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
$239
Median
$73
High
$11.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
512 hospitals; the 90th percentile is 10.7× 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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659 hospital rates
iThe hospitals that file a Molina 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 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 547 | $50 – $50 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 410 | $37 – $37 |
| 3 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $39 | $39 | — | — | 257–266 | $39 – $39 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 223 | $41 – $41 |
| 5 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | 214 | $34 – $34 |
| 6 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 118 | $25 – $25 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 118 | $41 – $41 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 103 | $21 – $21 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 102 | $37 – $37 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 89 | $41 – $41 |
| 11 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $75 | $84 | $54 | 64% | 83 | $32 – $154 |
| 12 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 74 | $27 – $27 |
| 13 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 72 | $45 – $45 |
| 14 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 72 | $21 – $21 |
| 15 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 58 | $23 – $23 |
| 16 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $85 | $126 | $52 | 41% | 56–92 | $83 – $197 |
| 17 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 46 | $22 – $22 |
| 18 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | 44 | $28 – $28 |
| 19 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 38 | $23 – $23 |
| 20 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 38 | $26 – $26 |
| 21 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $94 | $46 | 48% | 33–60 | $42 – $168 |
| 22 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | 20 | $51 – $51 |
| 23 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $14 | $14 | $0 | 1% | 17–53 | $14 – $14 |
| 24 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $14 | $19 | $7 | 35% | 15–33 | $14 – $28 |
| 25 | Pocahontas Community Hospital Pocahontas, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $78 | $19 | 25% | 12–21 | $59 – $97 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7