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
$14
Average
$713
Median
$95
High
$12.1k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 8.3× 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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82 hospital rates
iThe hospitals that file a Devoted 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $38 | $38 | — | — | 22 | $38 – $38 |
| 2 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 3 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 4 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 6 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 7 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 8 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 9 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 10 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 11 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $160 | $160 | $45 | 28% | — | $115 – $205 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 13 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $7 | 12% | — | $50 – $64 |
| 15 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | $9 | 5% | — | $160 – $178 |
| 16 | CHRISTUS West Beaumont Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | $9 | 5% | — | $160 – $178 |
| 17 | Christus Health Southeast Texas Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | $9 | 5% | — | $160 – $178 |
| 18 | Christus Health Southeast Texas Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | $9 | 5% | — | $160 – $178 |
| 19 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $68 | $22 | 33% | — | $58 – $118 |
| 21 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 22 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 23 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 24 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · other · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7