CPT 96369 Chemotherapy/Infusion
Sc ther infusion up to 1 hr Cost
Body System: General
Medicare Facility Rate
$145
CMS PFS CY2026
Medicare Non-Facility Rate
$145
Office/clinic setting
Hospital Outpatient
$217
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.21
Work RVU
4.10
Facility PE RVU
0.03
Malpractice RVU
4.34
Total RVU
Frequently Asked Questions
How much does Sc ther infusion up to 1 hr cost?
The Medicare facility rate is $145. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $217.
How much does Sc ther infusion up to 1 hr 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 $145.