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
$136
Median
$77
High
$1.6k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
189 hospitals; the 90th percentile is 8.1× 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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238 hospital rates
iThe hospitals that file a Caresource 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 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $14 | $14 | $0 | 1% | 70–97 | $14 – $14 |
| 2 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $237 | $249 | $36 | 15% | 57 | $212 – $309 |
| 3 | Tanner Medical Center - Carrollton Carrollton, GA facility · other · outpatient | 1 | $70 | $70 | — | — | 47–56 | $70 – $70 |
| 4 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · other · outpatient | 1 | $77 | $77 | — | — | 37–46 | $77 – $77 |
| 5 | Higgins General Hospital Bremen, GA facility · other · outpatient | 1 | $69 | $69 | $0 | 1% | 14–23 | $69 – $69 |
| 6 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 14–41 | $76 – $76 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $189 | $8 | 4% | 5–50 | $183 – $199 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $320 | $124 | 39% | 5–50 | $219 – $472 |
| 9 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $14 | $14 | $0 | 1% | 4–40 | $14 – $15 |
| 10 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $407 | $360 | $81 | 23% | 4–40 | $220 – $407 |
| 11 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $167 | $251 | $145 | 58% | 4–40 | $167 – $502 |
| 12 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | 4–40 | $203 – $203 |
| 13 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 4–40 | $133 – $133 |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | $43 | 33% | 4–40 | $86 – $171 |
| 15 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $190 | $112 | 59% | 3–30 | $111 – $349 |
| 16 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $131 | $3 | 2% | 3–30 | $129 – $134 |
| 17 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $74 | $74 | — | — | 2–20 | $74 – $74 |
| 18 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $132 | $144 | $34 | 23% | 2–20 | $112 – $205 |
| 19 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | 2–20 | $29 – $29 |
| 20 | Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient | 1 | $46 | $46 | — | — | 2–20 | $46 – $46 |
| 21 | Monroe County Hospital Forsyth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | $39 | 93% | 2–20 | $3 – $80 |
| 22 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 2–20 | $73 – $73 |
| 23 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $29 | $29 | — | — | 2–20 | $29 – $29 |
| 24 | Stephens County Hospital Toccoa, GA fee schedule · outpatient | 1 | $75 | $75 | $7 | 9% | 2–20 | $68 – $82 |
| 25 | Columbus Regional Hospital Columbus, IN per diem · both | 2 | $74 | $74 | — | — | 1–10 | $74 – $74 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7