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
Tx/pro/dx inj new drug addon
Lebanon, NH
See all hospitals reporting CPT 96375 →Price type
Mary Hitchcock Memorial Hospital’s median price of $67 is 21% below the median hospital's median price ($85), higher than 39% 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: 10 payers, 101 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 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $14.56 | $14.56 | $14.56 – $14.56 |
| 2 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $14.56 | $14.56 | $14.56 – $14.56 |
| 3 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $14.56 | $14.56 | $14.56 – $14.56 |
| 4 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $14.56 | $14.56 | $14.56 – $14.56 |
| 5 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $14.56 | $14.56 | $14.56 – $14.56 |
| 6 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $14.99 | $14.99 | $14.99 – $14.99 |
| 7 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $14.99 | $14.99 | $14.99 – $14.99 |
| 8 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $15.14 | $15.14 | $15.14 – $15.14 |
| 9 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $15.16 | $15.16 | $15.16 – $15.16 |
| 10 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $15.28 | $15.28 | $15.28 – $15.28 |
| 11 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $16.08 | $16.08 | $16.08 – $16.08 |
| 12 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $34.53 | $34.53 | $34.53 – $34.53 |
| 13 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $39.27 | $39.27 | $15.00 – $63.54 |
| 14 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $40.50 | $40.50 | $40.50 – $40.50 |
| 15 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $41.34 | $41.34 | $41.34 – $41.34 |
| 16 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $47.80 | $47.80 | $47.73 – $47.86 |
| 17 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $51.32 | $51.32 | $51.32 – $51.32 |
| 18 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $51.32 | $51.32 | $51.32 – $51.32 |
| 19 | Anthem anthem - medicare advantage facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 20 | Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 21 | UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 22 | UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient | $51.63 | $51.63 | $51.63 – $51.63 |
| 23 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $53.18 | $53.18 | $53.18 – $53.18 |
| 24 | Cigna cigna medicare advantage facility · fee schedule · outpatient | $53.18 | $53.18 | $53.18 – $53.18 |
| 25 | WellCare wellcare - medicare advantage facility · fee schedule · outpatient | $53.69 | $53.69 | $53.69 – $53.69 |
Last updated: Jan 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.