Cost analysis for CPT 96367 — Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
Average Medicare Payment
$22.51
2023 data
Total Payments (2023)
$20.6M
Services (2023)
911.0K
Price Change (2014–2023)
-3.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $23.23 | $40.8M | 1.8M | — |
| 2015 | $23.52 | $39.4M | 1.7M | +1.2% |
| 2016 | $23.67 | $38.4M | 1.6M | +0.6% |
| 2017 | $23.96 | $34.5M | 1.4M | +1.2% |
| 2018 | $24.62 | $27.1M | 1.1M | +2.8% |
| 2019 | $24.66 | $31.0M | 1.3M | +0.2% |
| 2020 | $24.66 | $29.4M | 1.2M | 0.0% |
| 2021 | $25.31 | $27.9M | 1.1M | +2.6% |
| 2022 | $23.94 | $22.0M | 914.1K | -5.4% |
| 2023 | $22.51 | $20.6M | 911.0K | -6.0% |
The most expensive state pays 1.3x more than the cheapest for this procedure. CA averages $26.10 vs MS at $19.71.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $26.10 | $2.5M | 95.7K | 404 |
| NJ | $25.59 | $1.1M | 42.6K | 120 |
| NY | $25.39 | $998.2K | 39.3K | 209 |
| MD | $25.35 | $799.8K | 31.6K | 100 |
| DC | $25.34 | $4.1K | 162 | 2 |
| HI | $25.02 | $15.3K | 612 | 3 |
| AK | $24.86 | $80.0K | 3.2K | 18 |
| CT | $24.83 | $72.5K | 2.9K | 23 |
| VT | $24.42 | $40.9K | 1.7K | 3 |
| MA | $24.27 | $37.5K | 1.5K | 19 |
| NH | $23.37 | $31.5K | 1.3K | 10 |
| VI | $23.32 | $10.8K | 465 | 1 |
| WA | $23.32 | $213.0K | 9.1K | 62 |
| CO | $23.10 | $340.5K | 14.7K | 80 |
| MN | $23.05 | $171.4K | 7.4K | 100 |
| DE | $22.86 | $49.1K | 2.1K | 10 |
| VA | $22.84 | $554.4K | 24.3K | 145 |
| PA | $22.74 | $580.1K | 25.5K | 115 |
| RI | $22.56 | $2.8K | 124 | 3 |
| PR | $22.47 | $26.5K | 1.2K | 4 |
| OR | $22.37 | $103.7K | 4.6K | 49 |
| IL | $22.30 | $894.2K | 40.1K | 223 |
| WY | $22.24 | $47.0K | 2.1K | 6 |
| NV | $22.21 | $153.6K | 6.9K | 52 |
| ME | $22.09 | $22.0K | 994 | 14 |
| FL | $22.03 | $2.6M | 116.3K | 433 |
| TX | $22.03 | $2.8M | 127.7K | 558 |
| WI | $21.83 | $39.8K | 1.8K | 27 |
| AZ | $21.83 | $594.0K | 27.2K | 149 |
| MI | $21.80 | $313.9K | 14.4K | 74 |
| MO | $21.58 | $312.4K | 14.5K | 91 |
| XX | $21.43 | $7.6K | 353 | 1 |
| ND | $21.41 | $15.2K | 710 | 4 |
| NM | $21.36 | $118.7K | 5.6K | 24 |
| NE | $21.30 | $210.6K | 9.9K | 43 |
| SC | $21.15 | $424.6K | 20.1K | 46 |
| SD | $21.12 | $10.0K | 474 | 5 |
| UT | $21.06 | $126.5K | 6.0K | 33 |
| GA | $21.04 | $552.2K | 26.2K | 76 |
| NC | $21.03 | $294.8K | 14.0K | 61 |
| OH | $20.90 | $350.5K | 16.8K | 102 |
| IA | $20.82 | $300.3K | 14.4K | 44 |
| IN | $20.70 | $214.8K | 10.4K | 55 |
| KY | $20.62 | $47.2K | 2.3K | 22 |
| KS | $20.60 | $377.0K | 18.3K | 51 |
| ID | $20.47 | $37.9K | 1.9K | 7 |
| OK | $20.36 | $163.0K | 8.0K | 26 |
| TN | $20.33 | $734.8K | 36.1K | 136 |
| WV | $20.32 | $10.4K | 511 | 3 |
| LA | $20.26 | $124.4K | 6.1K | 34 |
| AL | $20.06 | $428.0K | 21.3K | 79 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Youram Nassir | Hematology | CA | $174.6K | 6.5K | $26.84 |
| Vatsala Sastry | Infectious Disease | FL | $105.4K | 4.8K | $21.86 |
| James Xu | Internal Medicine | MD | $105.0K | 3.8K | $27.44 |
| Pramod Ganta | Hematology-Oncology | SC | $100.6K | 4.8K | $21.13 |
| Azriel Hirschfeld | Hematology-Oncology | NY | $85.9K | 3.2K | $27.19 |
| Robert Williams | Medical Oncology | CA | $63.8K | 2.6K | $24.23 |
| Naim Nazha | Medical Oncology | NJ | $57.9K | 2.3K | $25.22 |
| Hayman Salib | Hematology-Oncology | PA | $55.8K | 2.5K | $21.94 |
| Asit Choksi | Medical Oncology | TX | $54.9K | 2.5K | $21.90 |
| Madhavi Rayapudi | Infectious Disease | GA | $54.1K | 2.4K | $22.74 |
| Philip Dy | Medical Oncology | IL | $53.2K | 2.5K | $21.33 |
| James Berenson | Hematology-Oncology | CA | $51.7K | 2.0K | $26.03 |
| Jayasree Rao | Hematology-Oncology | TX | $50.5K | 2.3K | $21.94 |
| Mary Raleigh | Family Practice | CA | $50.4K | 1.9K | $26.19 |
| Soren Caffey | Hematology-Oncology | VA | $50.1K | 1.9K | $26.87 |
| Hemant Sindhu | Hematology-Oncology | AZ | $49.8K | 2.2K | $22.59 |
| Elham Abbasi-Hafshejani | Hematology-Oncology | TX | $49.7K | 2.3K | $21.91 |
| Jawan Ayer | Hematology-Oncology | FL | $47.2K | 2.2K | $21.89 |
| Jeffrey Lin | Infectious Disease | FL | $46.8K | 2.1K | $21.89 |
| Bachir Younes | Infectious Disease | CA | $46.3K | 1.9K | $24.24 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.