Code: 96376

Description:
HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC
Other Descriptions:
**IVP EA ADD SEQ SAME DR
HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC
IV PUSH EA AD SEQ SM DRG ER
INJ/IVPUSH ADD SAME DRUGM59
INJ/IV PUSH ADDL SAME DRUG
IV PUSH SAME DRUG EA ADDL
*IVP ADD SAMEMED>30MIN9637
ISM CHARGE 1227
ISM TEST ADM MOD
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: 96375
IVP EA ADD SEQ NEW DRUG
Code: 96377
APP ONBODY INJ
Code: 96379
UNLISTED IV/IA INJ/INF
Maine
Hospital Address Code Price Last Updated
Sebasticook Valley Health 447 N Main St, Pittsfield 96376 $28 [source] 3 years ago
Northern Light Maine Coast Hospital 50 Union St, Ellsworth 96376 $28 [source] 3 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle 96376 $44 [source] 3 years ago
Northern Light Blue Hill Hospital 57 Water Street, Blue Hill 96376 $49 [source] 3 years ago
Eastern Maine Healthcare Systems Inland Hospital 200 Kennedy Memorial Dr, Waterville 96376 $62 [source] 3 years ago
Mercy Hospital 144 State St, Portland 96376 $133 [source] 3 years ago
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville 96376 $140 [source] 3 years ago
Eastern Maine Medical Center 489 State St, Bangor 96376 $148 [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.