CPT 96416 Chemotherapy/Infusion
Chemo prolong infuse w/pump Cost
Body System: General
Medicare Facility Rate
$133
CMS PFS CY2026
Medicare Non-Facility Rate
$133
Office/clinic setting
Hospital Outpatient
$337
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.21
Work RVU
3.71
Facility PE RVU
0.07
Malpractice RVU
3.99
Total RVU
Frequently Asked Questions
How much does Chemo prolong infuse w/pump cost?
The Medicare facility rate is $133. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $337.
How much does Chemo prolong infuse w/pump 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 $133.