CPT 96522 Chemotherapy/Infusion
Refill/maint pump/resvr syst Cost
Body System: General
Medicare Facility Rate
$125
CMS PFS CY2026
Medicare Non-Facility Rate
$125
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
3.47
Facility PE RVU
0.07
Malpractice RVU
3.75
Total RVU
Frequently Asked Questions
How much does Refill/maint pump/resvr syst cost?
The Medicare facility rate is $125. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $217.
How much does Refill/maint pump/resvr syst 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 $125.