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
$0
Average
$911
Median
$59
High
$11.8k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
58 hospitals; the 90th percentile is 44.9× 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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69 hospital rates
iThe hospitals that file a Medicare 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 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | 271–280 | $81 – $81 |
| 2 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $111 | $111 | — | — | 161 | $111 – $111 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $78 | $78 | — | — | 136 | $78 – $78 |
| 4 | Hospital Development Co Spencer, WV percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | 91 | $14 – $14 |
| 5 | CLEVELAND AREA HOSPITAL CLEVELAND, OK other · outpatient | 1 | $27 | $27 | $4 | 15% | 81 | $23 – $31 |
| 6 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | 81 | $95 – $95 |
| 7 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | 55 | $39 – $39 |
| 8 | Benefis Community Hospitals, Inc Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $185 | $185 | $9 | 5% | 52 | $176 – $194 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $37 | $37 | — | — | 41 | $37 – $37 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · outpatient | 1 | $37 | $37 | — | — | 41 | $37 – $37 |
| 11 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 26 | $54 – $54 |
| 12 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $36 | $36 | — | — | 20 | $36 – $36 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $40 | $40 | — | — | 18 | $40 – $40 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · outpatient | 1 | $40 | $40 | — | — | 18 | $40 – $40 |
| 15 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 14 | $48 – $48 |
| 16 | Mercy Hospital Waldron Waldron, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 12 | $44 – $44 |
| 17 | Benefis Teton Medical Center Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $102 | $102 | $5 | 5% | 2–20 | $97 – $107 |
| 18 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · inpatient | 1 | $38 | $38 | — | — | 2–20 | $38 – $38 |
| 19 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · outpatient | 1 | $38 | $38 | — | — | 2–20 | $38 – $38 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · outpatient | 1 | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO other · inpatient | 1 | $50 | $50 | — | — | 2–20 | $50 – $50 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO other · outpatient | 1 | $50 | $50 | — | — | 2–20 | $50 – $50 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient | 1 | $50 | $50 | — | — | 2–20 | $50 – $50 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · outpatient | 1 | $50 | $50 | — | — | 2–20 | $50 – $50 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7