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
IVI W/MED 1ST HR (16-90)
Tustin, CA
See all hospitals reporting CPT 96365 →Price type
Alta Newport Hospital, LLC’s median price of $215 is 25% below the median hospital's median price ($288), higher than 21% 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: 10 payers, 23 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $3.20 | $3.20 | $3.20 – $3.20 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $3.67 | $3.67 | $3.67 – $3.67 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $4.00 | $4.00 | $4.00 – $4.00 |
| 4 | UnitedHealthcare managed care facility · case rate · outpatient | $176.00 | $176.00 | $176.00 – $176.00 |
| 5 | Aetna all gatekeeper plans facility · case rate · outpatient | $183.71 | $183.71 | $183.71 – $183.71 |
| 6 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $183.72 | $183.72 | $183.72 – $183.72 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $210.69 | $210.69 | $210.69 – $210.69 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $210.69 | $210.69 | $210.69 – $210.69 |
| 9 | Bcbs Ca medicare advantage facility · case rate · outpatient | $210.69 | $210.69 | $210.69 – $210.69 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $210.69 | $210.69 | $210.69 – $210.69 |
| 11 | Optum commercial hmo facility · case rate · outpatient | $210.69 | $210.69 | $210.69 – $210.69 |
| 12 | Optum medicare advantage facility · case rate · outpatient | $214.90 | $214.90 | $214.90 – $214.90 |
| 13 | WellCare medicare advantage facility · case rate · outpatient | $214.90 | $214.90 | $214.90 – $214.90 |
| 14 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $229.48 | $229.48 | $149.37 – $309.59 |
| 15 | Aetna all non-gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $266.73 | $266.73 | $173.61 – $359.84 |
| 16 | Aetna exchange facility · case rate · outpatient | $273.90 | $273.90 | $273.90 – $273.90 |
| 17 | Aetna all gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $436.83 | $436.83 | $284.33 – $589.32 |
| 18 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $490.28 | $490.28 | $319.12 – $661.44 |
| 19 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $490.28 | $490.28 | $319.12 – $661.44 |
| 20 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $543.28 | $543.28 | $543.28 – $543.28 |
| 21 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $585.61 | $585.61 | $381.17 – $790.05 |
| 22 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $585.61 | $585.61 | $381.17 – $790.05 |
| 23 | Anthem ppg facility · case rate · outpatient | $679.12 | $679.12 | $679.12 – $679.12 |
Last updated: Mar 18, 2026
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