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#288 of 11K

96360

IV infusion, hydration, initial, 31 minutes to 1 hour

IV infusion, hydration, initial, 31 minutes to 1 hour is the #288 most-billed Medicaid procedure code, with $493.9M in payments across 5.9M claims from 2018–2024. The national median cost per claim is $61.57. Costs vary widely — the 90th percentile is $175.12 per claim, 2.8× the median.

Total Paid

$493.9M

0.05% of all spending

Total Claims

5.9M

Providers

3K

Avg Cost/Claim

$84

National Cost Distribution

How much do providers bill per claim for 96360? Based on 3K providers billing this code nationally.

Median

$61.57

Average

$79.36

Std Dev

$71.76

Max

$835.53

Percentile Distribution (Cost per Claim)

p10
$9.16
p25
$24.21
Median
$61.57
p75
$112.84
p90
$175.12
p95
$213.84
p99
$287.75

50% of providers bill between $24.21 and $112.84 per claim for this code.

90% bill between $9.16 and $175.12.

Top 1% bill above $287.75.

About This Procedure

HCPCS code 96360 (IV infusion, hydration, initial, 31 minutes to 1 hour) was billed by 3K providers across 5.9M claims, totaling $493.9M in Medicaid payments from 2018–2024. This code was used for 5.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.57

Providers Billing

3K

National Spending

$493.9M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96360

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$5.5M
2Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$3.5M
3Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$3.2M
4Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$3.0M
5Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$3.0M
6Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$2.9M
7The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$2.7M
8Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$2.6M
9Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$2.4M
10Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$2.3M
11New York City Health And Hospitals Corporation

Jamaica, NY · General Acute Care Hospital

$2.3M
12Multicare Health System

Tacoma, WA · Community/Behavioral Health

$2.2M
13Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$2.2M
14The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$2.1M
15The Hospital Of Central Connecticut At New Britain General And Bradley

New Britain, CT · General Acute Care Hospital

$2.0M
16Bridgeport Hospital

Bridgeport, CT · General Acute Care Hospital

$2.0M
17The William W Backus Hospital

Norwich, CT · Clinic/Center, Emergency Care

$2.0M
18Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital

$2.0M
19Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$2.0M
20Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$2.0M

Showing top 20 of 3K providers billing this code