Code: 96375

Description:
HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG
Other Descriptions:
HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG
INJ/IV PUSH ADD'L DRUG
INJ/IV PUSH ADD'L DRUG M59
IV PUSH EA AD NEW DRG THERP
IV PUSH EA AD NEW DRG SCD
IV PUSH ADDL NEW DRUG
TX/PROPH/DX INJ.IV ADDT
INJ THER/DX IV PUSH ADDL DRUG
SEQUENTIAL IV PUSH INJECTION
Related codes:
Code: 96370
SQ INFUSION EA ADDL HOUR
Code: 96371
SQ INFUSION ADDL PUMP SU
Code: 96372
INJECTION IM OR SQ
Code: 96373
INJECTION INTRA-ARTERIAL
Code: 96374
IVP SINGLE/INITIAL DRUG
Code: 96376
IVP EA ADD SEQ SAME DRUG
Code: 96377
APP ONBODY INJ
Code: 96379
UNLISTED IV/IA INJ/INF
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls 96375 $36 [source] 3 years ago
Ascension Ne Wisconsin-St Elizabeth Campus 1506 S Oneida St, Appleton 96375 $40 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 96375 $48 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 96375 $82 [source] 3 years ago
Tomah Memorial Hospital 501 Gopher Dr, Tomah 96375 $112 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 96375 $114 [source] 3 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton 96375 $120 [source] 3 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford 96375 $125 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 96375 $129 [source] 3 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy 96375 $135 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee 96375 $135 [source] 3 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee 96375 $135 [source] 3 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha 96375 $140 [source] 3 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers 96375 $145 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay 96375 $145 [source] 3 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington 96375 $145 [source] 3 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn 96375 $145 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 96375 $164 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 96375 $166 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 96375 $169 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 96375 $169 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 96375 $169 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 96375 $169 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 96375 $169 [source] 3 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc 96375 $180 [source] 3 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee 96375 $180 [source] 3 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan 96375 $185 [source] 3 years ago
Upland Hills Health 800 Compassion Way, Dodgeville 96375 $209 [source] 3 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh 96375 $220 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette 96375 $230 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 96375 $287 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.