Additional IV infusion for treatment or prevention

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC IV Therpy Seq Up to 1 Hr

Medicaid pricing summary

Low

Average

$105

Median

$63

High

$1.1k

Medicaid rate distribution

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219 hospital rates

#		Plans
1	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both	2	$81	$81	$7	9%	262	$74 – $88
2	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both	16	$74	$77	$6	8%	259	$74 – $88
3	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both	2	$81	$81	$7	9%	154	$74 – $88
4	Tufts Medical Center BOSTON, MA other · both	1	$303	$303	—	—	69	$303 – $303
5	FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both	2	$81	$81	$7	9%	37	$74 – $88
6	Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges	1	$303	$303	—	—	29	$303 – $303
7	Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient	1	$31	$31	—	—	25	$31 – $31
8	Lowell General Hospital Lowell, MA other · both	1	$329	$329	—	—	21	$329 – $329
9	ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges	6	$146	$146	$100	68%	2–20	$46 – $246
10	Allina Health Systems Ulm, MN facility · other · outpatient	1	$79	$79	$17	22%	2–20	$62 – $97
11	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN per diem · both	2	$81	$81	$7	9%	1–10	$74 – $88
12	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both	14	$74	$77	$6	8%	1–10	$74 – $88
13	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both	14	$74	$77	$6	8%	1–10	$74 – $88
14	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both	2	$81	$81	$7	9%	1–10	$74 – $88
15	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN per diem · both	2	$81	$81	$7	9%	1–10	$74 – $88
16	Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges	1	$90	$90	—	—	1–10	$90 – $90
17	ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · both	1	$45	$45	—	—	—	$45 – $45
18	ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
19	ADVENTIST HEALTH DELANO Delano, CA fee schedule · both	1	$45	$45	—	—	—	$45 – $45
20	ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45
21	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · both	1	$45	$45	—	—	—	$45 – $45
22	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$38	$38	$7	18%	—	$31 – $45
23	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · both	1	$45	$45	—	—	—	$45 – $45
24	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$38	$38	$7	18%	—	$31 – $45
25	ADVENTIST HEALTH TULARE Tulare, CA fee schedule · both	1	$45	$45	—	—	—	$45 – $45

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← Payers reporting CPT 96367 · Snapshot 20261111T120946Z-9134e7f7

CPT 96367