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
OB CHRG - THERA EA AD IV PUSH
Milton, FL
See all hospitals reporting CPT 96375 →Price type
HMA Santa Rosa Medical Center LLC’s median price of $59 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: 14 payers, 48 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medicaid fl medicaid facility · fee schedule · outpatient | $32.32 | $32.32 | $32.32 – $32.32 |
| 2 | Humana humana medicaid fl facility · fee schedule · outpatient | $33.29 | $33.29 | $33.29 – $33.29 |
| 3 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $33.94 | $33.94 | $33.94 – $33.94 |
| 4 | Molina molina medicaid fl facility · other · outpatient | $36.52 | $36.52 | $36.52 – $36.52 |
| 5 | Humana node humana mcr ppo pffs facility · fee schedule · outpatient | $45.71 | $45.71 | $45.71 – $45.71 |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $46.46 | $46.46 | $46.46 – $46.46 |
| 7 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $48.12 | $48.12 | $48.12 – $48.12 |
| 8 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $48.12 | $48.12 | $48.12 – $48.12 |
| 9 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $48.12 | $48.12 | $48.12 – $48.12 |
| 10 | Humana node humana mcr hmo pos facility · fee schedule · outpatient | $48.12 | $48.12 | $48.12 – $48.12 |
| 11 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $48.12 | $48.12 | $48.12 – $48.12 |
| 12 | Optum node united optum va ccn facility · per diem · outpatient | $48.90 | $48.90 | $48.90 – $48.90 |
| 13 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $50.53 | $50.53 | $50.53 – $50.53 |
| 14 | Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges | $68.34 | $68.34 | $68.34 – $68.34 |
| 15 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $109.29 | $109.29 | $109.29 – $109.29 |
| 16 | Aetna aetna nab/first health facility · percent of total billed charges · outpatientfrom % of charges | $113.40 | $113.40 | $113.40 – $113.40 |
| 17 | Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient | $116.87 | $116.87 | $116.87 – $116.87 |
| 18 | Aetna aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $120.05 | $120.05 | $120.05 – $120.05 |
| 19 | Oscar oscar facility · other · outpatient | $147.39 | $147.39 | $147.39 – $147.39 |
| 20 | Aetna aetna intl passport facility · percent of total billed charges · inpatientfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 21 | Bcbs Fl bcbs fl bsl facility · other · outpatient | $302.40 | $302.40 | $302.40 – $302.40 |
| 22 | Bcbs Fl bcbs fl bsl facility · per diem · outpatient | $302.40 | $302.40 | $302.40 – $302.40 |
| 23 | Bcbs Fl bcbs fl hmo facility · other · outpatient | $302.40 | $302.40 | $302.40 – $302.40 |
| 24 | Bcbs Fl bcbs fl hmo facility · per diem · outpatient | $302.40 | $302.40 | $302.40 – $302.40 |
| 25 | Bcbs Fl bcbs fl mbn facility · other · outpatient | $302.40 | $302.40 | $302.40 – $302.40 |
Last updated: Apr 1, 2026
See Additional IV push of new drug pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.