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 INFUSION THER/DIAG/PROPH INITIAL UP TO 1 HR
Grapevine, TX
See all hospitals reporting CPT 96365 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $353 is 23% above the median hospital's median price ($288), higher than 63% of the 2,544 hospitals reporting CPT 96365. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 29 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $135.32 | $135.32 | $135.32 – $135.32 |
| 2 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $138.02 | $138.02 | $138.02 – $138.02 |
| 3 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $144.79 | $144.79 | $144.79 – $144.79 |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $203.32 | $203.32 | $203.32 – $203.32 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $214.02 | $214.02 | $214.02 – $214.02 |
| 6 | Humana medicare facility · fee schedule · outpatient | $214.02 | $214.02 | $214.02 – $214.02 |
| 7 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $223.50 | $223.50 | $223.50 – $223.50 |
| 8 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $224.72 | $224.72 | $224.72 – $224.72 |
| 9 | Superior Healthplan medicare facility · fee schedule · outpatient | $224.72 | $224.72 | $224.72 – $224.72 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $239.70 | $239.70 | $239.70 – $239.70 |
| 11 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $256.82 | $256.82 | $256.82 – $256.82 |
| 12 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $268.60 | $268.60 | $268.60 – $268.60 |
| 13 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $353.13 | $353.13 | $353.13 – $353.13 |
| 14 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $424.42 | $424.42 | $424.42 – $424.42 |
| 15 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $444.74 | $444.74 | $444.74 – $444.74 |
| 16 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $444.74 | $444.74 | $444.74 – $444.74 |
| 17 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $446.99 | $446.99 | $446.99 – $446.99 |
| 18 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $448.45 | $448.45 | $448.45 – $448.45 |
| 19 | Ambetter ambetter exchange facility · fee schedule · outpatient | $460.14 | $460.14 | $460.14 – $460.14 |
| 20 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $471.74 | $471.74 | $471.74 – $471.74 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $496.16 | $496.16 | $496.16 – $496.16 |
| 22 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $523.22 | $523.22 | $523.22 – $523.22 |
| 23 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $523.22 | $523.22 | $523.22 – $523.22 |
| 24 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $561.02 | $561.02 | $561.02 – $561.02 |
| 25 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $561.02 | $561.02 | $561.02 – $561.02 |
Last updated: Jun 29, 2026
See Initial intravenous infusion for therapy or diagnosis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.