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
$4
Average
$1.1k
Median
$236
High
$822.8k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
1025 hospitals; the 90th percentile is 5.1× 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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1,531 hospital rates
iThe hospitals that file a MultiPlan 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 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | 98 | $1.1k – $1.1k |
| 2 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $216 | $216 | — | — | 12 | $216 – $216 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $230 | $282 | $99 | 35% | 6–60 | $166 – $431 |
| 4 | Baystate Noble Hospital Westfield, MA percent of total billed charges · bothfrom % of charges | 1 | $170 | $170 | — | — | 5–50 | $170 – $170 |
| 5 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 47 | $248 | $248 | — | — | 3–30 | $248 – $248 |
| 6 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 2 | $333 | $1.6k | $2.9k | 184% | 2–20 | $50 – $8.0k |
| 7 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $260 | $260 | — | — | 2–20 | $260 – $260 |
| 8 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $26.2k | $26.2k | — | — | 2–20 | $26.2k – $26.2k |
| 9 | Bridgton Hospital Bridgton, ME percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $254 | — | — | 1–10 | $254 – $254 |
| 10 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | $11 | 15% | 1–10 | $61 – $83 |
| 11 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $521 | $521 | — | — | 1–10 | $521 – $521 |
| 12 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $342 | $1.2k | $1.8k | 145% | 1–10 | $323 – $4.7k |
| 13 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 2 | $342 | $451 | $237 | 53% | 1–10 | $323 – $925 |
| 14 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 2 | $342 | $385 | $104 | 27% | 1–10 | $323 – $593 |
| 15 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $342 | $498 | $331 | 67% | 1–10 | $323 – $1.2k |
| 16 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $264 | $264 | — | — | 1–10 | $264 – $264 |
| 17 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $319 | $319 | — | — | 1–10 | $319 – $319 |
| 18 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · bothfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 19 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 20 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · bothfrom % of charges | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 21 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 22 | AGH LAVEEN LLC Phoenix, AZ fee schedule · inpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
| 23 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
| 24 | AGH MESA LLC Mesa, AZ fee schedule · inpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
| 25 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
← Payers reporting CPT 96376 · Snapshot 20261111T120946Z-9134e7f7