Cost analysis for CPT 96365 — Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Average Medicare Payment
$48.52
2023 data
Total Payments (2023)
$64.0M
Services (2023)
1.3M
Price Change (2014–2023)
-7.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $52.23 | $61.8M | 1.2M | — |
| 2015 | $53.39 | $62.8M | 1.2M | +2.2% |
| 2016 | $52.67 | $62.9M | 1.2M | -1.3% |
| 2017 | $52.48 | $61.8M | 1.2M | -0.4% |
| 2018 | $55.65 | $63.7M | 1.1M | +6.0% |
| 2019 | $55.36 | $66.1M | 1.2M | -0.5% |
| 2020 | $55.32 | $61.7M | 1.1M | -0.1% |
| 2021 | $56.73 | $71.4M | 1.2M | +2.5% |
| 2022 | $52.16 | $68.5M | 1.3M | -8.1% |
| 2023 | $48.52 | $64.0M | 1.3M | -7.0% |
The most expensive state pays 1.4x more than the cheapest for this procedure. DC averages $57.32 vs MS at $41.26.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $57.32 | $31.0K | 540 | 16 |
| NY | $56.83 | $4.7M | 82.1K | 605 |
| CA | $56.65 | $7.7M | 135.5K | 788 |
| NJ | $55.68 | $2.8M | 49.4K | 322 |
| HI | $55.50 | $56.3K | 1.0K | 7 |
| MD | $54.90 | $1.8M | 32.2K | 221 |
| CT | $52.92 | $299.4K | 5.7K | 64 |
| VT | $52.36 | $26.4K | 504 | 3 |
| MA | $52.02 | $504.2K | 9.7K | 105 |
| RI | $51.60 | $50.4K | 976 | 12 |
| WA | $51.54 | $859.0K | 16.7K | 164 |
| AK | $51.50 | $123.6K | 2.4K | 26 |
| CO | $51.10 | $1.7M | 32.4K | 174 |
| GU | $51.10 | $20.8K | 408 | 8 |
| MT | $50.15 | $117.0K | 2.3K | 15 |
| PA | $49.80 | $1.6M | 32.9K | 312 |
| VA | $49.79 | $1.4M | 28.9K | 221 |
| WY | $49.40 | $174.0K | 3.5K | 13 |
| NV | $49.33 | $870.2K | 17.6K | 90 |
| IL | $49.19 | $2.7M | 54.9K | 412 |
| PR | $49.05 | $61.8K | 1.3K | 7 |
| MN | $48.66 | $812.7K | 16.7K | 257 |
| VI | $48.57 | $7.8K | 161 | 1 |
| NH | $48.24 | $108.9K | 2.3K | 25 |
| FL | $48.23 | $9.8M | 203.0K | 839 |
| DE | $47.99 | $174.4K | 3.6K | 35 |
| OR | $47.85 | $616.0K | 12.9K | 107 |
| ME | $47.42 | $144.4K | 3.0K | 26 |
| TX | $47.06 | $6.4M | 135.8K | 892 |
| WI | $46.73 | $519.2K | 11.1K | 90 |
| SD | $46.68 | $103.6K | 2.2K | 22 |
| GA | $46.51 | $2.2M | 47.7K | 206 |
| AZ | $46.20 | $1.4M | 29.7K | 278 |
| ND | $46.20 | $95.2K | 2.1K | 15 |
| MI | $46.16 | $1.2M | 25.1K | 203 |
| WV | $45.74 | $43.8K | 958 | 8 |
| MO | $45.31 | $907.0K | 20.0K | 206 |
| NC | $45.19 | $1.5M | 32.5K | 295 |
| NM | $44.72 | $257.6K | 5.8K | 43 |
| NE | $44.47 | $416.8K | 9.4K | 100 |
| IN | $44.30 | $730.2K | 16.5K | 140 |
| OH | $44.25 | $1.1M | 24.5K | 236 |
| IA | $44.10 | $398.5K | 9.0K | 78 |
| KS | $44.00 | $701.7K | 15.9K | 82 |
| SC | $43.84 | $1.3M | 28.5K | 170 |
| OK | $43.79 | $562.3K | 12.8K | 82 |
| ID | $43.69 | $161.9K | 3.7K | 22 |
| UT | $43.61 | $437.5K | 10.0K | 84 |
| KY | $43.53 | $414.3K | 9.5K | 65 |
| AL | $43.31 | $1.3M | 29.7K | 171 |
| TN | $42.92 | $1.4M | 33.1K | 278 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Bachir Younes | Infectious Disease | CA | $438.1K | 8.1K | $53.83 |
| Madhavi Rayapudi | Infectious Disease | GA | $325.0K | 6.5K | $50.37 |
| Karl Damiani | Infectious Disease | FL | $251.1K | 5.2K | $48.45 |
| Jeffrey Lin | Infectious Disease | FL | $248.7K | 5.1K | $48.36 |
| Leonid Kleynberg | Hematology-Oncology | CA | $244.2K | 4.2K | $58.35 |
| Pardeep Kumari | Infectious Disease | FL | $241.3K | 4.9K | $49.49 |
| Vatsala Sastry | Infectious Disease | FL | $234.9K | 4.8K | $48.46 |
| Mohamed Erritouni | Infectious Disease | FL | $227.9K | 4.3K | $52.75 |
| Bryn Henderson | Family Practice | CA | $220.0K | 3.8K | $57.49 |
| Youram Nassir | Hematology | CA | $172.3K | 2.9K | $60.01 |
| Rabiul Alam | Internal Medicine | GA | $160.6K | 3.1K | $51.26 |
| Shehzadi Nagra | Infectious Disease | TX | $145.2K | 3.0K | $47.99 |
| Jonathan Vellinga | Internal Medicine | CA | $139.5K | 2.6K | $54.19 |
| Ivan Soosaipillai | Infectious Disease | FL | $138.3K | 2.8K | $49.65 |
| Mary Raleigh | Family Practice | CA | $135.9K | 2.3K | $58.11 |
| Guy Burrows | Neurology | TX | $133.9K | 2.7K | $49.15 |
| Jeffrey Weber | Gastroenterology | WI | $128.8K | 2.7K | $48.41 |
| Robert Brennan | Infectious Disease | VA | $125.0K | 2.5K | $49.12 |
| Leonardo Palau | Infectious Disease | TX | $121.7K | 2.6K | $47.69 |
| Ojen Masrour | Family Practice | CA | $120.3K | 2.1K | $57.32 |
Based on the data, CPT 96365 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 7.1% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.