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
HC IV PUSH EA SEQ DIFF SBST/DRUG
Alexandria, VA
See all hospitals reporting CPT 96375 →Price type
Inova Mount Vernon Hospital’s median price of $225 is 165% above the median hospital's median price ($85), higher than 87% 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: 7 payers, 27 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 | Aetna medicare advantage fee schedule · both | $46.14 | $46.14 | $46.14 – $46.14 |
| 2 | Anthem medicare advantage fee schedule · both | $46.14 | $46.14 | $46.14 – $46.14 |
| 3 | UnitedHealthcare medicare advantage fee schedule · both | $46.14 | $46.14 | $46.14 – $46.14 |
| 4 | Cigna medicare advantage fee schedule · both | $47.99 | $47.99 | $47.99 – $47.99 |
| 5 | Kaiser medicare advantage fee schedule · both | $47.99 | $47.99 | $47.99 – $47.99 |
| 6 | Humana medicare advantage fee schedule · both | $50.75 | $50.75 | $50.75 – $50.75 |
| 7 | Anthem medicaid advantage fee schedule · both | $74.35 | $74.35 | $74.35 – $74.35 |
| 8 | UnitedHealthcare medicaid advantage fee schedule · both | $75.84 | $75.84 | $75.84 – $75.84 |
| 9 | Humana medicaid advantage fee schedule · both | $77.32 | $77.32 | $77.32 – $77.32 |
| 10 | Aetna medicaid advantage fee schedule · both | $78.07 | $78.07 | $78.07 – $78.07 |
| 11 | Kaiser medicaid advantage fee schedule · both | $81.79 | $81.79 | $81.79 – $81.79 |
| 12 | Anthem exchange hmo fee schedule · both | $107.03 | $107.03 | $107.03 – $107.03 |
| 13 | Anthem hmo fee schedule · both | $123.38 | $123.38 | $123.38 – $123.38 |
| 14 | Anthem ppo fee schedule · both | $123.38 | $123.38 | $123.38 – $123.38 |
| 15 | Cigna exchange percent of total billed charges · bothfrom % of charges | $207.30 | $207.30 | $207.30 – $207.30 |
| 16 | Carefirst hmo fee schedule · both | $242.31 | $242.31 | $242.31 – $242.31 |
| 17 | Carefirst ppo fee schedule · both | $254.99 | $254.99 | $254.99 – $254.99 |
| 18 | Aetna hmo percent of total billed charges · bothfrom % of charges | $264.07 | $264.07 | $264.07 – $264.07 |
| 19 | Aetna ppo percent of total billed charges · bothfrom % of charges | $264.07 | $264.07 | $264.07 – $264.07 |
| 20 | Aetna fannie-mae other · both | $277.14 | $277.14 | $277.14 – $277.14 |
| 21 | Cigna hmo percent of total billed charges · bothfrom % of charges | $300.30 | $300.30 | $300.30 – $300.30 |
| 22 | Cigna ppo percent of total billed charges · bothfrom % of charges | $300.30 | $300.30 | $300.30 – $300.30 |
| 23 | Kaiser hmo percent of total billed charges · bothfrom % of charges | $362.70 | $362.70 | $362.70 – $362.70 |
| 24 | Kaiser ppo other · both | $362.70 | $362.70 | $362.70 – $362.70 |
| 25 | UnitedHealthcare exchange case rate · both | $916.65 | $916.65 | $916.65 – $916.65 |
Last updated: Apr 1, 2026
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