Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion
Medicare pricing data for 4,644 providers across 47 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 concurrent with another infusion (HCPCS code 96368) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.69, but hospitals typically charge $72.56 — a 3.7x 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 $19.69, your out-of-pocket cost would be approximately $3.94. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $15.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $22 | $63 | 512 | 20,468 | +13.3% |
| Maryland | $22 | $69 | 113 | 3,687 | +11.4% |
| New Jersey | $22 | $73 | 126 | 4,939 | +11.2% |
| Alaska | $22 | $121 | 18 | 497 | +10.6% |
| Vermont | $21 | $76 | 3 | 57 | +8.1% |
| Massachusetts | $21 | $60 | 23 | 367 | +6.6% |
| Connecticut | $21 | $131 | 24 | 277 | +6.4% |
| Virginia | $21 | $70 | 157 | 3,695 | +5.0% |
| New York | $21 | $101 | 177 | 3,122 | +4.4% |
| Pennsylvania | $20 | $59 | 137 | 3,334 | +2.8% |
| New Hampshire | $20 | $103 | 15 | 272 | +2.6% |
| Delaware | $20 | $87 | 13 | 424 | +0.3% |
| Wyoming | $20 | $98 | 11 | 225 | -0.2% |
| Minnesota | $20 | $100 | 151 | 1,964 | -0.3% |
| Colorado | $20 | $76 | 73 | 1,970 | -0.8% |
| Illinois | $19 | $92 | 227 | 7,096 | -1.1% |
| Maine | $19 | $83 | 16 | 249 | -1.2% |
| Washington | $19 | $62 | 93 | 1,218 | -1.3% |
| Oregon | $19 | $66 | 67 | 900 | -1.8% |
| Florida | $19 | $62 | 465 | 15,390 | -2.6% |
| Michigan | $19 | $63 | 91 | 1,492 | -3.4% |
| New Mexico | $19 | $70 | 33 | 558 | -3.5% |
| Texas | $19 | $77 | 593 | 19,664 | -3.6% |
| Missouri | $19 | $109 | 104 | 1,852 | -4.0% |
| Arizona | $19 | $67 | 197 | 4,912 | -4.3% |
| South Dakota | $19 | $78 | 8 | 122 | -5.4% |
| Nevada | $19 | $66 | 64 | 2,169 | -5.7% |
| North Carolina | $19 | $58 | 120 | 1,840 | -5.9% |
| South Carolina | $19 | $119 | 45 | 1,356 | -5.9% |
| Wisconsin | $18 | $126 | 51 | 416 | -6.4% |
| North Dakota | $18 | $66 | 8 | 104 | -6.9% |
| Georgia | $18 | $67 | 87 | 2,065 | -7.2% |
| Nebraska | $18 | $54 | 58 | 1,561 | -7.2% |
| Ohio | $18 | $95 | 106 | 1,864 | -7.4% |
| Indiana | $18 | $60 | 68 | 2,075 | -7.6% |
| Idaho | $18 | $55 | 9 | 313 | -8.1% |
| Iowa | $18 | $63 | 53 | 1,392 | -8.3% |
| Oklahoma | $18 | $46 | 30 | 665 | -8.4% |
| West Virginia | $18 | $47 | 4 | 172 | -8.6% |
| Tennessee | $18 | $81 | 145 | 5,274 | -9.0% |
| Utah | $18 | $54 | 43 | 903 | -9.3% |
| Kentucky | $18 | $62 | 26 | 483 | -9.7% |
| Kansas | $18 | $60 | 56 | 2,134 | -10.6% |
| Alabama | $18 | $82 | 91 | 2,121 | -10.7% |
| Louisiana | $18 | $84 | 31 | 635 | -10.7% |
| Arkansas | $17 | $72 | 48 | 1,817 | -11.5% |
| Mississippi | $17 | $73 | 26 | 1,344 | -12.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber