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
Ther/proph/diag iv inf addon
Lebanon, NH
See all hospitals reporting CPT 96366 →Price type
Mary Hitchcock Memorial Hospital’s median price of $68 is 22% below the median hospital's median price ($87), higher than 39% of the 2,527 hospitals reporting CPT 96366. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 80 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 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $13.88 | $13.88 | $13.88 – $13.88 |
| 2 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $14.73 | $14.73 | $14.73 – $14.73 |
| 3 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $19.83 | $19.83 | $19.83 – $19.83 |
| 4 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $19.83 | $19.83 | $19.83 – $19.83 |
| 5 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $19.83 | $19.83 | $19.83 – $19.83 |
| 6 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $19.83 | $19.83 | $19.83 – $19.83 |
| 7 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $19.83 | $19.83 | $19.83 – $19.83 |
| 8 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $20.42 | $20.42 | $20.42 – $20.42 |
| 9 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $20.42 | $20.42 | $20.42 – $20.42 |
| 10 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $20.62 | $20.62 | $20.62 – $20.62 |
| 11 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $20.82 | $20.82 | $20.82 – $20.82 |
| 12 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $39.56 | $39.56 | $20.42 – $58.69 |
| 13 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $43.05 | $43.05 | $43.05 – $43.05 |
| 14 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $47.03 | $47.03 | $47.03 – $47.03 |
| 15 | Anthem anthem - medicare advantage facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 16 | Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 17 | UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 18 | UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 19 | Bcbs Vt bcbs of vermont - the vermont health plan facility · fee schedule · outpatient | $52.06 | $52.06 | $52.06 – $52.06 |
| 20 | Bcbs Vt bcbs of vermont - vermont health partnership facility · fee schedule · outpatient | $52.06 | $52.06 | $52.06 – $52.06 |
| 21 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $53.18 | $53.18 | $53.18 – $53.18 |
| 22 | Cigna cigna medicare advantage facility · fee schedule · outpatient | $53.18 | $53.18 | $53.18 – $53.18 |
| 23 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $53.56 | $53.56 | $53.56 – $53.56 |
| 24 | WellCare wellcare - medicare advantage facility · fee schedule · outpatient | $53.69 | $53.69 | $53.69 – $53.69 |
| 25 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $54.41 | $54.41 | $54.41 – $54.41 |
Last updated: Jan 1, 2026
See Intravenous infusion, therapy or diagnostic add-on pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.