Administration of chemotherapy into growth, 1-7
Medicare pricing data for 2,697 providers across 46 states
Prices vary significantly by location — from $33 in Iowa to $83 in California. Where you get this procedure matters more than almost any other factor. 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 chemotherapy into growth, 1-7 (HCPCS code 96405) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $68.70, but hospitals typically charge $197.08 — a 2.9x 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 $68.70, your out-of-pocket cost would be approximately $13.74. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $52.05 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $83 | $192 | 271 | 2,732 | +20.6% |
| Connecticut | $79 | $224 | 24 | 114 | +15.5% |
| New Jersey | $79 | $177 | 42 | 422 | +15.3% |
| Virginia | $79 | $169 | 63 | 757 | +14.8% |
| Maryland | $79 | $181 | 61 | 883 | +14.7% |
| Illinois | $77 | $327 | 44 | 293 | +12.6% |
| Colorado | $76 | $203 | 100 | 1,157 | +11.3% |
| Hawaii | $76 | $194 | 11 | 62 | +10.4% |
| Minnesota | $75 | $251 | 17 | 57 | +9.6% |
| New York | $75 | $293 | 145 | 1,129 | +9.4% |
| Washington | $75 | $195 | 44 | 297 | +9.2% |
| Wisconsin | $74 | $480 | 14 | 191 | +8.4% |
| Nevada | $73 | $175 | 20 | 196 | +7.0% |
| District of Columbia | $73 | $165 | 8 | 78 | +5.8% |
| Michigan | $72 | $184 | 67 | 294 | +5.5% |
| Oregon | $70 | $228 | 22 | 107 | +2.4% |
| Georgia | $70 | $209 | 65 | 425 | +2.0% |
| Rhode Island | $70 | $179 | 23 | 141 | +1.9% |
| Maine | $69 | $320 | 10 | 65 | +0.9% |
| Wyoming | $69 | $179 | 9 | 37 | +0.8% |
| Missouri | $69 | $218 | 39 | 216 | +0.3% |
| Ohio | $68 | $167 | 37 | 233 | -0.4% |
| Arkansas | $68 | $135 | 22 | 164 | -0.5% |
| Florida | $67 | $170 | 427 | 5,553 | -2.0% |
| Oklahoma | $67 | $168 | 24 | 166 | -2.3% |
| Kentucky | $67 | $337 | 32 | 217 | -2.7% |
| Texas | $65 | $197 | 219 | 2,360 | -4.8% |
| Vermont | $65 | $168 | 6 | 66 | -5.2% |
| Kansas | $65 | $136 | 28 | 420 | -5.4% |
| New Hampshire | $65 | $342 | 17 | 202 | -5.4% |
| Louisiana | $65 | $131 | 30 | 185 | -6.1% |
| North Carolina | $64 | $218 | 133 | 1,246 | -6.9% |
| Arizona | $63 | $180 | 112 | 1,383 | -8.8% |
| Nebraska | $63 | $150 | 11 | 69 | -9.0% |
| South Carolina | $63 | $138 | 54 | 716 | -9.0% |
| New Mexico | $62 | $154 | 11 | 147 | -9.2% |
| Tennessee | $62 | $174 | 55 | 399 | -9.4% |
| Alabama | $62 | $300 | 44 | 390 | -9.9% |
| Pennsylvania | $61 | $160 | 67 | 391 | -10.8% |
| Indiana | $61 | $171 | 29 | 116 | -10.9% |
| South Dakota | $61 | $174 | 6 | 26 | -11.0% |
| Idaho | $59 | $131 | 17 | 148 | -14.4% |
| Utah | $57 | $180 | 18 | 80 | -17.6% |
| Mississippi | $55 | $124 | 13 | 411 | -19.5% |
| Massachusetts | $53 | $197 | 64 | 493 | -22.8% |
| Iowa | $33 | $512 | 29 | 227 | -52.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber