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
HC Chemo Adm IV Seq <= 1 Hr
Low
$57
Average
$221
Median
$222
High
$585
Each hospital's average Premera rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 3.6× 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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65 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $319 | $319 | — | — | 114 | $319 – $319 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $589 | $575 | $97 | 17% | 26–35 | $467 – $718 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $241 | $235 | $9 | 4% | 1–10 | $220 – $241 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $300 | $300 | — | — | 1–10 | $300 – $300 |
| 5 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $196 | $196 | — | — | 1–10 | $196 – $196 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 9 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $241 | $235 | $9 | 4% | — | $220 – $241 |
| 10 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 11 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 12 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $585 | $585 | — | — | — | $585 – $585 |
| 13 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 15 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 16 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 17 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $163 | $161 | $62 | 39% | — | $83 – $236 |
| 18 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 3 | $163 | $161 | $62 | 39% | — | $83 – $236 |
| 19 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $260 | $243 | $72 | 30% | — | $126 – $323 |
| 20 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 3 | $277 | $223 | $98 | 44% | — | $85 – $306 |
| 21 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 3 | $189 | $161 | $57 | 36% | — | $82 – $214 |
| 22 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 23 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 24 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $427 | $427 | — | — | — | $427 – $427 |
| 25 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $260 | $243 | $72 | 30% | — | $126 – $323 |
← Payers reporting CPT 96417 · Snapshot 20261111T120946Z-9134e7f7