CPT 96365 Infusion

Ther/proph/diag iv inf init Cost

Body System: General

Hospital Outpatient
$217
OPPS rate

Frequently Asked Questions

How much does Ther/proph/diag iv inf init cost?

The Medicare facility rate is variable. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $217.

How much does Ther/proph/diag iv inf init cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is variable.

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