96360

Infusion into a vein for hydration, 31-60 minutes

Medicare pricing data for 17,672 providers across 52 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $166.72 but Medicare allows only $32.29. Uninsured patients may face bills 5.2 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Infusion into a vein for hydration, 31-60 minutes (HCPCS code 96360) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.29, but hospitals typically charge $166.72 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $32.29, your out-of-pocket cost would be approximately $6.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$32.29
Average Hospital Charge
$166.72
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$166.72
Medicare Allowed$32.29
Medicare Payment$25.12

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $25.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$37$1501,67533,222+15.2%
New York$37$15488416,680+15.0%
New Jersey$36$2063624,530+12.9%
District of Columbia$36$13927135+10.0%
Maryland$35$1753496,767+8.2%
Connecticut$35$27262691+7.5%
Massachusetts$35$1922771,782+6.8%
Alaska$34$285123973+6.8%
Vermont$34$1941087+4.0%
Hawaii$34$12740939+3.9%
Delaware$33$25624380+2.5%
Rhode Island$33$11733198+2.4%
Pennsylvania$33$1843014,163+2.1%
Puerto Rico$33$7827192+0.7%
Colorado$32$2023973,108+0.6%
Virginia$32$2005177,673-0.2%
New Hampshire$32$22252968-0.5%
Washington$32$1434072,962-1.0%
Minnesota$32$2014212,581-1.0%
Nevada$32$1552475,399-1.2%
Maine$32$18853675-2.2%
Illinois$32$21359710,962-2.3%
Oregon$31$1602101,164-2.8%
Florida$31$1621,31426,861-3.7%
Arizona$31$2394336,470-4.5%
Texas$31$1971,63116,299-4.9%
South Dakota$31$20491441-5.2%
Michigan$30$1022893,857-6.3%
Wisconsin$30$2973531,431-7.5%
Montana$30$13681252-7.6%
North Carolina$30$1377736,044-7.7%
Missouri$30$1683574,419-8.1%
Nebraska$30$981852,727-8.2%
North Dakota$30$13873575-8.3%
Ohio$29$1463214,845-8.7%
Indiana$29$1472072,592-8.8%
New Mexico$29$143133897-8.9%
Wyoming$29$215114403-9.7%
Iowa$29$1412201,844-9.8%
Georgia$29$1386105,221-9.9%
South Carolina$29$1943693,717-10.3%
Kansas$29$1661762,084-10.7%
Tennessee$29$1446546,694-11.4%
Utah$28$1012762,306-11.8%
Idaho$28$10698490-12.2%
Alabama$28$1485084,832-13.1%
Louisiana$28$1682751,758-13.9%
Arkansas$28$1182423,698-14.0%
West Virginia$28$10148148-14.1%
Kentucky$27$125145739-15.0%
Oklahoma$27$1002451,106-16.1%
Mississippi$26$1323211,404-18.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber