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
$34
Average
$168
Median
$128
High
$1.0k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
121 hospitals; the 90th percentile is 5.6× 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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197 hospital rates
iThe hospitals that file a Healthpartners 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 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $34 | $34 | — | — | 148 | $34 – $34 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $34 | $34 | — | — | 146 | $34 – $34 |
| 3 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $34 | $34 | — | — | 146 | $34 – $34 |
| 4 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $34 | $34 | — | — | 146 | $34 – $34 |
| 5 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $110 | $117 | $63 | 54% | 48–66 | $25 – $204 |
| 6 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $170 | $3 | 2% | 14 | $167 – $172 |
| 7 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $34 | $34 | — | — | 14 | $34 – $34 |
| 8 | Northfield Hospital Northfield, MN percent of total billed charges · bothfrom % of charges | 1 | $154 | $154 | — | — | 4–40 | $154 – $154 |
| 9 | Avera Marshall Hospital Marshall, MN fee schedule · outpatient | 1 | $34 | $34 | — | — | 2–20 | $34 – $34 |
| 10 | Avera Merrill Pioneer Rock Rapids, IA percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | $16 | 10% | 2–20 | $141 – $172 |
| 11 | Avera Queen of Peace Mitchell, SD fee schedule · outpatient | 1 | $34 | $34 | — | — | 2–20 | $34 – $34 |
| 12 | Avera St. Mary's Hospital Pierre, SD fee schedule · outpatient | 1 | $34 | $34 | — | — | 2–20 | $34 – $34 |
| 13 | Lakes Regional Hospital Spirit Lake, IA percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $40 | 50% | 2–20 | $40 – $119 |
| 14 | Pipestone County Medical Center Pipestone, MN percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | $32 | 52% | 2–20 | $30 – $94 |
| 15 | Sioux Center Health Sioux Center, IA percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | $1 | 2% | 2–20 | $47 – $49 |
| 16 | Amery Hospital Amery, WI facility · case rate · both | 1 | $87 | $87 | — | — | 1–10 | $87 – $87 |
| 17 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 18 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | 1–10 | $69 – $69 |
| 19 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | 1–10 | $220 – $220 |
| 20 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 21 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $83 | $86 | $55 | 65% | 1–10 | $30 – $146 |
| 23 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $32 | $71 | $54 | 76% | 1–10 | $32 – $147 |
| 24 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 2 | $137 | $137 | $1 | 1% | 1–10 | $136 – $139 |
| 25 | Methodist Hospital St. Louis Park, MN facility · case rate · both | 1 | $276 | $276 | — | — | 1–10 | $276 – $276 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7