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 ADD HR SAME BAG
Tustin, CA
See all hospitals reporting CPT 96366 →Price type
Alta Newport Hospital, LLC’s median price of $47 is 46% below the median hospital's median price ($87), higher than 16% 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: 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 | $0.88 | $0.88 | $0.88 – $0.88 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $1.01 | $1.01 | $1.01 – $1.01 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $1.10 | $1.10 | $1.10 – $1.10 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $46.14 | $46.14 | $46.14 – $46.14 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $46.14 | $46.14 | $46.14 – $46.14 |
| 6 | Bcbs Ca medicare advantage facility · case rate · outpatient | $46.14 | $46.14 | $46.14 – $46.14 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $46.14 | $46.14 | $46.14 – $46.14 |
| 8 | Optum commercial hmo facility · case rate · outpatient | $46.14 | $46.14 | $46.14 – $46.14 |
| 9 | Optum medicare advantage facility · case rate · outpatient | $47.06 | $47.06 | $47.06 – $47.06 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $47.06 | $47.06 | $47.06 – $47.06 |
| 11 | Aetna all gatekeeper plans facility · case rate · outpatient | $54.68 | $54.68 | $54.68 – $54.68 |
| 12 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $54.69 | $54.69 | $54.69 – $54.69 |
| 13 | Aetna exchange facility · case rate · outpatient | $59.98 | $59.98 | $59.98 – $59.98 |
| 14 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $118.97 | $118.97 | $118.97 – $118.97 |
| 15 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $131.13 | $131.13 | $85.35 – $176.90 |
| 16 | Anthem ppg facility · case rate · outpatient | $148.71 | $148.71 | $148.71 – $148.71 |
| 17 | Aetna all non-gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $152.41 | $152.41 | $99.20 – $205.62 |
| 18 | UnitedHealthcare managed care facility · case rate · outpatient | $176.00 | $176.00 | $176.00 – $176.00 |
| 19 | Aetna all gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $249.61 | $249.61 | $162.47 – $336.75 |
| 20 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $280.16 | $280.16 | $182.35 – $377.96 |
| 21 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $280.16 | $280.16 | $182.35 – $377.96 |
| 22 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $334.63 | $334.63 | $217.80 – $451.45 |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $334.63 | $334.63 | $217.80 – $451.45 |
Last updated: Mar 18, 2026
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