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
Tx/pro/dx inj new drug addon
Fond Du Lac, WI
See all hospitals reporting CPT 96375 →Price type
Agnesian Healthcare Inc.’s median price of $47 is 45% below the median hospital's median price ($85), higher than 15% of the 2,521 hospitals reporting CPT 96375. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina medicare managed care plan fee schedule · outpatient | $34.74 | $34.74 | $34.74 – $34.74 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $46.32 | $46.32 | $46.32 – $46.32 |
| 3 | WellCare medicare managed care plan fee schedule · outpatient | $47.24 | $47.24 | $47.24 – $47.24 |
Last updated: Apr 1, 2026
See Additional IV push of new drug pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.