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
CHRG - CHEMO IV IN EA AD HR
Jackson, MS
See all hospitals reporting CPT 96415 →Price type
Jackson HMA LLC’s median price of $104 is 12% below the median hospital's median price ($118), higher than 43% of the 2,359 hospitals reporting CPT 96415. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 22 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 | UnitedHealthcare uhc chip medicaid ms facility · case rate · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | UnitedHealthcare uhc medicaid ms facility · case rate · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Molina molina medicaid ms facility · other · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Caresource caresource truecare facility · case rate · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Molina molina chip facility · other · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 7 | Humana node humana mcr adv facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 9 | Optum node united optum va ccn facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 10 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 11 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 12 | Molina node molina mcr adv facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 13 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 14 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 15 | Molina molina exchange facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 16 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 17 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 18 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $190 | $190 | — | — | — | $190 – $190 |
| 19 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $190 | $190 | — | — | — | $190 – $190 |
| 20 | UnitedHealthcare uhc iex facility · per diem · outpatient | $453 | $453 | — | — | — | $453 – $453 |
| 21 | UnitedHealthcare uhc apa facility · per diem · outpatient | $547 | $547 | — | — | — | $547 – $547 |
| 22 | Aetna aetna pho facility · percent of total billed charges · outpatientfrom % of charges | $628 | $628 | — | — | — | $628 – $628 |
Last updated: Apr 1, 2026
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