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
PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR
Plattsburgh, NY
See all hospitals reporting CPT 96365 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $117 is 59% below the median hospital's median price ($288), higher than 5% 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: 7 payers, 34 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $38.51 | $38.51 | $38.51 – $38.51 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $53.66 | $53.66 | $53.66 – $53.66 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $55.01 | $55.01 | $55.01 – $55.01 |
| 4 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $55.01 | $55.01 | $55.01 – $55.01 |
| 5 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $55.01 | $55.01 | $55.01 – $55.01 |
| 6 | Excellus medicare advantage professional · fee schedule · both | $55.01 | $55.01 | $55.01 – $55.01 |
| 7 | Humana tricare professional · fee schedule · both | $55.01 | $55.01 | $55.01 – $55.01 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $55.01 | $55.01 | $55.01 – $55.01 |
| 9 | Blue Cross Blue Shield blue access professional · fee schedule · both | $59.29 | $59.29 | $59.29 – $59.29 |
| 10 | Blue Cross Blue Shield hmo professional · fee schedule · both | $62.77 | $62.77 | $62.77 – $62.77 |
| 11 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $66.01 | $66.01 | $66.01 – $66.01 |
| 12 | Blue Cross Blue Shield ind professional · fee schedule · both | $66.26 | $66.26 | $66.26 – $66.26 |
| 13 | Blue Cross Blue Shield ppo professional · fee schedule · both | $69.75 | $69.75 | $69.75 – $69.75 |
| 14 | Highmark ind/fep professional · fee schedule · both | $77.84 | $77.84 | $77.84 – $77.84 |
| 15 | Highmark ppo/hmo professional · fee schedule · both | $77.84 | $77.84 | $77.84 – $77.84 |
| 16 | Excellus commercial professional · fee schedule · both | $82.75 | $82.75 | $82.75 – $82.75 |
| 17 | Blue Cross Blue Shield individual network professional · fee schedule · both | $88.02 | $88.02 | $88.02 – $88.02 |
| 18 | Aetna commercial professional · fee schedule · both | $98.47 | $98.47 | $98.47 – $98.47 |
| 19 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $108.40 | $108.40 | $99.61 – $117.19 |
| 20 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $132.55 | $132.55 | $132.55 – $132.55 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $142.72 | $142.72 | $142.72 – $142.72 |
| 22 | Excellus medicare advantage facility · fee schedule · outpatient | $243.37 | $243.37 | $243.37 – $243.37 |
| 23 | Humana tricare facility · fee schedule · outpatient | $244.56 | $244.56 | $244.56 – $244.56 |
| 24 | Aetna medicare advantage facility · fee schedule · outpatient | $257.43 | $257.43 | $257.43 – $257.43 |
| 25 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $257.43 | $257.43 | $257.43 – $257.43 |
Last updated: Apr 28, 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.