Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
Medicare pricing data for 8,073 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, additional sequential infusion, 1 hour or less (HCPCS code 96367) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.61, but hospitals typically charge $118.89 — a 4.2x 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 $28.61, your out-of-pocket cost would be approximately $5.72. 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 4.2x more than what Medicare allows for this procedure. Medicare actually pays $22.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $33 | $148 | 885 | 101,751 | +15.0% |
| New Jersey | $32 | $137 | 243 | 45,151 | +12.9% |
| District of Columbia | $32 | $128 | 18 | 280 | +12.4% |
| Maryland | $32 | $114 | 183 | 32,607 | +12.2% |
| New York | $32 | $109 | 485 | 44,828 | +12.0% |
| Hawaii | $32 | $62 | 4 | 711 | +10.9% |
| Alaska | $31 | $214 | 33 | 3,274 | +9.6% |
| Connecticut | $31 | $199 | 71 | 3,170 | +8.8% |
| Massachusetts | $31 | $110 | 63 | 2,049 | +8.0% |
| Vermont | $31 | $122 | 3 | 1,675 | +7.6% |
| Rhode Island | $30 | $99 | 10 | 150 | +3.6% |
| Washington | $30 | $96 | 185 | 9,812 | +3.3% |
| Colorado | $29 | $140 | 164 | 15,550 | +3.0% |
| Delaware | $29 | $176 | 18 | 2,195 | +2.2% |
| New Hampshire | $29 | $184 | 23 | 1,385 | +2.1% |
| Virginia | $29 | $115 | 231 | 24,952 | +1.6% |
| Montana | $29 | $108 | 9 | 45 | +0.7% |
| Minnesota | $29 | $161 | 226 | 8,236 | +0.6% |
| Pennsylvania | $29 | $105 | 203 | 26,636 | +0.4% |
| Oregon | $28 | $126 | 89 | 4,879 | -0.7% |
| Illinois | $28 | $148 | 399 | 41,935 | -1.7% |
| Nevada | $28 | $116 | 95 | 7,701 | -2.1% |
| Wyoming | $28 | $158 | 16 | 2,148 | -2.2% |
| Florida | $28 | $90 | 761 | 120,441 | -2.7% |
| Puerto Rico | $28 | $35 | 62 | 3,982 | -2.7% |
| Texas | $28 | $130 | 1,007 | 132,922 | -2.9% |
| Maine | $28 | $121 | 24 | 1,041 | -3.0% |
| Arizona | $28 | $88 | 233 | 27,885 | -3.3% |
| Michigan | $28 | $79 | 180 | 15,712 | -3.7% |
| Missouri | $27 | $161 | 200 | 15,350 | -5.0% |
| Wisconsin | $27 | $199 | 95 | 2,273 | -5.1% |
| South Dakota | $27 | $127 | 15 | 516 | -5.9% |
| Nebraska | $27 | $72 | 70 | 9,976 | -6.2% |
| New Mexico | $27 | $109 | 63 | 6,075 | -6.4% |
| South Carolina | $27 | $156 | 89 | 20,339 | -6.8% |
| North Carolina | $27 | $107 | 167 | 14,613 | -6.9% |
| North Dakota | $27 | $95 | 20 | 886 | -6.9% |
| Ohio | $27 | $118 | 191 | 17,384 | -7.3% |
| Georgia | $27 | $124 | 177 | 27,136 | -7.3% |
| Utah | $26 | $69 | 61 | 6,278 | -7.8% |
| Idaho | $26 | $85 | 18 | 1,944 | -8.0% |
| Indiana | $26 | $109 | 105 | 10,916 | -8.1% |
| Iowa | $26 | $86 | 85 | 14,640 | -8.3% |
| Oklahoma | $26 | $71 | 45 | 8,096 | -9.0% |
| Kansas | $26 | $107 | 102 | 18,966 | -9.1% |
| Kentucky | $26 | $118 | 42 | 2,686 | -9.2% |
| West Virginia | $26 | $69 | 5 | 518 | -9.5% |
| Tennessee | $26 | $111 | 273 | 37,093 | -9.5% |
| Louisiana | $26 | $109 | 57 | 6,358 | -10.1% |
| Alabama | $26 | $120 | 153 | 22,214 | -10.4% |
| Arkansas | $25 | $98 | 65 | 19,343 | -12.2% |
| Mississippi | $25 | $114 | 38 | 10,070 | -13.0% |
⚠️ 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