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See a sample rate comparisonCPT 96547 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Intraop Hipec Px 1st 60 Min, Intraoperative Hyperthermic Intraperitoneal Chemotherapy Hipec Procedure Including Separate Incision S And Closure When Performed First 60 Minutes List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $329.67 national non-facility rate (2026) · View Medicare rates for 96547 |
| Medicaid Fee Schedule | $257.785 median of the 8 states in the free preview · View Medicaid rates for 96547 |
National average reimbursement for CPT 96547 by major payers:
$564.87
$1,205.16
$1,353.10
$677.87
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CPT 96547
5 of 25 sample ratesHigher to lower in this preview
Usc University Hospital
Keck Medical Center Of Usc
$13,097.00Published rateAdvocate Health And Hospitals Corporation, Advocate Good Samaritan Hospital
Advocate Health And Hospitals Corporation
$6,291.00Published rateAgh Laveen LLC, Dignity Health Arizona General Hospital
Agh Laveen LLC
$3,846.00Published rateMobile Infirmary Association, Mobile Infirmary Medical Center
Mobile Infirmary Association
$1,819.00Published ratePorter
$717.00Published rate
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See a sample payer proposalCPT 96547 vs. Other Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration Codes
The CPT 96547 code is part of the Medicine Services and Procedures services used for Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 96547 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 96547-CPT | Moderate | Intraop Hipec Px 1st 60 Min, Intraoperative Hyperthermic Intraperitoneal Chemotherapy Hipec Procedure Including Separate Incision S And Closure When Performed First 60 Minutes List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96547. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96547 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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