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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 96365
  4. Cost Analysis

How Much Does Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less Cost on Medicare?

Cost analysis for CPT 96365 — Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less

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Average Medicare Payment

$48.52

2023 data

Total Payments (2023)

$64.0M

Services (2023)

1.3M

Price Change (2014–2023)

-7.1%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$52.23$61.8M1.2M—
2015$53.39$62.8M1.2M+2.2%
2016$52.67$62.9M1.2M-1.3%
2017$52.48$61.8M1.2M-0.4%
2018$55.65$63.7M1.1M+6.0%
2019$55.36$66.1M1.2M-0.5%
2020$55.32$61.7M1.1M-0.1%
2021$56.73$71.4M1.2M+2.5%
2022$52.16$68.5M1.3M-8.1%
2023$48.52$64.0M1.3M-7.0%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. DC averages $57.32 vs MS at $41.26.

StateAvg PaymentTotal PaymentsServicesProviders
DC$57.32$31.0K54016
NY$56.83$4.7M82.1K605
CA$56.65$7.7M135.5K788
NJ$55.68$2.8M49.4K322
HI$55.50$56.3K1.0K7
MD$54.90$1.8M32.2K221
CT$52.92$299.4K5.7K64
VT$52.36$26.4K5043
MA$52.02$504.2K9.7K105
RI$51.60$50.4K97612
WA$51.54$859.0K16.7K164
AK$51.50$123.6K2.4K26
CO$51.10$1.7M32.4K174
GU$51.10$20.8K4088
MT$50.15$117.0K2.3K15
PA$49.80$1.6M32.9K312
VA$49.79$1.4M28.9K221
WY$49.40$174.0K3.5K13
NV$49.33$870.2K17.6K90
IL$49.19$2.7M54.9K412
PR$49.05$61.8K1.3K7
MN$48.66$812.7K16.7K257
VI$48.57$7.8K1611
NH$48.24$108.9K2.3K25
FL$48.23$9.8M203.0K839
DE$47.99$174.4K3.6K35
OR$47.85$616.0K12.9K107
ME$47.42$144.4K3.0K26
TX$47.06$6.4M135.8K892
WI$46.73$519.2K11.1K90
SD$46.68$103.6K2.2K22
GA$46.51$2.2M47.7K206
AZ$46.20$1.4M29.7K278
ND$46.20$95.2K2.1K15
MI$46.16$1.2M25.1K203
WV$45.74$43.8K9588
MO$45.31$907.0K20.0K206
NC$45.19$1.5M32.5K295
NM$44.72$257.6K5.8K43
NE$44.47$416.8K9.4K100
IN$44.30$730.2K16.5K140
OH$44.25$1.1M24.5K236
IA$44.10$398.5K9.0K78
KS$44.00$701.7K15.9K82
SC$43.84$1.3M28.5K170
OK$43.79$562.3K12.8K82
ID$43.69$161.9K3.7K22
UT$43.61$437.5K10.0K84
KY$43.53$414.3K9.5K65
AL$43.31$1.3M29.7K171
TN$42.92$1.4M33.1K278

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Bachir YounesInfectious DiseaseCA$438.1K8.1K$53.83
Madhavi RayapudiInfectious DiseaseGA$325.0K6.5K$50.37
Karl DamianiInfectious DiseaseFL$251.1K5.2K$48.45
Jeffrey LinInfectious DiseaseFL$248.7K5.1K$48.36
Leonid KleynbergHematology-OncologyCA$244.2K4.2K$58.35
Pardeep KumariInfectious DiseaseFL$241.3K4.9K$49.49
Vatsala SastryInfectious DiseaseFL$234.9K4.8K$48.46
Mohamed ErritouniInfectious DiseaseFL$227.9K4.3K$52.75
Bryn HendersonFamily PracticeCA$220.0K3.8K$57.49
Youram NassirHematologyCA$172.3K2.9K$60.01
Rabiul AlamInternal MedicineGA$160.6K3.1K$51.26
Shehzadi NagraInfectious DiseaseTX$145.2K3.0K$47.99
Jonathan VellingaInternal MedicineCA$139.5K2.6K$54.19
Ivan SoosaipillaiInfectious DiseaseFL$138.3K2.8K$49.65
Mary RaleighFamily PracticeCA$135.9K2.3K$58.11
Guy BurrowsNeurologyTX$133.9K2.7K$49.15
Jeffrey WeberGastroenterologyWI$128.8K2.7K$48.41
Robert BrennanInfectious DiseaseVA$125.0K2.5K$49.12
Leonardo PalauInfectious DiseaseTX$121.7K2.6K$47.69
Ojen MasrourFamily PracticeCA$120.3K2.1K$57.32

🤔 Is Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.