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 Tx/Dx/Proph; Ea Add IV Push New Subst
MOORESVILLE, IN
See all hospitals reporting CPT 96375 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE’s median price of $266 is 214% above the median hospital's median price ($85), higher than 91% 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: 8 payers, 14 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 | Medicare medicare-cir-mooresville other · both | $49.54 | $49.54 | $49.54 – $49.54 |
| 2 | Medicaid in mcd-cir-mooresville per diem · both | $73.71 | $73.71 | $73.71 – $73.71 |
| 3 | Medicaid in mcd-mooresv caresource 120% of in mdc per diem · both | $88.45 | $88.45 | $88.45 – $88.45 |
| 4 | Blue Cross Blue Shield anthem franciscan employee copps- all locations other · both | $119.79 | $119.79 | $119.79 – $119.79 |
| 5 | Blue Cross Blue Shield anthem healthsync hmo with copps - mooresville other · both | $166.00 | $166.00 | $166.00 – $166.00 |
| 6 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $179.99 | $179.99 | $179.99 – $179.99 |
| 7 | Blue Cross Blue Shield anthem healthsync pos with copps - mooresville other · both | $188.07 | $188.07 | $188.07 – $188.07 |
| 8 | Bcbs Il anthem blue access ppo with copps - mooresville other · both | $210.13 | $210.13 | $210.13 – $210.13 |
| 9 | Bcbs In anthem blue access ppo with copps - mooresville other · both | $210.13 | $210.13 | $210.13 – $210.13 |
| 10 | Blue Cross Blue Shield anthem blue access ppo with copps - mooresville other · both | $210.13 | $210.13 | $210.13 – $210.13 |
| 11 | UnitedHealthcare united healthcare charter-cid percent of total billed charges · bothfrom % of charges | $260.77 | $260.77 | $260.77 – $260.77 |
| 12 | UnitedHealthcare united healthcare-cid percent of total billed charges · bothfrom % of charges | $266.03 | $266.03 | $266.03 – $266.03 |
| 13 | Aetna aetna-cid percent of total billed charges · bothfrom % of charges | $302.47 | $302.47 | $302.47 – $302.47 |
| 14 | Humana choice care ppo-cir percent of total billed charges · bothfrom % of charges | $305.90 | $305.90 | $305.90 – $305.90 |
Last updated: Jan 1, 2026
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