# CPT 96365: Intravenous infusion, for therapy/prophylaxis/diagnosis, initial, up to 1 hour

Medicare CPT 96365 pays $67.14 in a non-facility setting and $67.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $58.20 in Arkansas to $78.13 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/96365-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Emergency Medicine, General Acute Care Hospital, Hematology & Oncology, Pediatrics, Rheumatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $67.14 |
| National facility | $67.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $78.13 | $78.13 |
| California | $77.55 | $77.55 |
| Washington | $75.31 | $75.31 |
| New Jersey | $75.01 | $75.01 |
| New York | $74.74 | $74.74 |
| Hawaii | $74.63 | $74.63 |
| Massachusetts | $74.39 | $74.39 |
| Alaska | $73.86 | $73.86 |
| Connecticut | $72.08 | $72.08 |
| Colorado | $70.69 | $70.69 |
| Oregon | $69.97 | $69.97 |
| Maryland | $69.83 | $69.83 |
| New Hampshire | $69.38 | $69.38 |
| Rhode Island | $69.06 | $69.06 |
| Florida | $68.60 | $68.60 |
| Minnesota | $67.90 | $67.90 |
| Puerto Rico | $67.76 | $67.76 |
| Virgin Islands | $67.76 | $67.76 |
| Montana | $67.13 | $67.13 |
| Nevada | $66.97 | $66.97 |
| Wyoming | $66.79 | $66.79 |
| Illinois | $66.39 | $66.39 |
| North Dakota | $66.34 | $66.34 |
| Delaware | $66.33 | $66.33 |
| South Dakota | $66.25 | $66.25 |
| Texas | $66.17 | $66.17 |
| Pennsylvania | $66.09 | $66.09 |
| Vermont | $65.89 | $65.89 |
| Virginia | $65.74 | $65.74 |
| Arizona | $65.12 | $65.12 |
| Georgia | $64.71 | $64.71 |
| Michigan | $64.09 | $64.09 |
| Maine | $64.02 | $64.02 |
| Wisconsin | $63.74 | $63.74 |
| Utah | $63.47 | $63.47 |
| North Carolina | $62.71 | $62.71 |
| New Mexico | $62.53 | $62.53 |
| South Carolina | $62.47 | $62.47 |
| Missouri | $62.28 | $62.28 |
| Indiana | $62.16 | $62.16 |
| Louisiana | $62.09 | $62.09 |
| Ohio | $62.03 | $62.03 |
| Nebraska | $61.78 | $61.78 |
| Idaho | $61.73 | $61.73 |
| Iowa | $61.33 | $61.33 |
| Tennessee | $61.17 | $61.17 |
| Kansas | $60.83 | $60.83 |
| Oklahoma | $60.55 | $60.55 |
| Kentucky | $60.50 | $60.50 |
| West Virginia | $60.01 | $60.01 |
| Alabama | $59.21 | $59.21 |
| Mississippi | $58.62 | $58.62 |
| Arkansas | $58.20 | $58.20 |

## Related codes

- 96360: Intravenous infusion, hydration, initial 31 minutes to 1 hour — https://www.med-reveal.com/rates/96360-cpt-fee-schedule
- 96361: Intravenous infusion, hydration, each additional hour (add-on) — https://www.med-reveal.com/rates/96361-cpt-fee-schedule
- 96366: Intravenous infusion, therapy, each additional hour (add-on) — https://www.med-reveal.com/rates/96366-cpt-fee-schedule
- 96367: Intravenous infusion, additional sequential infusion, up to 1 hour (add-on) — https://www.med-reveal.com/rates/96367-cpt-fee-schedule
- 96368: Intravenous infusion, concurrent infusion (add-on) — https://www.med-reveal.com/rates/96368-cpt-fee-schedule
- 96369: Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour — https://www.med-reveal.com/rates/96369-cpt-fee-schedule
- 96370: Subcutaneous infusion, each additional hour (add-on) — https://www.med-reveal.com/rates/96370-cpt-fee-schedule
- 96371: Subcutaneous infusion, additional pump set-up (add-on) — https://www.med-reveal.com/rates/96371-cpt-fee-schedule

Commercial negotiated rates for 96365 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules