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
IV INFUSION TX/PROPHYLAXI
Ord, NE
See all hospitals reporting CPT 96375 →Price type
Valley County Hospital’s median price of $39 is 54% below the median hospital's median price ($85), higher than 6% 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: 8 payers, 30 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 | Bcbs Ne medicare advantage professional · fee schedule · both | $14.56 | $14.56 | $14.56 – $14.56 |
| 2 | Medica medicare advantage professional · fee schedule · both | $14.56 | $14.56 | $14.56 – $14.56 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $14.56 | $14.56 | $14.56 – $14.56 |
| 4 | Humana medicare advantage professional · fee schedule · both | $14.85 | $14.85 | $14.85 – $14.85 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $15.00 | $15.00 | $15.00 – $15.00 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $15.29 | $15.29 | $15.29 – $15.29 |
| 7 | UnitedHealthcare managed medicaid professional · fee schedule · both | $16.78 | $16.78 | $16.78 – $16.78 |
| 8 | Molina managed medicaid/chip professional · fee schedule · both | $16.94 | $16.94 | $16.94 – $16.94 |
| 9 | Molina dual eligible plan professional · fee schedule · both | $17.27 | $17.27 | $17.27 – $17.27 |
| 10 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $24.10 | $24.10 | $8.60 – $39.60 |
| 11 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $24.10 | $24.10 | $8.60 – $39.60 |
| 12 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $24.10 | $24.10 | $8.60 – $39.60 |
| 13 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $24.58 | $24.58 | $8.77 – $40.39 |
| 14 | Medica individual and family business plans professional · fee schedule · both | $27.98 | $27.98 | $27.98 – $27.98 |
| 15 | Bcbs Ne commercial professional · case rate · both | $29.27 | $29.27 | $29.27 – $29.27 |
| 16 | Medica commercial plans/care system products professional · fee schedule · both | $29.47 | $29.47 | $29.47 – $29.47 |
| 17 | MultiPlan primary/complementary ppo professional · fee schedule · both | $47.03 | $47.03 | $47.03 – $47.03 |
| 18 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $57.84 | $57.84 | $20.64 – $95.04 |
| 19 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $62.06 | $62.06 | $22.15 – $101.97 |
| 20 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $63.27 | $63.27 | $22.58 – $103.95 |
| 21 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $65.78 | $65.78 | $23.47 – $108.09 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $109.66 | $109.66 | $39.13 – $180.18 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $109.66 | $109.66 | $39.13 – $180.18 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $115.68 | $115.68 | $41.28 – $190.08 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $115.68 | $115.68 | $41.28 – $190.08 |
Last updated: Jun 15, 2026
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