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
Ther/proph/diag iv inf init
Lebanon, NH
See all hospitals reporting CPT 96365 →Price type
Mary Hitchcock Memorial Hospital’s median price of $245 is 15% below the median hospital's median price ($288), higher than 37% 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: 10 payers, 101 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 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $44.53 | $44.53 | $44.53 – $44.53 |
| 2 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $47.25 | $47.25 | $47.25 – $47.25 |
| 3 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $59.46 | $59.46 | $59.46 – $59.46 |
| 4 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $59.46 | $59.46 | $59.46 – $59.46 |
| 5 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $59.46 | $59.46 | $59.46 – $59.46 |
| 6 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $59.46 | $59.46 | $59.46 – $59.46 |
| 7 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $59.46 | $59.46 | $59.46 – $59.46 |
| 8 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $61.24 | $61.24 | $61.24 – $61.24 |
| 9 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $61.24 | $61.24 | $61.24 – $61.24 |
| 10 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $61.83 | $61.83 | $61.83 – $61.83 |
| 11 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $62.43 | $62.43 | $62.43 – $62.43 |
| 12 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $123.04 | $123.04 | $123.04 – $123.04 |
| 13 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $123.04 | $123.04 | $123.04 – $123.04 |
| 14 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $123.59 | $123.59 | $61.24 – $185.93 |
| 15 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $141.03 | $141.03 | $141.03 – $141.03 |
| 16 | Bcbs Vt bcbs of vermont - the vermont health plan facility · fee schedule · outpatient | $164.91 | $164.91 | $164.91 – $164.91 |
| 17 | Bcbs Vt bcbs of vermont - vermont health partnership facility · fee schedule · outpatient | $164.91 | $164.91 | $164.91 – $164.91 |
| 18 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $176.64 | $176.64 | $176.64 – $176.64 |
| 19 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $176.87 | $176.87 | $176.87 – $176.87 |
| 20 | Bcbs Vt bcbs of vermont - vermont health partnership professional · fee schedule · outpatient | $185.93 | $185.93 | $185.93 – $185.93 |
| 21 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $195.20 | $195.20 | $194.93 – $195.47 |
| 22 | Bcbs Vt bcbs of vermont - the vermont health plan - dhp professional · fee schedule · outpatient | $195.23 | $195.23 | $195.23 – $195.23 |
| 23 | Bcbs Vt bcbs of vermont - vermont health partnership - dhp professional · fee schedule · outpatient | $195.23 | $195.23 | $195.23 – $195.23 |
| 24 | Bcbs Vt bcbs of vermont non-managed care plans facility · fee schedule · outpatient | $210.79 | $210.79 | $210.79 – $210.79 |
| 25 | Aetna aetna - hmo/pos/ppo professional · fee schedule · outpatient | $219.24 | $219.24 | $219.24 – $219.24 |
Last updated: Jan 1, 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.