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 TX/PRO/DX INJ NEW DRG ADD-ON
Waterloo, IA
See all hospitals reporting CPT 96375 →Price type
Allen Memorial Hospital Corporation’s median price of $43 is 49% below the median hospital's median price ($85), higher than 8% 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, 25 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 | Aetna medicare advantage fee schedule · both | $13.13 | $13.13 | $13.13 – $13.13 |
| 2 | Molina medicare advantage fee schedule · both | $13.39 | $13.39 | $13.39 – $13.39 |
| 3 | Wellmark medicare advantage fee schedule · both | $13.39 | $13.39 | $13.39 – $13.39 |
| 4 | Humana medicare advantage fee schedule · both | $13.79 | $13.79 | $13.79 – $13.79 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $13.79 | $13.79 | $13.79 – $13.79 |
| 6 | Wellmark commercial fee schedule · both | $27.70 | $27.70 | $27.70 – $27.70 |
| 7 | Wellmark hmo fee schedule · both | $27.70 | $27.70 | $27.70 – $27.70 |
| 8 | Wellmark ppo fee schedule · both | $32.60 | $32.60 | $32.60 – $32.60 |
| 9 | Cigna commercial fee schedule · both | $36.11 | $36.11 | $36.11 – $36.11 |
| 10 | UnitedHealthcare hmo fee schedule · both | $40.28 | $40.28 | $40.28 – $40.28 |
| 11 | UnitedHealthcare ppo fee schedule · both | $40.28 | $40.28 | $40.28 – $40.28 |
| 12 | Aetna medicare advantage case rate · outpatient | $43.39 | $43.39 | $43.39 – $43.39 |
| 13 | Molina medicare advantage case rate · outpatient | $43.39 | $43.39 | $43.39 – $43.39 |
| 14 | Wellmark medicare advantage case rate · outpatient | $43.39 | $43.39 | $43.39 – $43.39 |
| 15 | Humana medicare advantage case rate · outpatient | $44.67 | $44.67 | $44.67 – $44.67 |
| 16 | UnitedHealthcare medicare advantage case rate · outpatient | $44.67 | $44.67 | $44.67 – $44.67 |
| 17 | Aetna hmo fee schedule · both | $49.20 | $49.20 | $49.20 – $49.20 |
| 18 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $54.77 | $54.77 | $51.69 – $57.84 |
| 19 | Aetna ppo fee schedule · both | $58.98 | $58.98 | $58.98 – $58.98 |
| 20 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $71.01 | $71.01 | $71.01 – $71.01 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $71.01 | $71.01 | $71.01 – $71.01 |
| 22 | Aetna hmo fee schedule · outpatient | $102.45 | $102.45 | $102.45 – $102.45 |
| 23 | Aetna ppo fee schedule · outpatient | $106.58 | $106.58 | $106.58 – $106.58 |
| 24 | UnitedHealthcare hmo fee schedule · outpatient | $125.73 | $125.73 | $125.73 – $125.73 |
| 25 | UnitedHealthcare ppo fee schedule · outpatient | $125.73 | $125.73 | $125.73 – $125.73 |
Last updated: Jan 28, 2026
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