Intravenous infusion, therapy or diagnostic add-on at Santa Rosa Hospital - Westover Hills

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC 96366 IV INFUSION THERAPY PROPHYLAXIS/DX EA ADDL HOUR

San Antonio, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Santa Rosa Hospital - Westover Hills’s median price of $88 is about the same as the median hospital's median price ($87), higher than 50% of the 2,527 hospitals reporting CPT 96366. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 96366 at Santa Rosa Hospital - Westover Hills

Negotiated rates from the hospital’s own file: 12 payers, 35 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	Humana choicecare fee schedule · outpatient	$34.73	$34.73	$34.73 – $34.73
2	Aetna mm fee schedule · outpatient	$43.32	$43.32	$43.32 – $43.32
3	Bcbs Tx mm fee schedule · outpatient	$43.32	$43.32	$43.32 – $43.32
4	Humana gold choice mm fee schedule · outpatient	$43.32	$43.32	$43.32 – $43.32
5	Humana gold plus mm fee schedule · outpatient	$43.32	$43.32	$43.32 – $43.32
6	Molina medicare adv mm fee schedule · outpatient	$43.32	$43.32	$43.32 – $43.32
7	UnitedHealthcare mm fee schedule · outpatient	$43.32	$43.32	$43.32 – $43.32
8	WellCare mm fee schedule · outpatient	$43.32	$43.32	$43.32 – $43.32
9	Devoted mm fee schedule · outpatient	$46.79	$46.79	$46.79 – $46.79
10	Bcbs Tx blue advantangehmo fee schedule · outpatient	$53.41	$53.41	$53.41 – $53.41
11	Bcbs Tx hmo fee schedule · outpatient	$65.50	$65.50	$65.50 – $65.50
12	Bcbs Tx heb fee schedule · outpatient	$66.38	$66.38	$66.38 – $66.38
13	Bcbs Tx ppo fee schedule · outpatient	$73.63	$73.63	$73.63 – $73.63
14	Aetna chip km percent of total billed charges · outpatientfrom % of charges	$88.11	$76.23	$52.47 – $88.11
15	Aetna star km percent of total billed charges · outpatientfrom % of charges	$88.11	$76.23	$52.47 – $88.11
16	Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges	$88.11	$76.23	$52.47 – $88.11
17	Bcbs Tx traditional fee schedule · outpatient	$77.81	$77.81	$77.81 – $77.81
18	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$144.18	$124.74	$85.86 – $144.18
19	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$144.18	$124.74	$85.86 – $144.18
20	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$144.18	$124.74	$85.86 – $144.18
21	Molina chip km percent of total billed charges · outpatientfrom % of charges	$240.30	$207.90	$143.10 – $240.30
22	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$240.30	$207.90	$143.10 – $240.30
23	Cigna new business percent of total billed charges · outpatientfrom % of charges	$296.37	$256.41	$176.49 – $296.37
24	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$360.45	$311.85	$214.65 – $360.45
25	First Health hmo percent of total billed charges · outpatientfrom % of charges	$408.51	$353.43	$243.27 – $408.51

Page 1 of 2 · 35 rates

Last updated: Jan 13, 2026

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