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
ER-TX PRPHYLCTCDX IVP SEQUENTL SBSTNCDRUG
Santa Ana, CA
See all hospitals reporting CPT 96375 →Price type
Orange County Global Medical Center’s median price of $75 is 11% below the median hospital's median price ($85), higher than 45% 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: 11 payers, 31 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Kaiser kaiser medi-cal hmo facility · fee schedule · outpatient | $21.29 | $21.29 | $21.29 – $21.29 |
| 2 | Tricare champus tricare prime/extra standard facility · fee schedule · outpatient | $57.82 | $57.82 | $57.82 – $57.82 |
| 3 | Aetna aetna sr facility · percent of total billed charges · outpatientfrom % of charges | $59.93 | $59.93 | $59.93 – $59.93 |
| 4 | Blue Cross Blue Shield blue shield 65 sr hmo facility · percent of total billed charges · outpatientfrom % of charges | $59.93 | $59.93 | $59.93 – $59.93 |
| 5 | Humana humana medicare advantage hmo/pos facility · fee schedule · outpatient | $59.93 | $59.93 | $59.93 – $59.93 |
| 6 | Kaiser kaiser senior hmo facility · fee schedule · outpatient | $59.93 | $59.93 | $59.93 – $59.93 |
| 7 | UnitedHealthcare united healthcare sr facility · fee schedule · outpatient | $59.93 | $59.93 | $59.93 – $59.93 |
| 8 | MultiPlan multiplan wc facility · other · outpatient | $78.50 | $78.50 | $78.50 – $78.50 |
| 9 | Aetna aetna all commercial payers facility · percent of total billed charges · outpatientfrom % of charges | $112.01 | $112.01 | $112.01 – $112.01 |
| 10 | Cigna cigna hmo facility · other · outpatient | $136.78 | $136.78 | $106.01 – $167.54 |
| 11 | Cigna cigna ppo facility · other · outpatient | $136.78 | $136.78 | $106.01 – $167.54 |
| 12 | Magellan magellan behavioral health comm facility · percent of total billed charges · inpatientfrom % of charges | $158.70 | $158.70 | $123.00 – $194.40 |
| 13 | Magellan magellan behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $158.70 | $158.70 | $123.00 – $194.40 |
| 14 | Magellan magellan behavioral health sr facility · percent of total billed charges · inpatientfrom % of charges | $158.70 | $158.70 | $123.00 – $194.40 |
| 15 | Magellan magellan behavioral health sr facility · percent of total billed charges · outpatientfrom % of charges | $158.70 | $158.70 | $123.00 – $194.40 |
| 16 | Kaiser kaiser commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $162.88 | $162.88 | $126.24 – $199.52 |
| 17 | Kaiser kaiser commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $162.88 | $162.88 | $126.24 – $199.52 |
| 18 | Cigna cigna/outside payors facility · percent of total billed charges · inpatientfrom % of charges | $171.93 | $171.93 | $133.25 – $210.60 |
| 19 | Cigna cigna/outside payors facility · percent of total billed charges · outpatientfrom % of charges | $171.93 | $171.93 | $133.25 – $210.60 |
| 20 | MultiPlan multiplan ppo facility · percent of total billed charges · inpatientfrom % of charges | $185.15 | $185.15 | $143.50 – $226.80 |
| 21 | MultiPlan multiplan ppo facility · percent of total billed charges · outpatientfrom % of charges | $185.15 | $185.15 | $143.50 – $226.80 |
| 22 | First Health first health (affordable) ppo facility · percent of total billed charges · inpatientfrom % of charges | $198.38 | $198.38 | $153.75 – $243.00 |
| 23 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $211.60 | $211.60 | $164.00 – $259.20 |
| 24 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $211.60 | $211.60 | $164.00 – $259.20 |
| 25 | Bcbs Ca blue shield ppo facility · fee schedule · outpatient | $228.34 | $228.34 | $228.33 – $228.34 |
Last updated: Jun 15, 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.