96361
IV infusion, hydration, each additional hour
IV infusion, hydration, each additional hour is the #82 most-billed Medicaid procedure code, with $2.42B in payments across 21.0M claims from 2018–2024. The national median cost per claim is $38.92. Costs vary widely — the 90th percentile is $285.13 per claim, 7.3× the median.
Total Paid
$2.42B
0.22% of all spending
Total Claims
21.0M
Providers
4K
Avg Cost/Claim
$115
National Cost Distribution
How much do providers bill per claim for 96361? Based on 4K providers billing this code nationally.
Median
$38.92
Average
$91.88
Std Dev
$122.81
Max
$1,788.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.48 and $109.08 per claim for this code.
90% bill between $6.38 and $285.13.
Top 1% bill above $501.57.
About This Procedure
HCPCS code 96361 (IV infusion, hydration, each additional hour) was billed by 4K providers across 21.0M claims, totaling $2.42B in Medicaid payments from 2018–2024. This code was used for 16.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.92
Providers Billing
4K
National Spending
$2.42B
Avg/Median Ratio
2.36×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 96361
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $32.1M |
| 2 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $28.8M |
| 3 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $23.0M |
| 4 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $18.7M |
| 5 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $18.4M |
| 6 | Summa Health System Akron, OH · General Acute Care Hospital | $17.9M |
| 7 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $16.6M |
| 8 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $16.6M |
| 9 | Swedish Health Services Seattle, WA · General Acute Care Hospital | $15.4M |
| 10 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $15.2M |
| 11 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $14.7M |
| 12 | The Lowell General Hospital Lowell, MA · Pharmacy, Institutional Pharmacy | $14.2M |
| 13 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $14.0M |
| 14 | 1972535052 | $13.6M |
| 15 | Dayton Osteopathic Hospital Dayton, OH · General Acute Care Hospital | $13.5M |
| 16 | 1841231461 | $13.3M |
| 17 | 1134227606 | $13.2M |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $12.7M |
| 19 | Public Hospital District 1 Of King County Renton, WA · General Acute Care Hospital | $12.6M |
| 20 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $12.6M |
Showing top 20 of 4K providers billing this code