CPT 96367 Chemotherapy/Infusion
Tx/proph/dg addl seq iv inf Cost
Body System: General
Medicare Facility Rate
$30
CMS PFS CY2026
Medicare Non-Facility Rate
$30
Office/clinic setting
Hospital Outpatient
$74
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.19
Work RVU
0.69
Facility PE RVU
0.01
Malpractice RVU
0.89
Total RVU
Frequently Asked Questions
How much does Tx/proph/dg addl seq iv inf cost?
The Medicare facility rate is $30. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $74.
How much does Tx/proph/dg addl seq iv inf 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 $30.