# CPT 96416: Chemotherapy administration, prolonged infusion requiring portable pump

Medicare CPT 96416 pays $133.27 in a non-facility setting and $133.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $114.66 in Arkansas to $155.97 in District of Columbia, a 36% spread.

Web page: https://www.med-reveal.com/rates/96416-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Hematology & Oncology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $133.27 |
| National facility | $133.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $155.97 | $155.97 |
| California | $155.16 | $155.16 |
| Washington | $150.35 | $150.35 |
| New Jersey | $149.44 | $149.44 |
| Hawaii | $149.26 | $149.26 |
| New York | $148.77 | $148.77 |
| Massachusetts | $148.41 | $148.41 |
| Alaska | $143.78 | $143.78 |
| Connecticut | $143.44 | $143.44 |
| Colorado | $140.77 | $140.77 |
| Oregon | $139.31 | $139.31 |
| Maryland | $138.81 | $138.81 |
| New Hampshire | $138.06 | $138.06 |
| Rhode Island | $137.24 | $137.24 |
| Florida | $135.90 | $135.90 |
| Minnesota | $135.22 | $135.22 |
| Puerto Rico | $134.60 | $134.60 |
| Virgin Islands | $134.60 | $134.60 |
| Montana | $133.26 | $133.26 |
| Nevada | $133.00 | $133.00 |
| Wyoming | $132.66 | $132.66 |
| North Dakota | $131.88 | $131.88 |
| South Dakota | $131.72 | $131.72 |
| Delaware | $131.58 | $131.58 |
| Illinois | $131.25 | $131.25 |
| Texas | $131.22 | $131.22 |
| Pennsylvania | $130.96 | $130.96 |
| Vermont | $130.88 | $130.88 |
| Virginia | $130.48 | $130.48 |
| Arizona | $129.09 | $129.09 |
| Georgia | $128.04 | $128.04 |
| Maine | $126.88 | $126.88 |
| Michigan | $126.67 | $126.67 |
| Wisconsin | $126.45 | $126.45 |
| Utah | $125.60 | $125.60 |
| North Carolina | $124.12 | $124.12 |
| South Carolina | $123.50 | $123.50 |
| New Mexico | $123.45 | $123.45 |
| Missouri | $123.03 | $123.03 |
| Indiana | $123.02 | $123.02 |
| Louisiana | $122.60 | $122.60 |
| Ohio | $122.51 | $122.51 |
| Nebraska | $122.27 | $122.27 |
| Idaho | $122.12 | $122.12 |
| Iowa | $121.33 | $121.33 |
| Tennessee | $120.91 | $120.91 |
| Kansas | $120.21 | $120.21 |
| Oklahoma | $119.49 | $119.49 |
| Kentucky | $119.32 | $119.32 |
| West Virginia | $118.04 | $118.04 |
| Alabama | $116.77 | $116.77 |
| Mississippi | $115.43 | $115.43 |
| Arkansas | $114.66 | $114.66 |

## 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
- 96365: Intravenous infusion, for therapy/prophylaxis/diagnosis, initial, up to 1 hour — https://www.med-reveal.com/rates/96365-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

Commercial negotiated rates for 96416 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