Price Checker / CPT 96365
How much does IV infusion therapy (first hour) cost?
CPT 96365 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 21x the fair price — among the most extreme markups. Dispute this.
Fair price
$100–$200
What this should cost
With insurance
~$50,800
Typical out-of-pocket
Overcharged if over
$250
Push back above this
The average hospital charge of $3,153 is $3,003 over the fair price (about 21x the fair rate).
What hospitals charge for IV infusion therapy (first hour)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Tattnall Hospital , GA | $1,227 | — | 43540% |
| Long Island Jewish Valley Stream , NY | — | $2,450 | 21564% |
| Phelps Hospital SLEEPY HOLLOW, NY | — | $2,450 | 18165% |
| Lenox Hill Hospital NEW YORK, NY | — | $2,450 | 17691% |
| Animas Surgical Hospital , CO | $932 | — | 16321% |
| "Atrium Health Wake Forest Baptist Medical Center with Brenner Children's" , NC | $7,134 | $3,567 | 10526% |
| UM Rehabilitation & Orthopaedic Institute Baltimore, MD | $2,468 | — | 3576% |
| UM R Adams Cowley Shock Trauma Center Baltimore, MD | $1,619 | — | 2311% |
| University of Maryland Medical Center - Midtown Campus BALTIMORE, MD | $1,555 | — | 2216% |
| Bucktail Medical Center RENOVO, PA | $1,360 | $1,224 | 1926% |
| UM Shore Medical Center at Cambridge , MD | $1,286 | — | 1815% |
| UM St. Joseph Medical Center Towson, MD | $1,139 | — | 1596% |
| Spaulding Rehabilitation Hospital Continuing Medical Care Cambridge , MA | $1,002 | $752 | 1392% |
| Medical Center Barbour EUFAULA, AL | $936 | $468 | 1294% |
| UM Baltimore Washington Medical Center Glen Burnie, MD | $856 | — | 1174% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About IV infusion therapy (first hour)
CPT code 96365 refers to iv infusion therapy (first hour) (billing description: "Ther/proph/diag iv inf init"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $67 in a facility (hospital or surgery center) and $67 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.