Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC IV Therpy Seq Up to 1 Hr
Low
$28
Average
$173
Median
$139
High
$3.3k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
295 hospitals; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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532 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $59 | $90 | $52 | 57% | 244 | $49 – $164 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $205 | $202 | $4 | 2% | 211–220 | $198 – $209 |
| 3 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | 99 | $175 – $175 |
| 4 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | 99 | $175 – $175 |
| 5 | Regions Hospital St. Paul, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $72 | $72 | $18 | 24% | 70 | $55 – $90 |
| 6 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 3 | $158 | $130 | $38 | 29% | 66–102 | $76 – $158 |
| 7 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $77 | $100 | $33 | 33% | 56–65 | $75 – $147 |
| 8 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 2 | $32 | $32 | $1 | 2% | 39 | $31 – $32 |
| 9 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 38 | $122 – $122 |
| 10 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $140 | $141 | $24 | 17% | 24–42 | $111 – $175 |
| 11 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $120 | $110 | $20 | 18% | 24 | $66 – $124 |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $209 | $209 | $52 | 25% | 19–55 | $107 – $268 |
| 13 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 8 | $224 | $215 | $44 | 21% | 12 | $79 – $248 |
| 14 | Regions Hospital St. Paul, MN facility · other · both | 1 | $77 | $77 | — | — | 12 | $77 – $77 |
| 15 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 1 | $86 | $86 | — | — | 11 | $86 – $86 |
| 16 | Northfield Hospital Northfield, MN fee schedule · both | 1 | $225 | $226 | $1 | 0% | 4–40 | $225 – $227 |
| 17 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $55 | $68 | $35 | 51% | 2–20 | $49 – $159 |
| 18 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $106 | $108 | $19 | 18% | 2–20 | $83 – $135 |
| 19 | Avera McKennan Hospital Sioux Falls, SD inpatient | 1 | $28 | $28 | — | — | 2–20 | $28 – $28 |
| 20 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 2 | $137 | $139 | $24 | 17% | 2–20 | $108 – $173 |
| 21 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $54 | $5 | 9% | 2–20 | $49 – $58 |
| 22 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $114 | $14 | 12% | 2–20 | $96 – $134 |
| 23 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $101 | $28 | 27% | 2–20 | $66 – $123 |
| 24 | Mayo Clinic Rochester, MN facility · other · both | 2 | $88 | $88 | $3 | 3% | 2–20 | $86 – $91 |
| 25 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $159 | $175 | $37 | 21% | 2–20 | $113 – $222 |
← Payers reporting CPT 96367 · Snapshot 20261111T120946Z-9134e7f7