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
HC IV INFUSION THER/DIAG/PROPH EA ADD HR
Grapevine, TX
See all hospitals reporting CPT 96366 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $135 is 55% above the median hospital's median price ($87), higher than 67% 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, 29 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 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $44.76 | $44.76 | $44.76 – $44.76 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $47.12 | $47.12 | $47.12 – $47.12 |
| 3 | Humana medicare facility · fee schedule · outpatient | $47.12 | $47.12 | $47.12 – $47.12 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $49.48 | $49.48 | $49.48 – $49.48 |
| 5 | Superior Healthplan medicare facility · fee schedule · outpatient | $49.48 | $49.48 | $49.48 – $49.48 |
| 6 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $49.58 | $49.58 | $49.58 – $49.58 |
| 7 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $50.58 | $50.58 | $50.58 – $50.58 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $52.77 | $52.77 | $52.77 – $52.77 |
| 9 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $53.05 | $53.05 | $53.05 – $53.05 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $56.54 | $56.54 | $56.54 – $56.54 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $59.14 | $59.14 | $59.14 – $59.14 |
| 12 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $67.48 | $67.48 | $67.48 – $67.48 |
| 13 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $77.75 | $77.75 | $77.75 – $77.75 |
| 14 | Ambetter ambetter exchange facility · fee schedule · outpatient | $101.31 | $101.31 | $101.31 – $101.31 |
| 15 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $128.14 | $128.14 | $128.14 – $128.14 |
| 16 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $134.96 | $134.96 | $134.96 – $134.96 |
| 17 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $135.40 | $135.40 | $135.40 – $135.40 |
| 18 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $142.43 | $142.43 | $142.43 – $142.43 |
| 19 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $162.97 | $162.97 | $162.97 – $162.97 |
| 20 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $162.97 | $162.97 | $162.97 – $162.97 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $181.81 | $181.81 | $181.81 – $181.81 |
| 22 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $191.72 | $191.72 | $191.72 – $191.72 |
| 23 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $191.72 | $191.72 | $191.72 – $191.72 |
| 24 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $205.58 | $205.58 | $205.58 – $205.58 |
| 25 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $205.58 | $205.58 | $205.58 – $205.58 |
Last updated: Jun 29, 2026
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