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
IV INF EA ADDL HR
Winston-Salem, NC
See all hospitals reporting CPT 96366 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $115 is 31% above the median hospital's median price ($87), higher than 60% 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: 11 payers, 28 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 healthy blue medicaid fee schedule · outpatient | $43.94 | $43.94 | $28.97 – $58.90 |
| 2 | UnitedHealthcare medicaid fee schedule · outpatient | $43.94 | $43.94 | $28.97 – $58.90 |
| 3 | WellCare medicaid fee schedule · outpatient | $43.94 | $43.94 | $28.97 – $58.90 |
| 4 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $45.41 | $45.41 | $45.41 – $45.41 |
| 5 | Humana medicare fee schedule · outpatient | $45.41 | $45.41 | $45.41 – $45.41 |
| 6 | UnitedHealthcare medicare fee schedule · outpatient | $45.41 | $45.41 | $45.41 – $45.41 |
| 7 | Aetna medicare fee schedule · outpatient | $46.55 | $46.55 | $46.55 – $46.55 |
| 8 | Cigna healthspring fee schedule · outpatient | $46.77 | $46.77 | $46.77 – $46.77 |
| 9 | Cigna aca fee schedule · outpatient | $89.78 | $89.78 | $59.21 – $120.35 |
| 10 | Caresource qualified health plan fee schedule · outpatient | $92.80 | $92.80 | $61.20 – $124.40 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $121.10 | $121.10 | $79.86 – $162.34 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $125.28 | $125.28 | $82.62 – $167.94 |
| 13 | Cigna commercial fee schedule · outpatient | $137.81 | $137.81 | $90.88 – $184.73 |
| 14 | Aetna commercial fee schedule · outpatient | $142.91 | $142.91 | $94.24 – $191.57 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $156.13 | $156.13 | $102.96 – $209.30 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $159.38 | $159.38 | $105.11 – $213.65 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $159.38 | $159.38 | $105.11 – $213.65 |
| 18 | Humana commercial fee schedule · outpatient | $180.72 | $180.72 | $119.18 – $242.26 |
| 19 | Aetna aca fee schedule · outpatient | $185.60 | $185.60 | $122.40 – $248.80 |
| 20 | Aetna first health fee schedule · outpatient | $185.60 | $185.60 | $122.40 – $248.80 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $185.60 | $185.60 | $122.40 – $248.80 |
| 22 | Aetna rental network products fee schedule · outpatient | $185.60 | $185.60 | $122.40 – $248.80 |
| 23 | Aetna whole health non-multitier fee schedule · outpatient | $185.60 | $185.60 | $122.40 – $248.80 |
| 24 | Medcost mbs fee schedule · outpatient | $197.20 | $197.20 | $130.05 – $264.35 |
| 25 | Beechstreet commercial fee schedule · outpatient | $208.80 | $208.80 | $137.70 – $279.90 |
Last updated: Mar 30, 2026
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