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
Tx/proph/dg addl seq iv inf
Devils Lake, ND
See all hospitals reporting CPT 96367 →Price type
Altru Hospital Devils Lake’s median price of $86 is 24% below the median hospital's median price ($113), higher than 32% of the 2,590 hospitals reporting CPT 96367. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $101 | $101 | $15 | 15% | — | $86 – $115 |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $105 | $105 | $28 | 26% | — | $77 – $132 |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
Last updated: Mar 1, 2026
See Additional IV infusion for treatment or prevention pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.