Additional IV push of new drug at Good Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

C PROC-IV PUSH/INF 15 MIN/< ADDL

Puyallup, WA

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How this price compares nationally

Good Samaritan Hospital’s median price of $142 is 68% above the median hospital's median price ($85), higher than 72% of the 2,521 hospitals reporting CPT 96375. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 96375 at Good Samaritan Hospital

Negotiated rates from the hospital’s own file: 11 payers, 24 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	Molina apple health fee schedule · outpatient	$31.36	$31.36	$31.36 – $31.36
2	UnitedHealthcare apple health fee schedule · outpatient	$33.87	$33.87	$33.87 – $33.87
3	Aetna medadvantage fee schedule · outpatient	$55.16	$55.16	$55.16 – $55.16
4	Regence medadvantage fee schedule · outpatient	$55.16	$55.16	$55.16 – $55.16
5	UnitedHealthcare medadvantage fee schedule · outpatient	$55.70	$55.70	$55.70 – $55.70
6	Molina medadvantage fee schedule · outpatient	$56.23	$56.23	$56.23 – $56.23
7	WellCare medadvantage fee schedule · outpatient	$56.23	$56.23	$56.23 – $56.23
8	Premera hmo fee schedule · outpatient	$79.38	$79.38	$79.38 – $79.38
9	Ambetter coordinated care exchange fee schedule · outpatient	$107.11	$107.11	$107.11 – $107.11
10	Regence blue high performance fee schedule · outpatient	$155.95	$155.95	$155.95 – $155.95
11	Regence mcc/ahn fee schedule · outpatient	$155.95	$155.95	$155.95 – $155.95
12	Regence realvalue fee schedule · outpatient	$160.41	$160.41	$160.41 – $160.41
13	Premera signature fee schedule · outpatient	$173.54	$173.54	$173.54 – $173.54
14	Premera prime fee schedule · outpatient	$177.45	$177.45	$177.45 – $177.45
15	Regence commercial fee schedule · outpatient	$178.23	$178.23	$178.23 – $178.23
16	Kaiser ppo fee schedule · outpatient	$196.17	$196.17	$196.17 – $196.17
17	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$200.02	$200.02	$200.02 – $200.02
18	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$200.02	$200.02	$200.02 – $200.02
19	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$200.02	$200.02	$200.02 – $200.02
20	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$200.02	$200.02	$200.02 – $200.02
21	Aetna all commercial plans fee schedule · outpatient	$215.24	$215.24	$215.24 – $215.24
22	Premera other commercial plans fee schedule · outpatient	$218.09	$218.09	$218.09 – $218.09
23	Cigna all commercial plans fee schedule · outpatient	$224.76	$224.76	$224.76 – $224.76
24	UnitedHealthcare all commercial plans fee schedule · outpatient	$238.94	$238.94	$238.94 – $238.94

Last updated: Aug 27, 2026

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