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
$26
Average
$98
Median
$71
High
$2.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
284 hospitals; the 90th percentile is 1.9× 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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318 hospital rates
iThe hospitals that file a Tricare 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $71 | $71 | — | — | 49 | $71 – $71 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $71 | $71 | — | — | 49 | $71 – $71 |
| 3 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $66 | $66 | — | — | 33 | $66 – $66 |
| 4 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $66 | $66 | — | — | 33 | $66 – $66 |
| 5 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $76 | $76 | — | — | 30 | $76 – $76 |
| 6 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $71 | $71 | — | — | 24 | $71 – $71 |
| 7 | Massachusetts General Hospital Boston, MA other · both | 1 | $80 | $80 | — | — | 15 | $80 – $80 |
| 8 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $67 | — | — | 13 | $67 – $67 |
| 9 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $67 | — | — | 13 | $67 – $67 |
| 10 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $55 | $55 | — | — | 1–10 | $55 – $55 |
| 11 | Lowell General Hospital Lowell, MA other · both | 1 | $374 | $374 | — | — | 1–10 | $374 – $374 |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $68 | $68 | — | — | 1–10 | $68 – $68 |
| 13 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $68 | $68 | — | — | 1–10 | $68 – $68 |
| 14 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $66 | $66 | — | — | 1–10 | $66 – $66 |
| 15 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 16 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 17 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 18 | St. Charles Bend Bend, OR other · both | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 19 | St. Charles Redmond Redmond, OR other · both | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 20 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 21 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 22 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $52 | $52 | $4 | 8% | — | $48 – $56 |
| 25 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
← Payers reporting CPT 96417 · Snapshot 20261111T120946Z-9134e7f7