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
INJ IVP EA ADDL SEQ - Rad
Orange, CA
See all hospitals reporting CPT 96375 →Price type
Childrens Hospital of Orange County - Profit’s median price of $394 is 365% above the median hospital's median price ($85), higher than 97% 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: 13 payers, 34 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 blue cross of california medi-cal/caloptima/healthy families facility · fee schedule · outpatient | $21.29 | $21.29 | $21.29 – $21.29 |
| 2 | Molina molina medi-cal facility · fee schedule · outpatient | $24.48 | $24.48 | $24.48 – $24.48 |
| 3 | Kaiser medi-cal kaiser facility · other · outpatient | $31.93 | $31.93 | $31.93 – $31.93 |
| 4 | Blue Cross Blue Shield blue shield-triwest-tricare programs facility · fee schedule · outpatient | $60.23 | $60.23 | $60.23 – $60.23 |
| 5 | Medicare medicare** facility · fee schedule · outpatient | $60.23 | $60.23 | $60.23 – $60.23 |
| 6 | Aetna aetna us healthcare hmo/pos in net facility · fee schedule · outpatient | $240.31 | $240.31 | $240.31 – $240.31 |
| 7 | Aetna aetna us healthcare ppo/pos out net facility · fee schedule · outpatient | $240.31 | $240.31 | $240.31 – $240.31 |
| 8 | Bcbs Ca blue cross/vivity/pih-presbyterian health/hmo facility · other · outpatient | $243.48 | $243.48 | $139.21 – $347.75 |
| 9 | Bcbs Ca blue cross of california select ppo out net facility · other · outpatient | $296.06 | $296.06 | $169.27 – $422.85 |
| 10 | Bcbs Ca blue cross of california hmo/pos in net facility · other · outpatient | $311.65 | $311.65 | $178.18 – $445.12 |
| 11 | Bcbs Ca blue cross of california ppo/pos out net facility · other · outpatient | $311.65 | $311.65 | $178.18 – $445.12 |
| 12 | Oscar oscar health plan ppo epo facility · percent of total billed charges · outpatientfrom % of charges | $361.35 | $344.68 | $144.65 – $361.35 |
| 13 | Bcbs Ca blue shield of california uc care ppo facility · percent of total billed charges · outpatientfrom % of charges | $388.94 | $371.00 | $155.70 – $388.94 |
| 14 | Cigna cigna epo/ppo facility · other · outpatient | $392.23 | $374.14 | $157.01 – $392.23 |
| 15 | Cigna cigna healthcare of california hmo/pos in net facility · other · outpatient | $392.23 | $374.14 | $157.01 – $392.23 |
| 16 | Kaiser kaiser foundation hospitals hmo facility · percent of total billed charges · outpatientfrom % of charges | $394.20 | $376.02 | $157.80 – $394.20 |
| 17 | Magellan magellan health services hmo facility · percent of total billed charges · outpatientfrom % of charges | $394.20 | $376.02 | $157.80 – $394.20 |
| 18 | Magellan magellan health services ppo facility · percent of total billed charges · outpatientfrom % of charges | $394.20 | $376.02 | $157.80 – $394.20 |
| 19 | Blue Cross Blue Shield blue shield exchange/covered ca/ppo facility · per diem · outpatient | $455.96 | $434.93 | $182.52 – $455.96 |
| 20 | Bcbs Ca blue shield of california hmo/pos/ppo** facility · per diem · outpatient | $472.38 | $450.59 | $189.10 – $472.38 |
| 21 | Blue Cross Blue Shield blue shield calpers ppo facility · per diem · outpatient | $472.38 | $450.59 | $189.10 – $472.38 |
| 22 | First Health first health affordable epo/ppo** facility · percent of total billed charges · outpatientfrom % of charges | $479.61 | $457.49 | $191.99 – $479.61 |
| 23 | Cigna cigna behavioral health (evernorth behavioral health inc) hmo facility · percent of total billed charges · outpatientfrom % of charges | $525.60 | $501.35 | $210.40 – $525.60 |
| 24 | Cigna cigna behavioral health (evernorth behavioral health, inc.) ppo facility · percent of total billed charges · outpatientfrom % of charges | $525.60 | $501.35 | $210.40 – $525.60 |
| 25 | Humana humana choicecare ppo** facility · percent of total billed charges · outpatientfrom % of charges | $525.60 | $501.35 | $210.40 – $525.60 |
Last updated: Mar 19, 2026
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