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
Village, IL
See all hospitals reporting CPT 96375 →Price type
Alexian Brothers Medical Center’s median price of $60 is 29% below the median hospital's median price ($85), higher than 34% 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: 8 payers, 27 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 | UnitedHealthcare 1663_medicare advantage uhc inpatient (ab,sa) 95% 20231001 other · inpatient | $45.70 | $45.70 | $45.70 – $45.70 |
| 2 | UnitedHealthcare 1695_medicare advantage uhc outpatient (ab,sa) 95% 20240101 other · outpatient | $45.70 | $45.70 | $45.70 – $45.70 |
| 3 | Aetna 1657_medicare advantage aetna inpatient (ab,sa) 20231001 other · inpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 4 | Aetna 1689_medicare advantage aetna outpatient (ab,sa) 20240101 other · outpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 5 | Blue Cross Blue Shield 1690_medicare advantage bcbs outpatient (ab,sa) 20240101 other · outpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 6 | Blue Cross Blue Shield 1733_medicare advantage bcbs inpatient (ab,sa) 20240101 other · inpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 7 | Humana 1659_medicare advantage humana inpatient (ab,sa) 20231001 other · inpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 8 | Humana 1691_medicare advantage humana outpatient (ab,sa) 20240101 other · outpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 9 | UnitedHealthcare 1661_medicare advantage uhc inpatient 100% (ab,sa) 20231001 other · inpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 10 | UnitedHealthcare 1694_medicare advantage uhc outpatient (ab,sa) 100% 20240101 other · outpatient | $48.10 | $48.10 | $48.10 – $48.10 |
| 11 | UnitedHealthcare 1662_medicare advantage uhc inpatient (ab,sa) 101% 20231001 other · inpatient | $48.58 | $48.58 | $48.58 – $48.58 |
| 12 | Molina 1645_medicare advantage molina hc of il inpatient 103% 20231001 other · inpatient | $49.54 | $49.54 | $49.54 – $49.54 |
| 13 | Molina 1693_medicare advantage molina hc of il outpatient (ab,sa) 103% 20240101 other · outpatient | $49.54 | $49.54 | $49.54 – $49.54 |
| 14 | Aetna Better Health 1656_medicare advantage aetna better health inpatient (ab,sa) 20231001 other · inpatient | $50.51 | $50.51 | $50.51 – $50.51 |
| 15 | Aetna Better Health 1688_medicare advantage aetna better health outpatient (ab,sa) 20240101 other · outpatient | $50.51 | $50.51 | $50.51 – $50.51 |
| 16 | Blue Cross Blue Shield 1681_blue cross blue shield focus care (ab) outpatient 20240101 other · outpatient | $63.01 | $63.01 | $63.01 – $63.01 |
| 17 | Blue Cross Blue Shield 1731_blue cross blue shield focus care (ab) inpatient 20240101 other · inpatient | $63.01 | $63.01 | $63.01 – $63.01 |
| 18 | Blue Cross Blue Shield 1729_blue cross blue shield bcs (ab) inpatient 20240101 other · inpatient | $63.97 | $63.97 | $63.97 – $63.97 |
| 19 | Ambetter 1646_ambetter (ab,sa) inpatient 20231001 other · inpatient | $77.92 | $77.92 | $77.92 – $77.92 |
| 20 | Ambetter 1683_ambetter (ab,sa) outpatient 20240101 other · outpatient | $77.92 | $77.92 | $77.92 – $77.92 |
| 21 | Cigna 1615_cigna ifp (ab) 20231001 other · both | $80.35 | $80.35 | $80.35 – $80.35 |
| 22 | Blue Cross Blue Shield 1725_blue cross blue shield ppo (ab) 20240101 other · outpatient | $82.17 | $82.17 | $82.17 – $82.17 |
| 23 | Blue Cross Blue Shield 1700_blue cross blue shield bcs (ab) outpatient 20240101 other · outpatient | $84.17 | $84.17 | $84.17 – $84.17 |
| 24 | Aetna Better Health 1743_medicaid advantage aetna better health (ab) 20240101 fee schedule · inpatient | $85.14 | $85.14 | $85.14 – $85.14 |
| 25 | Cigna 1298_cigna c5 (ab,sa) 20230201 other · both | $311.19 | $311.19 | $311.19 – $311.19 |
Last updated: Jan 1, 2026
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