79101

Radioactive drug therapy through a vein

Medicare pricing data for 1,406 providers across 46 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Radioactive drug therapy through a vein (HCPCS code 79101) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $106.58, but hospitals typically charge $517.80 — a 4.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.32

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $106.58, your out-of-pocket cost would be approximately $21.32. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$106.58
Average Hospital Charge
$517.80
Markup Ratio
4.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$517.80
Medicare Allowed$106.58
Medicare Payment$82.39

Hospitals charge 4.9x more than what Medicare allows for this procedure. Medicare actually pays $82.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$148$658885+39.1%
Maine$141$399221+31.9%
New Mexico$139$680360+30.4%
Nebraska$127$35014297+19.5%
New Jersey$124$43137377+16.7%
Virginia$121$51542449+13.3%
Maryland$121$42730499+13.1%
Arizona$120$61441529+12.8%
Florida$119$5041001,400+11.7%
Arkansas$119$46723175+11.3%
Washington$117$36545580+10.1%
Idaho$114$393860+7.1%
Michigan$113$47738431+6.4%
Louisiana$112$37821153+5.3%
Colorado$111$43324379+4.3%
Texas$111$760861,287+3.9%
California$110$5811141,681+3.2%
Utah$108$2741490+1.8%
New York$107$56278993+0.8%
Pennsylvania$107$39966799+0.3%
Georgia$104$53138384-2.0%
Ohio$100$40852533-6.4%
Massachusetts$100$37837666-6.5%
District of Columbia$99$356567-7.0%
Illinois$98$46968627-7.7%
Connecticut$98$37516125-8.0%
Oregon$95$27218245-10.6%
Delaware$95$659345-11.3%
Montana$94$285850-12.0%
South Carolina$93$68625227-12.4%
Tennessee$93$44829442-12.4%
Minnesota$93$759231,014-13.0%
Vermont$92$472348-13.4%
Missouri$92$41524244-13.4%
Kentucky$92$31020188-13.6%
West Virginia$91$318655-14.2%
Oklahoma$91$3536104-14.6%
Wisconsin$90$99830412-15.2%
Alabama$90$3821395-15.2%
North Carolina$90$43549585-15.3%
Kansas$90$2399204-15.4%
Iowa$90$41314212-15.8%
Mississippi$89$343746-16.1%
New Hampshire$89$1,207388-16.2%
Indiana$89$27610277-16.2%
Hawaii$84$486457-21.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber