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
TX/PROPH/DG ADDL SEQ IV INF
Valhalla, NY
See all hospitals reporting CPT 96367 →Price type
Westchester Medical Center’s median price of $456 is 302% above the median hospital's median price ($113), higher than 95% of the 2,590 hospitals reporting CPT 96367. 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, 41 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 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $384 | $384 | — | — | — | $384 – $384 |
| 2 | Cigna cigna ppo facility · other · outpatient | $398 | $398 | $58 | 15% | — | $340 – $456 |
| 3 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $398 | $398 | $58 | 15% | — | $340 – $456 |
| 4 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 5 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 6 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 7 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 8 | UnitedHealthcare uhc compass facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 9 | UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 10 | UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 11 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $488 | $457 | $54 | 12% | — | $365 – $488 |
| 12 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $483 | $483 | $70 | 15% | — | $413 – $553 |
| 13 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $553 | $518 | $61 | 12% | — | $413 – $553 |
| 14 | Blue Cross Blue Shield blue cross connection/exchange facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Tricare tricare facility · fee schedule · outpatient | $90 | $1.3k | $2.4k | 186% | — | $90 – $6.1k |
| 16 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $89 | $1.4k | $1.8k | 132% | — | $89 – $3.9k |
| 17 | Medicare medicare facility · fee schedule · outpatient | $89 | $1.4k | $1.8k | 132% | — | $89 – $3.9k |
| 18 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $89 | $1.4k | $1.8k | 132% | — | $89 – $3.9k |
| 19 | UnitedHealthcare uhc compass facility · per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Oscar oscar medicare facility · fee schedule · outpatient | $92 | $1.4k | $1.9k | 132% | — | $92 – $4.1k |
| 22 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Molina affinity by molina mcr facility · fee schedule · outpatient | $94 | $1.4k | $1.9k | 132% | — | $94 – $4.1k |
| 24 | UnitedHealthcare uhc commercial facility · per diem · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | UnitedHealthcare uhc empire facility · per diem · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jul 28, 2026
See Additional IV infusion for treatment or prevention pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.