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
IV HYDRAT EA ADD HR
THOUSAND OAKS, CA
See all hospitals reporting CPT 96361 →Price type
Los Robles Hospital And Medical Center’s median price of $245 is 208% above the median hospital's median price ($80), higher than 90% of the 2,579 hospitals reporting CPT 96361. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 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 allpayerappendix fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 2 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $140 | $140 | $6 | 4% | — | $134 – $145 |
| 3 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $140 | $140 | $6 | 4% | — | $134 – $145 |
| 4 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $140 | $140 | $6 | 4% | — | $134 – $145 |
| 5 | Blue Cross Blue Shield epn fee schedule · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 6 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $8 | 4% | — | $195 – $212 |
| 7 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $8 | 4% | — | $195 – $212 |
| 8 | Blue Cross Blue Shield epn percent of total billed charges · outpatientfrom % of charges | $220 | $220 | $9 | 4% | — | $211 – $229 |
| 9 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $9 | 4% | — | $213 – $231 |
| 10 | Blue Cross Blue Shield comm fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 11 | Blue Cross Blue Shield comm percent of total billed charges · outpatientfrom % of charges | $315 | $315 | $13 | 4% | — | $302 – $328 |
| 12 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $355 | $355 | $15 | 4% | — | $341 – $370 |
| 13 | First Health comm percent of total billed charges · outpatientfrom % of charges | $537 | $537 | $22 | 4% | — | $515 – $559 |
| 14 | First Health wcomp percent of total billed charges · outpatientfrom % of charges | $631 | $631 | $26 | 4% | — | $605 – $657 |
| 15 | MultiPlan primary percent of total billed charges · outpatientfrom % of charges | $631 | $631 | $26 | 4% | — | $605 – $657 |
| 16 | MultiPlan complementary percent of total billed charges · outpatientfrom % of charges | $750 | $750 | $31 | 4% | — | $719 – $781 |
| 17 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $789 | $789 | $33 | 4% | — | $757 – $822 |
Last updated: Sep 1, 2026
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