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
$56
Average
$292
Median
$150
High
$2.9k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 4.3× 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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137 hospital rates
iThe hospitals that file a Medical Mutual 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 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 2 | $68 | $3.8k | $10.5k | 278% | 114 | $46 – $33.5k |
| 2 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $117 | $117 | — | — | 93 | $117 – $117 |
| 3 | Morrow County Hospital Gilead, OH percent of total billed charges · bothfrom % of charges | 4 | $123 | $109 | $30 | 27% | 44 | $59 – $134 |
| 4 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 4 | $118 | $106 | $30 | 28% | 37–73 | $59 – $134 |
| 5 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $47 | $47 | — | — | 18 | $47 – $47 |
| 6 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $74 | $35 | 47% | 17 | $39 – $108 |
| 7 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $117 | $117 | — | — | 13 | $117 – $117 |
| 8 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 2 | $107 | $107 | $62 | 58% | 4–40 | $46 – $169 |
| 9 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | 2–20 | $101 – $101 |
| 10 | Coshocton Regional Medical Center Coshocton, OH percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | $3 | 1% | 2–20 | $241 – $247 |
| 11 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | — | — | 2–20 | $233 – $233 |
| 12 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 13 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 14 | Shelby County Memorial Hospital Assocation Sidney, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | 1–10 | $68 – $68 |
| 15 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $212 | $212 | — | — | 1–10 | $212 – $212 |
| 16 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $154 | $154 | — | — | — | $154 – $154 |
| 17 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $154 | $137 | $30 | 22% | — | $84 – $154 |
| 18 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 19 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $110 | $18 | 16% | — | $93 – $128 |
| 20 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 21 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 22 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 23 | Avita Ontario Hospital Ontario, OH per diem · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 2 | $82 | $82 | $31 | 38% | — | $50 – $113 |
| 25 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7