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
HC 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST UP TO 1 HOUR
San Antonio, TX
See all hospitals reporting CPT 96365 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $204 is 29% below the median hospital's median price ($288), higher than 15% 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: 12 payers, 35 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 | Aetna chip km percent of total billed charges · outpatientfrom % of charges | $95.81 | $114.62 | $95.81 – $152.24 |
| 2 | Aetna star km percent of total billed charges · outpatientfrom % of charges | $95.81 | $114.62 | $95.81 – $152.24 |
| 3 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $95.81 | $114.62 | $95.81 – $152.24 |
| 4 | Humana choicecare fee schedule · outpatient | $125.53 | $125.53 | $125.53 – $125.53 |
| 5 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $176.90 | $176.90 | $176.90 – $176.90 |
| 6 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $156.78 | $187.56 | $156.78 – $249.12 |
| 7 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $156.78 | $187.56 | $156.78 – $249.12 |
| 8 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $156.78 | $187.56 | $156.78 – $249.12 |
| 9 | Aetna mm fee schedule · outpatient | $197.83 | $197.83 | $197.83 – $197.83 |
| 10 | Bcbs Tx mm fee schedule · outpatient | $197.83 | $197.83 | $197.83 – $197.83 |
| 11 | Humana gold choice mm fee schedule · outpatient | $197.83 | $197.83 | $197.83 – $197.83 |
| 12 | Humana gold plus mm fee schedule · outpatient | $197.83 | $197.83 | $197.83 – $197.83 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $197.83 | $197.83 | $197.83 – $197.83 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $197.83 | $197.83 | $197.83 – $197.83 |
| 15 | WellCare mm fee schedule · outpatient | $197.83 | $197.83 | $197.83 – $197.83 |
| 16 | Devoted mm fee schedule · outpatient | $213.66 | $213.66 | $213.66 – $213.66 |
| 17 | Bcbs Tx hmo fee schedule · outpatient | $216.94 | $216.94 | $216.94 – $216.94 |
| 18 | Bcbs Tx heb fee schedule · outpatient | $219.86 | $219.86 | $219.86 – $219.86 |
| 19 | Bcbs Tx ppo fee schedule · outpatient | $243.88 | $243.88 | $243.88 – $243.88 |
| 20 | Bcbs Tx traditional fee schedule · outpatient | $257.71 | $257.71 | $257.71 – $257.71 |
| 21 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $261.30 | $312.60 | $261.30 – $415.20 |
| 22 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $261.30 | $312.60 | $261.30 – $415.20 |
| 23 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $322.27 | $385.54 | $322.27 – $512.08 |
| 24 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $391.95 | $468.90 | $391.95 – $622.80 |
| 25 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $444.21 | $531.42 | $444.21 – $705.84 |
Last updated: Jan 13, 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.