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See a sample rate comparisonCPT 96548 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.
Ntraop Hipec Px Ea Add 30min, Intraoperative Hyperthermic Intraperitoneal Chemotherapy Hipec Procedure Including Separate Incision S And Closure When Performed Each Additional 30 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 | $151.64 national non-facility rate (2026) · View Medicare rates for 96548 |
| Medicaid Fee Schedule | $118.69 median of the 8 states in the free preview · View Medicaid rates for 96548 |
National average reimbursement for CPT 96548 by major payers:
$278.11
$627.13
$791.26
$328.12
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CPT 96548
5 of 25 sample ratesHigher to lower in this preview
Dignity Health, Mercy General Hospital
$32,951.00Published rateTexas Health Hospital Mansfield
$9,078.00Published rateUniversity Medical Center, Inc, Dba University Of Lousiville Hospital
University Medical Center Inc
$4,473.00Published rateVhs Of Arrowhead, Inc, Abrazo Arrowhead Campus
$2,167.00Published rateGreat River Medical Center
Mississippi County Hospital System
$594.00Published rate
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See a sample payer proposalCPT 96548 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 96548 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 96548 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 |
|---|---|---|
| 96548-CPT | Moderate | Ntraop Hipec Px Ea Add 30min, Intraoperative Hyperthermic Intraperitoneal Chemotherapy Hipec Procedure Including Separate Incision S And Closure When Performed Each Additional 30 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 96548. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96548 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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