Injection of drug or substance into vein
Medicare pricing data for 15,679 providers across 52 states
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
Injection of drug or substance into vein (HCPCS code 96374) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.54, but hospitals typically charge $153.48 — a 4.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.54, your out-of-pocket cost would be approximately $7.51. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $29.25 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $43 | $155 | 992 | 21,278 | +15.0% |
| California | $43 | $142 | 1,824 | 41,961 | +13.5% |
| District of Columbia | $42 | $135 | 69 | 264 | +12.9% |
| New Jersey | $42 | $162 | 437 | 5,501 | +11.0% |
| Hawaii | $40 | $97 | 49 | 497 | +7.6% |
| Connecticut | $40 | $255 | 82 | 722 | +5.5% |
| Maryland | $39 | $142 | 364 | 4,409 | +4.9% |
| Alaska | $39 | $289 | 81 | 474 | +4.6% |
| Colorado | $39 | $168 | 374 | 2,078 | +3.1% |
| Massachusetts | $39 | $168 | 367 | 2,540 | +3.0% |
| Virginia | $37 | $160 | 449 | 5,562 | -0.2% |
| Puerto Rico | $37 | $111 | 21 | 132 | -0.6% |
| New Hampshire | $37 | $214 | 55 | 392 | -2.1% |
| Nevada | $37 | $223 | 179 | 5,213 | -2.7% |
| Rhode Island | $36 | $128 | 26 | 232 | -3.3% |
| Illinois | $36 | $174 | 701 | 13,378 | -3.5% |
| Pennsylvania | $36 | $145 | 434 | 3,465 | -3.8% |
| Minnesota | $36 | $187 | 421 | 1,815 | -3.9% |
| North Dakota | $36 | $144 | 86 | 1,017 | -4.0% |
| Washington | $36 | $162 | 515 | 2,122 | -4.8% |
| Florida | $36 | $155 | 1,198 | 33,852 | -4.9% |
| Oregon | $36 | $148 | 191 | 2,229 | -5.1% |
| South Dakota | $36 | $183 | 52 | 215 | -5.2% |
| Texas | $35 | $155 | 1,170 | 15,201 | -5.7% |
| Michigan | $35 | $117 | 239 | 2,690 | -6.1% |
| Maine | $35 | $170 | 55 | 535 | -6.2% |
| Arizona | $35 | $197 | 442 | 7,228 | -6.5% |
| Delaware | $35 | $170 | 39 | 402 | -7.8% |
| Vermont | $34 | $99 | 8 | 73 | -8.5% |
| Wisconsin | $34 | $230 | 273 | 2,058 | -8.7% |
| North Carolina | $34 | $132 | 615 | 4,331 | -9.6% |
| Ohio | $34 | $126 | 299 | 3,886 | -9.7% |
| Montana | $34 | $153 | 54 | 285 | -10.4% |
| Nebraska | $34 | $114 | 153 | 1,465 | -10.5% |
| Missouri | $34 | $160 | 351 | 2,516 | -10.6% |
| Wyoming | $34 | $144 | 72 | 531 | -10.7% |
| Kansas | $33 | $129 | 151 | 1,231 | -10.9% |
| Iowa | $33 | $173 | 153 | 842 | -11.1% |
| Indiana | $33 | $170 | 187 | 2,252 | -11.8% |
| Georgia | $33 | $127 | 426 | 4,875 | -12.0% |
| Louisiana | $33 | $131 | 195 | 2,396 | -12.2% |
| Tennessee | $33 | $159 | 373 | 4,487 | -12.5% |
| West Virginia | $33 | $108 | 45 | 522 | -12.8% |
| South Carolina | $33 | $124 | 339 | 4,277 | -13.4% |
| Alabama | $32 | $122 | 263 | 3,284 | -14.1% |
| Kentucky | $32 | $129 | 105 | 807 | -14.3% |
| New Mexico | $32 | $117 | 108 | 1,623 | -14.4% |
| Idaho | $32 | $103 | 69 | 599 | -15.6% |
| Arkansas | $32 | $127 | 124 | 1,873 | -15.6% |
| Oklahoma | $31 | $112 | 133 | 740 | -16.4% |
| Mississippi | $31 | $133 | 120 | 829 | -16.5% |
| Utah | $31 | $92 | 130 | 561 | -17.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber