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
Forsyth, GA
See all hospitals reporting CPT 96367 →Price type
Monroe County Hospital’s median price of $89 is 22% below the median hospital's median price ($114), higher than 34% of the 2,548 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: 7 payers, 11 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare fee schedule · outpatient | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 2 | WellCare medicare fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Caresource medicaid percent of total billed charges · outpatientfrom % of charges | $54 | $54 | $11 | 21% | 2–20 | $43 – $65 |
| 4 | Humana medicare percent of total billed charges · outpatientfrom % of charges | $58 | $58 | $12 | 21% | — | $46 – $70 |
| 5 | Blue Cross Blue Shield medicare percent of total billed charges · outpatientfrom % of charges | $70 | $85 | $42 | 50% | — | $46 – $167 |
| 6 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $95 | $95 | $19 | 21% | 2–20 | $75 – $114 |
| 7 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $103 | $103 | $21 | 21% | — | $82 – $124 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $120 | $120 | $25 | 21% | — | $95 – $144 |
| 9 | Blue Cross Blue Shield medicare other · outpatient | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 10 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $123 | $123 | $25 | 21% | — | $98 – $148 |
| 11 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $157 | $157 | $32 | 21% | 2–20 | $124 – $189 |
Last updated: May 7, 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.