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
IV Infusion, Addl Seq Up to 1 Hr
Perryville, MO
See all hospitals reporting CPT 96367 →Price type
Mercy Perry’s median price of $187 is 65% above the median hospital's median price ($113), higher than 71% 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: 16 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 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 3 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 5 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 6 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 7 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | 32 | $87 – $87 |
| 8 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 9 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 10 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 11 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 12 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 13 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 17 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | 1–10 | $177 – $177 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | 11 | $188 – $188 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
Last updated: Mar 12, 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.