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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. 96367
  4. Cost Analysis

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

Cost analysis for CPT 96367 — Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less

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Average Medicare Payment

$22.51

2023 data

Total Payments (2023)

$20.6M

Services (2023)

911.0K

Price Change (2014–2023)

-3.1%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$23.23$40.8M1.8M—
2015$23.52$39.4M1.7M+1.2%
2016$23.67$38.4M1.6M+0.6%
2017$23.96$34.5M1.4M+1.2%
2018$24.62$27.1M1.1M+2.8%
2019$24.66$31.0M1.3M+0.2%
2020$24.66$29.4M1.2M0.0%
2021$25.31$27.9M1.1M+2.6%
2022$23.94$22.0M914.1K-5.4%
2023$22.51$20.6M911.0K-6.0%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.3x more than the cheapest for this procedure. CA averages $26.10 vs MS at $19.71.

StateAvg PaymentTotal PaymentsServicesProviders
CA$26.10$2.5M95.7K404
NJ$25.59$1.1M42.6K120
NY$25.39$998.2K39.3K209
MD$25.35$799.8K31.6K100
DC$25.34$4.1K1622
HI$25.02$15.3K6123
AK$24.86$80.0K3.2K18
CT$24.83$72.5K2.9K23
VT$24.42$40.9K1.7K3
MA$24.27$37.5K1.5K19
NH$23.37$31.5K1.3K10
VI$23.32$10.8K4651
WA$23.32$213.0K9.1K62
CO$23.10$340.5K14.7K80
MN$23.05$171.4K7.4K100
DE$22.86$49.1K2.1K10
VA$22.84$554.4K24.3K145
PA$22.74$580.1K25.5K115
RI$22.56$2.8K1243
PR$22.47$26.5K1.2K4
OR$22.37$103.7K4.6K49
IL$22.30$894.2K40.1K223
WY$22.24$47.0K2.1K6
NV$22.21$153.6K6.9K52
ME$22.09$22.0K99414
FL$22.03$2.6M116.3K433
TX$22.03$2.8M127.7K558
WI$21.83$39.8K1.8K27
AZ$21.83$594.0K27.2K149
MI$21.80$313.9K14.4K74
MO$21.58$312.4K14.5K91
XX$21.43$7.6K3531
ND$21.41$15.2K7104
NM$21.36$118.7K5.6K24
NE$21.30$210.6K9.9K43
SC$21.15$424.6K20.1K46
SD$21.12$10.0K4745
UT$21.06$126.5K6.0K33
GA$21.04$552.2K26.2K76
NC$21.03$294.8K14.0K61
OH$20.90$350.5K16.8K102
IA$20.82$300.3K14.4K44
IN$20.70$214.8K10.4K55
KY$20.62$47.2K2.3K22
KS$20.60$377.0K18.3K51
ID$20.47$37.9K1.9K7
OK$20.36$163.0K8.0K26
TN$20.33$734.8K36.1K136
WV$20.32$10.4K5113
LA$20.26$124.4K6.1K34
AL$20.06$428.0K21.3K79

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Youram NassirHematologyCA$174.6K6.5K$26.84
Vatsala SastryInfectious DiseaseFL$105.4K4.8K$21.86
James XuInternal MedicineMD$105.0K3.8K$27.44
Pramod GantaHematology-OncologySC$100.6K4.8K$21.13
Azriel HirschfeldHematology-OncologyNY$85.9K3.2K$27.19
Robert WilliamsMedical OncologyCA$63.8K2.6K$24.23
Naim NazhaMedical OncologyNJ$57.9K2.3K$25.22
Hayman SalibHematology-OncologyPA$55.8K2.5K$21.94
Asit ChoksiMedical OncologyTX$54.9K2.5K$21.90
Madhavi RayapudiInfectious DiseaseGA$54.1K2.4K$22.74
Philip DyMedical OncologyIL$53.2K2.5K$21.33
James BerensonHematology-OncologyCA$51.7K2.0K$26.03
Jayasree RaoHematology-OncologyTX$50.5K2.3K$21.94
Mary RaleighFamily PracticeCA$50.4K1.9K$26.19
Soren CaffeyHematology-OncologyVA$50.1K1.9K$26.87
Hemant SindhuHematology-OncologyAZ$49.8K2.2K$22.59
Elham Abbasi-HafshejaniHematology-OncologyTX$49.7K2.3K$21.91
Jawan AyerHematology-OncologyFL$47.2K2.2K$21.89
Jeffrey LinInfectious DiseaseFL$46.8K2.1K$21.89
Bachir YounesInfectious DiseaseCA$46.3K1.9K$24.24

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

Based on the data, CPT 96367 shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 3.1% 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.