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First Hour of an IV Medicine Drip

Pennsylvania rates for HCPCS 96365

A medicine given slowly into a vein through a drip, covering setting up the line and the first hour that the medicine runs. It includes preparing the dose, starting and monitoring the infusion, and watching for a reaction. Time beyond the first hour is billed separately.

Rates data updated July 2026.

How much does First Hour of an IV Medicine Drip cost?

$97.72

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $74.13 to $170.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $98 · 10th to 90th $60 to $275
$100$200professional $98

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$275.42
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$151.36
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$107.15
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$269.15
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$134.90

Where Pennsylvania sits

The same service costs 3.3 times more in South Dakota than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 20th of 51

$97.72

SD $204TX $61.66

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.