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
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug
Lebanon, NH
See all hospitals reporting CPT 96375 →Price type
Alice_peck_day_memorial_hospital’s median price of $31 is 63% below the median hospital's median price ($85), higher than 4% 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: 7 payers, 16 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 | Ambetter nh healthy families ambetter fee schedule · outpatient | $14.26 | $14.26 | $14.26 – $14.26 |
| 2 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $50.93 | $50.93 | $16.32 – $85.53 |
| 3 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $50.93 | $50.93 | $16.32 – $85.53 |
| 4 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $71.30 | $71.30 | $22.84 – $119.75 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $72.66 | $72.66 | $23.28 – $122.03 |
| 6 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $74.16 | $74.16 | $23.76 – $124.56 |
| 7 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $74.16 | $74.16 | $23.76 – $124.56 |
| 8 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $78.90 | $78.90 | $25.28 – $132.52 |
| 9 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $79.62 | $79.62 | $25.51 – $133.73 |
| 10 | Blue Cross Blue Shield anthem hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $80.96 | $80.96 | $25.94 – $135.98 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $83.22 | $83.22 | $26.66 – $139.78 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $84.25 | $84.25 | $26.99 – $141.51 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $88.27 | $88.27 | $28.28 – $148.26 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $91.67 | $91.67 | $29.37 – $153.97 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $92.70 | $92.70 | $29.70 – $155.70 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $107.12 | $107.12 | $34.32 – $179.92 |
Last updated: Jan 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.