 | $191 | $191 | $20 | 10% | — | $171 – $211 |
| 16 | Salinas Valley Memorial Healthcare System SALINAS, CA percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | $20 | 10% | — | $171 – $211 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7