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 IV INJECTION TX/DX/PROPH ADDL SEQUENTIAL
River Falls, WI
See all hospitals reporting CPT 96375 →Price type
Allina Health Systems’s median price of $139 is 64% above the median hospital's median price ($85), higher than 71% 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, 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 | $43.94 | $42.74 | $36.16 – $48.13 |
| 2 | Medicaid medicaid ma (r) facility · fee schedule · outpatient | $44.61 | $44.61 | $44.61 – $44.61 |
| 3 | Aetna allina aetna medicare (r) facility · fee schedule · outpatient | $45.85 | $45.85 | $45.85 – $45.85 |
| 4 | Medicare medicare (r) facility · fee schedule · outpatient | $48.26 | $48.26 | $48.26 – $48.26 |
| 5 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $58.75 | $57.14 | $48.34 – $64.34 |
| 6 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $65.41 | $65.41 | $65.41 – $65.41 |
| 7 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $97.03 | $94.38 | $79.83 – $106.27 |
| 8 | Medica medica medicare (r) facility · fee schedule · outpatient | $97.03 | $94.38 | $79.83 – $106.27 |
| 9 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $98.28 | $95.59 | $80.86 – $107.64 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $133.81 | $130.16 | $110.10 – $146.56 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $135.15 | $131.46 | $111.20 – $148.02 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $144.56 | $140.61 | $118.94 – $158.33 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $146.00 | $142.01 | $120.13 – $159.91 |
| 14 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $161.56 | $161.56 | $161.56 – $161.56 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $183.46 | $178.45 | $150.95 – $200.93 |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $183.46 | $178.45 | $150.95 – $200.93 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $184.72 | $179.68 | $151.99 – $202.32 |
| 18 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $186.58 | $181.48 | $153.52 – $204.35 |
| 19 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $207.57 | $207.57 | $207.57 – $207.57 |
| 20 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $244.18 | $244.18 | $244.18 – $244.18 |
Last updated: Jun 15, 2026
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