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
HC TX/PROPH/DX IV INJ EACH ADDL
Philadelphia, PA
See all hospitals reporting CPT 96375 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $197 is 133% above the median hospital's median price ($85), higher than 83% 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: 14 payers, 37 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 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $25.63 | $25.63 | $25.63 – $25.63 |
| 2 | Cigna cigna new business facility · fee schedule · outpatient | $46.69 | $46.69 | $46.69 – $46.69 |
| 3 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $48.98 | $48.98 | $48.98 – $48.98 |
| 4 | Medicare medicare facility · fee schedule · outpatient | $48.98 | $48.98 | $48.98 – $48.98 |
| 5 | Tricare tricare facility · fee schedule · outpatient | $49.22 | $49.22 | $49.22 – $49.22 |
| 6 | Highmark highmark medicare advantage facility · other · outpatient | $49.96 | $49.96 | $49.96 – $49.96 |
| 7 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $50.45 | $50.45 | $50.45 – $50.45 |
| 8 | Humana humana medicare facility · other · outpatient | $50.45 | $50.45 | $50.45 – $50.45 |
| 9 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $51.92 | $51.92 | $51.92 – $51.92 |
| 10 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $51.92 | $51.92 | $51.92 – $51.92 |
| 11 | Clover clover health plan facility · other · outpatient | $52.90 | $52.90 | $52.90 – $52.90 |
| 12 | Oscar oscar health plan facility · other · outpatient | $83.27 | $83.27 | $83.27 – $83.27 |
| 13 | Highmark highmark facility · other · outpatient | $103.00 | $103.00 | $103.00 – $103.00 |
| 14 | UnitedHealthcare unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $162.08 | $162.08 | $67.41 – $256.74 |
| 15 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $213.57 | $213.57 | $88.83 – $338.31 |
| 16 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $219.90 | $219.90 | $91.46 – $348.33 |
| 17 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $219.90 | $219.90 | $91.46 – $348.33 |
| 18 | Optum optum urn-transplant commercial facility · other · outpatient | $244.90 | $244.90 | $244.90 – $244.90 |
| 19 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $267.91 | $267.91 | $111.43 – $424.39 |
| 20 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $306.91 | $306.91 | $127.65 – $486.16 |
| 21 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $319.57 | $319.57 | $132.92 – $506.21 |
| 22 | Blue Cross Blue Shield ibc traditional facility · percent of total billed charges · outpatientfrom % of charges | $324.55 | $324.55 | $134.99 – $514.11 |
| 23 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · percent of total billed charges · outpatientfrom % of charges | $326.37 | $326.37 | $135.75 – $516.99 |
| 24 | Blue Cross Blue Shield personal choice-ibc ppo facility · percent of total billed charges · outpatientfrom % of charges | $326.37 | $326.37 | $135.75 – $516.99 |
| 25 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $395.50 | $395.50 | $164.50 – $626.50 |
Last updated: Mar 20, 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.