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
Syracuse, NY
See all hospitals reporting CPT 96367 →Price type
Crouse Hospital’s median price of $147 is 30% above the median hospital's median price ($113), higher than 62% 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: 6 payers, 18 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 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 2 | Excellus medicare advantage fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 3 | UnitedHealthcare commerical percent of total billed charges · outpatientfrom % of charges | $81 | $81 | $2 | 3% | 19–28 | $78 – $83 |
| 4 | Aetna commerical percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | 2–20 | $83 – $83 |
| 5 | Aetna raymour furniture company percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | 2–20 | $83 – $83 |
| 6 | Aetna medicare fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Humana medicare advantage fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 8 | UnitedHealthcare medicare fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 9 | WellCare medicare advantage fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Excellus bcbs fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 11 | Excellus hospital blue fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 12 | Excellus govt programs/ special products fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 13 | Molina medicaid hmo fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 14 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 15 | UnitedHealthcare medicaid fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 16 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 17 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 18 | Molina essential fee schedule · outpatient | $532 | $532 | — | — | — | $532 – $532 |
Last updated: May 19, 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.