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Procedure price report · Ancillary Services

Refill and service of an implanted drug pump or reservoir

CPT 96522the billing code this page is about

Covers refilling a pump or reservoir implanted under the skin that delivers drugs into the body, and checking that it works properly.

Hospitals typically charge $344 cash for this outpatient procedure — the median across 1,081 hospitals that filed a usable cash price; the average of the middle 60% is $363. Most fall between $207 and $612 (20th–80th percentile).

Hospitals
1,081
States
50
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,081 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$156$230$344$535$860

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($156 vs $860).

How the prices are spread

$116 – $145: 43 hospitals$116$145 – $180: 69 hospitals$180 – $225: 96 hospitals$180$225 – $280: 153 hospitals$280 – $349: 132 hospitals$280$349 – $435: 128 hospitals$435 – $543: 141 hospitals$435$543 – $676: 82 hospitals$676 – $843: 65 hospitals$676$843 – $1,050: 66 hospitals$843median $344price bands are equal on a log scale
Hospitals per price band (975 of 1,081 — the bands cover the 5th to 95th percentile)
FromToHospitals
$116$14543
$145$18069
$180$22596
$225$280153
$280$349132
$349$435128
$435$543141
$543$67682
$676$84365
$843$1,05066

Against Medicare

Medicare pays (OPPS 2026, national rate)$217
Median cash price$344
Cash as a multiple of Medicare1.58×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $344.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $466 across 34 hospitalsWA$466Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $246 across 20 hospitalsMN$246Illinois: median $378 across 44 hospitalsIL$378Wisconsin: median $321 across 27 hospitalsWI$321Michigan: median $292 across 46 hospitalsMI$292New York: median $252 across 46 hospitalsNY$252Massachusetts: median $448 across 24 hospitalsMA$448Oregon: median $387 across 18 hospitalsOR$387Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $230 across 20 hospitalsIA$230Indiana: median $331 across 34 hospitalsIN$331Ohio: median $390 across 79 hospitalsOH$390Pennsylvania: median $424 across 56 hospitalsPA$424New Jersey: median $246 across 27 hospitalsNJ$246Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $468 across 108 hospitalsCA$468Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $892 across 16 hospitalsCO$892Nebraska: median $277 across 13 hospitalsNE$277Missouri: median $239 across 16 hospitalsMO$239Kentucky: median $421 across 25 hospitalsKY$421West Virginia: median $371 across 13 hospitalsWV$371Virginia: median $407 across 15 hospitalsVA$407Maryland: median $315 across 13 hospitalsMD$315Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $200 across 10 hospitalsKS$200Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $132 across 18 hospitalsTN$132North Carolina: median $199 across 27 hospitalsNC$199South Carolina: median $395 across 21 hospitalsSC$395Oklahoma: median $112 across 20 hospitalsOK$112Louisiana: median $163 across 14 hospitalsLA$163Mississippi: median $175 across 10 hospitalsMS$175Alabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $457 across 45 hospitalsGA$457Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $404 across 59 hospitalsTX$404Florida: median $506 across 61 hospitalsFL$506
Cash price by state, most expensive first. National median $344. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO16$892+159%$233 – $1,050
Florida FL61$506+47%$314 – $816
California CA108$468+36%$242 – $526
Washington WA34$466+36%$233 – $562
Georgia GA45$457+33%$123 – $545
Massachusetts MA24$448+30%$367 – $837
Pennsylvania PA56$424+23%$251 – $1,350
Kentucky KY25$421+22%$202 – $2,405
Virginia VA15$407+18%$318 – $407
Texas TX59$404+17%$240 – $763
South Carolina SC21$395+15%$385 – $395
Ohio OH79$390+13%$231 – $836
Oregon OR18$387+13%$321 – $575
Illinois IL44$378+10%$171 – $693
West Virginia WV13$371+8%$245 – $547
Indiana IN34$331−4%$199 – $557
Wisconsin WI27$321−7%$281 – $445
Maryland MD13$315−8%$176 – $480
Michigan MI46$292−15%$224 – $374
Nebraska NE13$277−20%$178 – $418
New York NY46$252−27%$205 – $577
New Jersey NJ27$246−28%$230 – $281
Minnesota MN20$246−29%$232 – $460
Missouri MO16$239−31%$195 – $419
Iowa IA20$230−33%$209 – $384
Kansas KS10$200−42%$100 – $343
North Carolina NC27$199−42%$171 – $335
Mississippi MS10$175−49%$146 – $203
Louisiana LA14$163−53%$134 – $259
Tennessee TN18$132−62%$106 – $289
Oklahoma OK20$112−67%$106 – $264
Idaho ID9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $344.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care915$343$200 – $616
Children’s20$376$242 – $753
Critical access141$337$226 – $577
Ownership
For-profit97$451$232 – $816
Government139$288$188 – $511
Non-profit840$347$207 – $592
System affiliation
Part of a system933$360$209 – $630
Independent148$287$186 – $519

Cash price vs list price

Median list price (chargemaster)$673
Median cash price$344
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

803 hospitals filed a usable inpatient cash price for this code. The median is $377 and the average of the middle 60% is $382; most fall between $209 and $648.

Cash price percentiles, inpatient, across 803 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$150$232$377$559$860

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($150 vs $860).

Of the 848 hospitals that filed this code inpatient, 803 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

1,081 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,128 hospitals that filed this code at all gave us
Usable cash price — counted1,081
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded34
Hospitals that filed this code1,128

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Ancillary Services family.

Hospitals file this code under descriptions such as Refill&Maintenance Pump Drug Dlvr Systemic.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Refill and service of an implanted drug pump or reservoir (CPT 96522) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96522-refill-and-service-of-an-implanted-drug-pump-or-reservoir