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/Pro/Dx/Inj New Drud Add-On
San Angelo, TX
See all hospitals reporting CPT 96375 →Price type
Shannon Medical Center’s median price of $110 is 30% above the median hospital's median price ($85), higher than 60% 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: 7 payers, 17 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 medicare advantage facility · case rate · outpatient | $43.32 | $43.32 | $43.32 – $43.32 |
| 2 | Bcbs Tx hmo facility · fee schedule · outpatient | $56.58 | $56.58 | $56.58 – $56.58 |
| 3 | Bcbs Tx bav facility · fee schedule · outpatient | $59.46 | $59.46 | $59.46 – $59.46 |
| 4 | Bcbs Tx ppo facility · fee schedule · outpatient | $59.46 | $59.46 | $59.46 – $59.46 |
| 5 | Ambetter ppo facility · case rate · outpatient | $93.15 | $93.15 | $93.15 – $93.15 |
| 6 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $159.72 | $194.87 | $155.76 – $304.26 |
| 7 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $159.72 | $194.87 | $155.76 – $304.26 |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $174.24 | $212.58 | $169.92 – $331.92 |
| 9 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $181.50 | $221.44 | $177.00 – $345.75 |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $181.50 | $221.44 | $177.00 – $345.75 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $181.50 | $221.44 | $177.00 – $345.75 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $181.50 | $221.44 | $177.00 – $345.75 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $181.50 | $221.44 | $177.00 – $345.75 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $188.76 | $230.30 | $184.08 – $359.58 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $188.76 | $230.30 | $184.08 – $359.58 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $193.60 | $236.20 | $188.80 – $368.80 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $193.60 | $236.20 | $188.80 – $368.80 |
Last updated: Dec 8, 2025
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