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
TX/PRO/DX INJ NEW DRUG ADDON
Waco, TX
See all hospitals reporting CPT 96375 →Price type
Ascension Providence’s median price of $42 is 51% below the median hospital's median price ($85), higher than 7% 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: 6 payers, 14 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 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 other · outpatient | $28.12 | $28.12 | $28.12 – $28.12 |
| 2 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $35.24 | $35.24 | $35.24 – $35.24 |
| 3 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $37.95 | $37.95 | $37.95 – $37.95 |
| 4 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $41.84 | $41.84 | $41.84 – $41.84 |
| 5 | Tricare 877_tricare outpatient 20250101 other · outpatient | $45.22 | $45.22 | $45.22 – $45.22 |
| 6 | Tricare 986_tricare inpatient 20251001 other · inpatient | $45.22 | $45.22 | $45.22 – $45.22 |
| 7 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $45.22 | $45.22 | $45.22 – $45.22 |
| 8 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $45.22 | $45.22 | $45.22 – $45.22 |
| 9 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $46.12 | $46.12 | $46.12 – $46.12 |
| 10 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $46.12 | $46.12 | $46.12 – $46.12 |
| 11 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $46.12 | $46.12 | $46.12 – $46.12 |
| 12 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $46.12 | $46.12 | $46.12 – $46.12 |
| 13 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $67.83 | $67.83 | $67.83 – $67.83 |
| 14 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $67.83 | $67.83 | $67.83 – $67.83 |
Last updated: Jan 1, 2026
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