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 INF THERAPY/DX/PROPH EA ADDL HR
Ulm, MN
See all hospitals reporting CPT 96366 →Price type
Allina Health Systems’s median price of $123 is 41% above the median hospital's median price ($87), higher than 63% of the 2,527 hospitals reporting CPT 96366. 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 | $35.58 | $35.58 | $30.82 – $40.34 |
| 2 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $45.85 | $45.85 | $45.85 – $45.85 |
| 3 | Medicare medicare (n) facility · fee schedule · outpatient | $48.26 | $48.26 | $48.26 – $48.26 |
| 4 | Bcbs Mn bc pmap (n) facility · other · outpatient | $53.53 | $53.53 | $53.53 – $53.53 |
| 5 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $56.24 | $56.24 | $48.72 – $63.76 |
| 6 | Medicaid medicaid ma (n) facility · other · outpatient | $77.42 | $77.42 | $67.06 – $87.77 |
| 7 | Medica medica medicare (r) facility · fee schedule · outpatient | $78.58 | $78.58 | $68.07 – $89.08 |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $79.59 | $79.59 | $68.94 – $90.23 |
| 9 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $82.23 | $82.23 | $71.23 – $93.23 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $108.36 | $108.36 | $93.87 – $122.85 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $109.44 | $109.44 | $94.80 – $124.07 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $117.06 | $117.06 | $101.40 – $132.71 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $118.22 | $118.22 | $102.41 – $134.03 |
| 14 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $123.80 | $123.80 | $107.24 – $140.35 |
| 15 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $141.48 | $141.48 | $122.56 – $160.40 |
| 16 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $144.23 | $144.23 | $144.23 – $144.23 |
| 17 | Cigna hpi cigna (n) facility · other · outpatient | $144.63 | $144.63 | $125.29 – $163.97 |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $148.56 | $148.56 | $128.69 – $168.42 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $148.56 | $148.56 | $128.69 – $168.42 |
| 20 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $148.56 | $148.56 | $128.69 – $168.42 |
| 21 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $149.58 | $149.58 | $129.58 – $169.58 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $151.09 | $151.09 | $130.88 – $171.29 |
| 23 | Bcbs Mn bc premier(n) facility · other · outpatient | $185.29 | $185.29 | $185.29 – $185.29 |
| 24 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $217.97 | $217.97 | $217.97 – $217.97 |
| 25 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $233.99 | $233.99 | $233.99 – $233.99 |
Last updated: Jun 16, 2026
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