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
$1
Average
$4.7k
Median
$63
High
$619.9k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
145 hospitals; the 90th percentile is 29.9× 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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202 hospital rates
iThe hospitals that file a Highmark 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 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 2 | $153 | $153 | — | — | 248 | $153 – $153 |
| 2 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $88 | $97 | $20 | 20% | 154–163 | $88 – $141 |
| 3 | Lancaster General Health Lancaster, PA facility · other · outpatient | 5 | $227 | $239 | $78 | 33% | 100–136 | $111 – $417 |
| 4 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $78 | $77 | $10 | 12% | 56–164 | $61 – $91 |
| 5 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $82 | $29 | 36% | 51–78 | $63 – $133 |
| 6 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | 44 | $115 – $115 |
| 7 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 43 | $50 – $50 |
| 8 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $210 | — | — | 39 | $210 – $210 |
| 9 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $26 | $33 | $12 | 37% | 20–83 | $25 – $56 |
| 10 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $25 | $8 | 30% | 5–50 | $16 – $33 |
| 11 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $156 | $156 | — | — | 3–30 | $156 – $156 |
| 12 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $226 | $226 | — | — | 2–20 | $226 – $226 |
| 13 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $102 | $102 | $9 | 8% | 2–20 | $94 – $111 |
| 14 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $365 | $365 | $243 | 67% | 2–20 | $122 – $608 |
| 15 | Nicholas H. Noyes Memorial Hospital Dansville, NY percent of total billed charges · outpatientfrom % of charges | 2 | $19 | $19 | $0 | 0% | 2–20 | $19 – $19 |
| 16 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $49 | $49 | $2 | 4% | 2–20 | $48 – $51 |
| 17 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $113 | $113 | $38 | 33% | 2–20 | $76 – $151 |
| 18 | Princeton Community Hospital Assn Inc. Princeton, WV facility · other · outpatient | 1 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 19 | Uniontown Hospital Uniontown, PA facility · other · outpatient | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $10 | $10 | $1 | 8% | — | $9 – $11 |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $12 | $12 | $0 | 2% | — | $11 – $12 |
| 22 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $12 | $12 | $0 | 2% | — | $11 – $12 |
| 23 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 24 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 25 | Boone Memorial Hospital Madison, WV other · both | 1 | $7 | $7 | $2 | 25% | — | $6 – $9 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7