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 INF THERAPY/DX/PROPH INITIAL HR
Ulm, MN
See all hospitals reporting CPT 96365 →Price type
Allina Health Systems’s median price of $309 is 7% above the median hospital's median price ($288), higher than 55% of the 2,544 hospitals reporting CPT 96365. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $88.99 | $88.99 | $77.14 – $100.84 |
| 2 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $140.65 | $140.65 | $121.92 – $159.38 |
| 3 | Medicaid medicaid ma (n) facility · other · outpatient | $193.62 | $193.62 | $167.83 – $219.40 |
| 4 | Medica medica medicare (r) facility · fee schedule · outpatient | $196.50 | $196.50 | $170.33 – $222.67 |
| 5 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $199.04 | $199.04 | $172.53 – $225.54 |
| 6 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $205.65 | $205.65 | $178.26 – $233.03 |
| 7 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $208.25 | $208.25 | $208.25 – $208.25 |
| 8 | Medicare medicare (n) facility · fee schedule · outpatient | $219.21 | $219.21 | $219.21 – $219.21 |
| 9 | Bcbs Mn bc pmap (n) facility · other · outpatient | $238.78 | $238.78 | $238.78 – $238.78 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $271.00 | $271.00 | $234.91 – $307.09 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $273.70 | $273.70 | $237.25 – $310.14 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $292.76 | $292.76 | $253.77 – $331.74 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $295.68 | $295.68 | $256.30 – $335.05 |
| 14 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $309.61 | $309.61 | $268.38 – $350.84 |
| 15 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $353.84 | $353.84 | $306.72 – $400.96 |
| 16 | Cigna hpi cigna (n) facility · other · outpatient | $361.71 | $361.71 | $313.54 – $409.88 |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $371.54 | $371.54 | $322.06 – $421.01 |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $371.54 | $371.54 | $322.06 – $421.01 |
| 19 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $371.54 | $371.54 | $322.06 – $421.01 |
| 20 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $374.10 | $374.10 | $324.28 – $423.91 |
| 21 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $377.86 | $377.86 | $327.54 – $428.18 |
| 22 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $589.81 | $589.81 | $589.81 – $589.81 |
| 23 | Bcbs Mn bc premier(n) facility · other · outpatient | $757.80 | $757.80 | $757.80 – $757.80 |
| 24 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $891.45 | $891.45 | $891.45 – $891.45 |
| 25 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $956.93 | $956.93 | $956.93 – $956.93 |
Last updated: Jun 16, 2026
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