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
$1
Average
$747
Median
$159
High
$722.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1834 hospitals; the 90th percentile is 13.2× 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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2,986 hospital rates
iThe hospitals that file a UnitedHealthcare 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 Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $156 | $156 | $120 | 77% | 1,083 | $37 – $276 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $3.5k | $3.5k | $753 | 21% | 843 | $2.8k – $4.3k |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $3.5k | $3.5k | $753 | 21% | 843 | $2.8k – $4.3k |
| 4 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $204 | $204 | $60 | 29% | 436–454 | $144 – $265 |
| 5 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $79 | $36 | 46% | 390–417 | $42 – $115 |
| 6 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 17 | $465 | $623 | $435 | 70% | 334–523 | $155 – $1.7k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $243 | $208 | $124 | 60% | 333 | $41 – $339 |
| 8 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $20 | $20 | $9 | 45% | 326 | $11 – $29 |
| 9 | Barnes Jewish Hospital St. Louis, MO per diem · both | 1 | $937 | $937 | — | — | 312 | $937 – $937 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $121 | $80 | 66% | 262 | $41 – $202 |
| 11 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $280 | $280 | — | — | 215–224 | $280 – $280 |
| 12 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $177 | $177 | — | — | 202 | $177 – $177 |
| 13 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 3 | $315 | $365 | $86 | 24% | 197–206 | $294 – $487 |
| 14 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 3 | $315 | $365 | $86 | 24% | 197–206 | $294 – $487 |
| 15 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $121 | $121 | $3 | 2% | 193–211 | $118 – $123 |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $212 | $212 | $22 | 10% | 193–202 | $190 – $234 |
| 17 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $19.4k | $19.4k | — | — | 190 | $19.4k – $19.4k |
| 18 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $18 | $18 | — | — | 166 | $18 – $18 |
| 19 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $196 | $14 | 7% | 159 | $177 – $209 |
| 20 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 2 | $177 | $177 | $131 | 74% | 155–164 | $46 – $308 |
| 21 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $276 | $276 | — | — | 152 | $276 – $276 |
| 22 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | $7 | 15% | 140 | $42 – $57 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | $50 | 55% | 138 | $41 – $140 |
| 24 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $408 | $397 | $25 | 6% | 136 | $342 – $408 |
| 25 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $408 | $397 | $25 | 6% | 136 | $342 – $408 |
← Payers reporting CPT 96376 · Snapshot 20261112T124536Z-e251e855