Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle
Medicare pricing data for 12,280 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
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS code 96401) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $72.43, but hospitals typically charge $196.56 — a 2.7x 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 $72.43, your out-of-pocket cost would be approximately $14.49. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $56.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $84 | $214 | 963 | 61,540 | +16.0% |
| District of Columbia | $84 | $225 | 31 | 2,556 | +15.8% |
| New York | $82 | $215 | 782 | 31,962 | +13.3% |
| New Jersey | $81 | $180 | 624 | 48,633 | +12.5% |
| Maryland | $80 | $197 | 428 | 40,803 | +10.9% |
| Massachusetts | $79 | $232 | 121 | 6,143 | +9.1% |
| Connecticut | $79 | $216 | 137 | 3,646 | +8.4% |
| Alaska | $78 | $323 | 25 | 1,264 | +7.9% |
| Virginia | $76 | $203 | 379 | 37,038 | +4.6% |
| Colorado | $75 | $194 | 224 | 13,090 | +4.2% |
| Rhode Island | $75 | $165 | 15 | 1,111 | +3.8% |
| Vermont | $75 | $157 | 3 | 463 | +3.6% |
| New Hampshire | $74 | $282 | 27 | 945 | +2.2% |
| Pennsylvania | $74 | $183 | 582 | 47,171 | +1.8% |
| Washington | $73 | $234 | 171 | 4,794 | +1.0% |
| Delaware | $73 | $148 | 57 | 9,615 | +0.1% |
| Illinois | $73 | $236 | 446 | 25,336 | +0.1% |
| Wyoming | $72 | $335 | 8 | 230 | -0.2% |
| Puerto Rico | $72 | $82 | 53 | 424 | -0.6% |
| Minnesota | $72 | $289 | 217 | 7,102 | -0.7% |
| Nevada | $72 | $205 | 92 | 5,101 | -1.0% |
| Hawaii | $72 | $137 | 28 | 527 | -1.1% |
| Oregon | $72 | $228 | 94 | 4,380 | -1.3% |
| Florida | $71 | $179 | 1,689 | 147,852 | -2.1% |
| Arizona | $70 | $156 | 271 | 26,827 | -3.2% |
| Maine | $69 | $301 | 27 | 1,006 | -4.3% |
| Texas | $69 | $205 | 1,342 | 107,025 | -4.8% |
| Michigan | $69 | $160 | 222 | 10,611 | -5.1% |
| South Dakota | $68 | $225 | 13 | 606 | -6.3% |
| Wisconsin | $68 | $370 | 97 | 2,713 | -6.6% |
| Georgia | $67 | $333 | 361 | 14,515 | -7.0% |
| North Carolina | $67 | $170 | 265 | 16,878 | -7.3% |
| Missouri | $67 | $229 | 198 | 6,069 | -7.9% |
| Ohio | $66 | $207 | 255 | 12,471 | -8.5% |
| North Dakota | $66 | $217 | 23 | 488 | -8.7% |
| New Mexico | $66 | $192 | 86 | 3,411 | -8.8% |
| Utah | $66 | $206 | 64 | 4,954 | -8.9% |
| South Carolina | $66 | $152 | 218 | 13,952 | -9.0% |
| Iowa | $65 | $186 | 103 | 6,853 | -9.6% |
| Idaho | $65 | $203 | 21 | 727 | -10.0% |
| Kansas | $65 | $187 | 89 | 5,844 | -10.2% |
| Nebraska | $65 | $176 | 71 | 7,843 | -10.2% |
| Louisiana | $64 | $167 | 143 | 13,495 | -11.3% |
| Montana | $64 | $202 | 7 | 59 | -11.6% |
| Indiana | $64 | $177 | 152 | 11,413 | -12.1% |
| Alabama | $63 | $170 | 268 | 11,080 | -12.4% |
| Tennessee | $63 | $213 | 333 | 17,244 | -12.4% |
| Oklahoma | $63 | $196 | 69 | 3,230 | -12.5% |
| Arkansas | $62 | $215 | 135 | 11,742 | -14.1% |
| Kentucky | $62 | $166 | 79 | 5,987 | -14.2% |
| West Virginia | $62 | $162 | 26 | 1,349 | -14.9% |
| Mississippi | $61 | $164 | 137 | 10,385 | -15.8% |
⚠️ 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