Infusion into a vein for therapy, prevention, or diagnosis, each additional hour
Medicare pricing data for 10,557 providers across 52 states
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 therapy, prevention, or diagnosis, each additional hour (HCPCS code 96366) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.91, but hospitals typically charge $89.32 — a 4.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.91, your out-of-pocket cost would be approximately $3.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $15.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $24 | $64 | 33 | 359 | +19.9% |
| New York | $23 | $109 | 681 | 43,708 | +14.5% |
| California | $23 | $82 | 1,103 | 72,516 | +14.5% |
| Hawaii | $23 | $35 | 8 | 492 | +13.1% |
| Maryland | $22 | $88 | 222 | 12,158 | +11.7% |
| New Jersey | $22 | $136 | 294 | 20,695 | +11.7% |
| Alaska | $22 | $250 | 49 | 1,006 | +10.6% |
| Vermont | $22 | $86 | 3 | 268 | +9.2% |
| Connecticut | $21 | $104 | 77 | 2,320 | +6.8% |
| Rhode Island | $21 | $71 | 9 | 141 | +6.8% |
| Massachusetts | $21 | $89 | 88 | 1,891 | +6.0% |
| Virginia | $21 | $76 | 250 | 11,512 | +3.7% |
| Washington | $21 | $70 | 238 | 5,608 | +3.4% |
| Pennsylvania | $20 | $74 | 292 | 16,385 | +2.0% |
| Nevada | $20 | $83 | 115 | 15,332 | +1.1% |
| Montana | $20 | $69 | 17 | 148 | +0.9% |
| Puerto Rico | $20 | $26 | 48 | 2,812 | +0.6% |
| Illinois | $20 | $112 | 493 | 25,278 | +0.3% |
| Minnesota | $20 | $92 | 301 | 6,669 | 0.0% |
| South Dakota | $20 | $121 | 27 | 525 | -0.7% |
| Florida | $20 | $68 | 956 | 69,726 | -1.3% |
| Maine | $20 | $80 | 33 | 1,114 | -1.5% |
| New Hampshire | $20 | $125 | 35 | 1,070 | -1.9% |
| Texas | $19 | $85 | 1,098 | 78,483 | -2.6% |
| Wisconsin | $19 | $112 | 124 | 3,309 | -2.8% |
| Oregon | $19 | $71 | 116 | 2,684 | -3.2% |
| Colorado | $19 | $81 | 183 | 13,636 | -3.4% |
| Delaware | $19 | $70 | 31 | 1,485 | -3.6% |
| Arizona | $19 | $72 | 315 | 20,890 | -3.6% |
| Missouri | $19 | $92 | 294 | 8,341 | -4.5% |
| Wyoming | $19 | $130 | 26 | 1,195 | -4.6% |
| Michigan | $19 | $68 | 237 | 9,136 | -5.3% |
| North Carolina | $19 | $141 | 283 | 15,560 | -5.8% |
| North Dakota | $19 | $71 | 21 | 689 | -6.2% |
| Kansas | $19 | $81 | 112 | 6,356 | -6.3% |
| West Virginia | $19 | $48 | 11 | 445 | -6.9% |
| Iowa | $18 | $61 | 97 | 3,934 | -7.8% |
| Ohio | $18 | $75 | 281 | 13,877 | -7.9% |
| Nebraska | $18 | $42 | 104 | 4,828 | -8.0% |
| Alabama | $18 | $82 | 207 | 16,564 | -8.5% |
| Indiana | $18 | $80 | 186 | 6,900 | -8.7% |
| Georgia | $18 | $182 | 327 | 26,526 | -8.9% |
| Oklahoma | $18 | $61 | 76 | 4,465 | -9.0% |
| Tennessee | $18 | $77 | 360 | 24,023 | -10.0% |
| Kentucky | $18 | $82 | 57 | 701 | -10.3% |
| New Mexico | $18 | $86 | 52 | 1,888 | -10.3% |
| Arkansas | $18 | $77 | 90 | 7,654 | -11.3% |
| Idaho | $18 | $56 | 23 | 559 | -12.0% |
| South Carolina | $17 | $84 | 161 | 16,660 | -12.3% |
| Mississippi | $17 | $104 | 92 | 5,924 | -13.4% |
| Louisiana | $17 | $51 | 101 | 14,097 | -13.6% |
| Utah | $17 | $48 | 108 | 5,063 | -14.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber