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
Syracuse, NY
See all hospitals reporting CPT 96375 →Price type
Crouse Hospital’s median price of $58 is 31% below the median hospital's median price ($85), higher than 33% 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, 18 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 | Excellus govt programs/ special products fee schedule · outpatient | $33.35 | $33.35 | $33.35 – $33.35 |
| 2 | Molina medicaid hmo fee schedule · outpatient | $33.35 | $33.35 | $33.35 – $33.35 |
| 3 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $33.35 | $33.35 | $33.35 – $33.35 |
| 4 | UnitedHealthcare medicaid fee schedule · outpatient | $33.35 | $33.35 | $33.35 – $33.35 |
| 5 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $33.35 | $33.35 | $33.35 – $33.35 |
| 6 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $40.03 | $40.03 | $40.03 – $40.03 |
| 7 | Excellus medicare advantage fee schedule · outpatient | $51.05 | $51.05 | $51.05 – $51.05 |
| 8 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $53.51 | $53.51 | $53.51 – $53.51 |
| 9 | UnitedHealthcare commerical percent of total billed charges · outpatientfrom % of charges | $53.51 | $53.51 | $53.51 – $53.51 |
| 10 | Aetna medicare fee schedule · outpatient | $58.45 | $58.45 | $58.45 – $58.45 |
| 11 | Humana medicare advantage fee schedule · outpatient | $58.45 | $58.45 | $58.45 – $58.45 |
| 12 | UnitedHealthcare medicare fee schedule · outpatient | $58.45 | $58.45 | $58.45 – $58.45 |
| 13 | Aetna commerical percent of total billed charges · outpatientfrom % of charges | $53.51 | $58.85 | $53.51 – $74.88 |
| 14 | Aetna raymour furniture company percent of total billed charges · outpatientfrom % of charges | $53.51 | $58.85 | $53.51 – $74.88 |
| 15 | WellCare medicare advantage fee schedule · outpatient | $61.37 | $61.37 | $61.37 – $61.37 |
| 16 | Molina essential fee schedule · outpatient | $75.05 | $75.05 | $75.05 – $75.05 |
| 17 | Excellus bcbs fee schedule · outpatient | $104.97 | $104.97 | $104.97 – $104.97 |
| 18 | Excellus hospital blue fee schedule · outpatient | $104.97 | $104.97 | $104.97 – $104.97 |
Last updated: May 19, 2026
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