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
HCHG IV INJECTION TX/DX/PROPH SEQUENTIAL NEW DRUG
Owatonna, MN
See all hospitals reporting CPT 96375 →Price type
Allina Health Systems’s median price of $134 is 58% above the median hospital's median price ($85), higher than 68% 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: 10 payers, 33 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 | Healthpartners hpi (bdov) facility · other · outpatient | $35.83 | $35.83 | $35.83 – $35.83 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $43.94 | $42.74 | $36.16 – $48.13 |
| 3 | Medicaid medicaid ma (o) facility · fee schedule · outpatient | $44.61 | $44.61 | $44.61 – $44.61 |
| 4 | Aetna allina aetna medicare (o) facility · fee schedule · outpatient | $45.85 | $45.85 | $45.85 – $45.85 |
| 5 | Medicare medicare (o) facility · fee schedule · outpatient | $48.26 | $48.26 | $48.26 – $48.26 |
| 6 | Medica medica medicare (o) facility · fee schedule · outpatient | $49.61 | $49.61 | $49.61 – $49.61 |
| 7 | Blue Cross Blue Shield bc medicare (o) facility · fee schedule · outpatient | $50.09 | $50.09 | $50.09 – $50.09 |
| 8 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $63.82 | $63.82 | $63.82 – $63.82 |
| 9 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $97.04 | $94.39 | $79.84 – $106.28 |
| 10 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $97.28 | $94.62 | $80.04 – $106.54 |
| 11 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $102.50 | $99.70 | $84.33 – $112.26 |
| 12 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $102.76 | $99.95 | $84.55 – $112.54 |
| 13 | Medica medica dual solutions (b d v o s) facility · percent of total billed charges · outpatientfrom % of charges | $111.38 | $108.34 | $91.65 – $121.99 |
| 14 | UnitedHealthcare united healthcare (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $123.81 | $123.81 | $123.81 – $123.81 |
| 15 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $129.47 | $125.93 | $106.53 – $141.80 |
| 16 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $129.82 | $126.27 | $106.81 – $142.18 |
| 17 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $131.01 | $131.01 | $131.01 – $131.01 |
| 18 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · other · outpatient | $133.03 | $133.03 | $133.03 – $133.03 |
| 19 | Bcbs Mn bc premier (b d o s v) facility · other · outpatient | $148.15 | $148.15 | $148.15 – $148.15 |
| 20 | Medica medica ubh (o) facility · percent of total billed charges · inpatientfrom % of charges | $152.88 | $148.70 | $125.79 – $167.44 |
| 21 | Medica medica elect (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $160.04 | $155.67 | $131.68 – $175.29 |
| 22 | Medica medica essentials (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $167.10 | $162.53 | $137.49 – $183.01 |
| 23 | Medica medica mhps (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $167.10 | $162.53 | $137.49 – $183.01 |
| 24 | Medica medica ubh pmap (o) facility · percent of total billed charges · outpatientfrom % of charges | $174.72 | $169.95 | $143.76 – $191.36 |
| 25 | Medica medica choice (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $175.86 | $171.05 | $144.69 – $192.60 |
Last updated: Jun 16, 2026
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