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 ED TX/PROPH/DX ADDL SEQ IV INF
River Falls, WI
See all hospitals reporting CPT 96367 →Price type
Allina Health Systems’s median price of $177 is 56% above the median hospital's median price ($113), higher than 69% of the 2,590 hospitals reporting CPT 96367. 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, 20 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | $8 | 14% | — | $46 – $66 |
| 2 | Medicaid medicaid ma (r) facility · fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Aetna allina aetna medicare (r) facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Medicare medicare (r) facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $11 | 14% | — | $62 – $88 |
| 6 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $124 | $123 | $18 | 14% | — | $102 – $145 |
| 8 | Medica medica medicare (r) facility · fee schedule · outpatient | $124 | $123 | $18 | 14% | — | $102 – $145 |
| 9 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $126 | $125 | $18 | 14% | — | $103 – $147 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $171 | $170 | $24 | 14% | — | $140 – $200 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $173 | $172 | $25 | 14% | — | $142 – $202 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $185 | $184 | $26 | 14% | — | $151 – $216 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | $27 | 14% | — | $153 – $218 |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $234 | $233 | $33 | 14% | — | $192 – $274 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $234 | $233 | $33 | 14% | — | $192 – $274 |
| 16 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $236 | $235 | $34 | 14% | — | $194 – $276 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $238 | $237 | $34 | 14% | — | $195 – $279 |
| 18 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 19 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $339 | $339 | — | — | — | $339 – $339 |
| 20 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $398 | $398 | — | — | — | $398 – $398 |
Last updated: Jun 15, 2026
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