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
$16
Average
$167
Median
$151
High
$492
Each hospital's average Medcost rate, under the methodology and billing class chosen below.
137 hospitals; the 90th percentile is 3.9× 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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180 hospital rates
iThe hospitals that file a Medcost 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 | Betsy Johnson Hospital Dunn, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | — | — | 1–10 | $200 – $200 |
| 2 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 3 | $131 | $139 | $75 | 54% | — | $58 – $227 |
| 3 | Aiken Regional Medical Centers North Augusta, SC percent of total billed charges · bothfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 4 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 5 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 6 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $23 | 20% | — | $90 – $135 |
| 7 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $23 | 20% | — | $90 – $135 |
| 8 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $23 | 20% | — | $90 – $135 |
| 9 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 2 | $30 | $30 | $3 | 9% | — | $28 – $33 |
| 10 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $3 | 9% | — | $28 – $33 |
| 11 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $28 | $28 | $5 | 16% | — | $23 – $33 |
| 12 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $31 | $2 | 6% | — | $29 – $33 |
| 13 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $38 | $38 | $9 | 23% | — | $30 – $47 |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | $9 | 23% | — | $30 – $47 |
| 15 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $89 | $88 | 98% | — | $25 – $222 |
| 16 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $183 | $183 | $15 | 8% | — | $168 – $197 |
| 17 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $181 | $15 | 8% | — | $166 – $196 |
| 18 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 19 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 2 | $273 | $273 | $17 | 6% | — | $250 – $297 |
| 20 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $43 | $43 | $7 | 17% | — | $36 – $50 |
| 21 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $69 | $69 | $4 | 6% | — | $65 – $73 |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $28 | $28 | $2 | 6% | — | $26 – $29 |
| 23 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 6% | — | $26 – $29 |
| 24 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $28 | $28 | $2 | 6% | — | $26 – $29 |
| 25 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 6% | — | $26 – $29 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7