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
$810
Median
$156
High
$601.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1451 hospitals; the 90th percentile is 8.5× 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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1,994 hospital rates
iThe hospitals that file a Cigna 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 | 3 | $215 | $217 | $65 | 30% | 392–410 | $147 – $293 |
| 2 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $146 | $147 | $17 | 11% | 168 | $128 – $167 |
| 3 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 10 | $146 | $165 | $44 | 27% | 102 | $98 – $219 |
| 4 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $1.1k | $1.1k | — | — | 98 | $1.1k – $1.1k |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $129 | $129 | — | — | 98 | $129 – $129 |
| 6 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | — | — | 85 | $202 – $202 |
| 7 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 10 | $225 | $223 | $48 | 22% | 84–111 | $129 – $265 |
| 8 | Saint Luke’s East Hospital Summit, MO case rate · both | 1 | $105 | $105 | — | — | 83 | $105 – $105 |
| 9 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $209 | $212 | $27 | 13% | 81–90 | $176 – $253 |
| 10 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $78 | $28 | 36% | 69–87 | $50 – $106 |
| 11 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $193 | $193 | — | — | 66 | $193 – $193 |
| 12 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $228 | $228 | $45 | 20% | 62 | $183 – $273 |
| 13 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $217 | $217 | — | — | 60 | $217 – $217 |
| 14 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | — | — | 60 | $213 – $213 |
| 15 | St. Lukes Hospital of Kansas City City, KS case rate · both | 1 | $138 | $138 | — | — | 59 | $138 – $138 |
| 16 | Saint Luke’s South Hospital, Inc Leawood, KS case rate · both | 1 | $316 | $316 | — | — | 57 | $316 – $316 |
| 17 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | 56 | $250 – $250 |
| 18 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | 56 | $250 – $250 |
| 19 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $140 | $140 | — | — | 55 | $140 – $140 |
| 20 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $19.4k | $19.4k | — | — | 54 | $19.4k – $19.4k |
| 21 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $156 | $155 | $41 | 27% | 51–69 | $112 – $204 |
| 22 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 3 | $168 | $172 | $6 | 4% | 46–55 | $166 – $180 |
| 23 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges | 1 | $152 | $152 | — | — | 46 | $152 – $152 |
| 24 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | 46 | $149 – $149 |
| 25 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | 45 | $101 – $101 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7