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 INJECTION, IV PUSH EA ADD/NEW
Grapevine, TX
See all hospitals reporting CPT 96375 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $99 is 17% above the median hospital's median price ($85), higher than 56% 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: 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 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $52.01 | $52.01 | $52.01 – $52.01 |
| 7 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $52.77 | $52.77 | $52.77 – $52.77 |
| 8 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $56.54 | $56.54 | $56.54 – $56.54 |
| 9 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $58.81 | $58.81 | $58.81 – $58.81 |
| 10 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $59.14 | $59.14 | $59.14 – $59.14 |
| 11 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $59.99 | $59.99 | $59.99 – $59.99 |
| 12 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $62.93 | $62.93 | $62.93 – $62.93 |
| 13 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $77.75 | $77.75 | $77.75 – $77.75 |
| 14 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $98.76 | $98.76 | $98.76 – $98.76 |
| 15 | Ambetter ambetter exchange facility · fee schedule · outpatient | $101.31 | $101.31 | $101.31 – $101.31 |
| 16 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $104.01 | $104.01 | $104.01 – $104.01 |
| 17 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $104.35 | $104.35 | $104.35 – $104.35 |
| 18 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $109.77 | $109.77 | $109.77 – $109.77 |
| 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 | $193.29 | $193.29 | $193.29 – $193.29 |
| 20 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $193.29 | $193.29 | $193.29 – $193.29 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $215.63 | $215.63 | $215.63 – $215.63 |
| 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 | $227.39 | $227.39 | $227.39 – $227.39 |
| 23 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $227.39 | $227.39 | $227.39 – $227.39 |
| 24 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $243.82 | $243.82 | $243.82 – $243.82 |
| 25 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $243.82 | $243.82 | $243.82 – $243.82 |
Last updated: Jun 29, 2026
See Additional IV push of new drug pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.