96409

Administration of chemotherapy into vein using push technique

Medicare pricing data for 3,934 providers across 47 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

Administration of chemotherapy into vein using push technique (HCPCS code 96409) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $101.12, but hospitals typically charge $371.94 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $101.12, your out-of-pocket cost would be approximately $20.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$101.12
Average Hospital Charge
$371.94
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$371.94
Medicare Allowed$101.12
Medicare Payment$79.63

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $79.63 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$119$376981+17.9%
California$119$4244615,273+17.8%
New Jersey$113$3561131,416+12.2%
Maryland$113$3821141,378+12.1%
New York$112$3071992,154+10.8%
Connecticut$111$4502078+9.7%
Massachusetts$106$29827245+4.6%
Colorado$105$46068551+3.6%
Alaska$105$54713181+3.4%
Washington$104$35280614+3.1%
Virginia$104$3891461,876+2.6%
Wyoming$103$430549+2.3%
Delaware$103$48611279+1.4%
New Hampshire$102$40113153+0.9%
Pennsylvania$102$3181101,417+0.8%
Nevada$102$39952470+0.4%
Minnesota$101$4821441,044-0.1%
North Dakota$101$2764233-0.4%
Illinois$101$4762101,867-0.6%
Oregon$99$37659519-1.9%
Maine$99$40914124-2.1%
South Dakota$98$4416103-2.8%
Florida$97$3213935,484-3.7%
Texas$97$4474264,218-3.7%
Arizona$97$3851451,483-4.5%
Michigan$96$24971754-5.4%
Wisconsin$95$64635175-5.9%
Missouri$95$360105760-6.4%
North Carolina$93$37260509-7.6%
Ohio$93$354108908-8.3%
Utah$92$26123155-8.7%
Georgia$92$377831,041-8.7%
South Carolina$92$35039653-8.9%
New Mexico$91$38332254-9.6%
Nebraska$91$24642581-9.8%
Indiana$91$41254543-10.2%
Iowa$91$28244640-10.2%
Kansas$91$28543548-10.3%
Idaho$90$305686-10.5%
West Virginia$90$236446-11.1%
Oklahoma$89$23824165-12.1%
Tennessee$89$3011191,106-12.4%
Alabama$88$33869572-12.9%
Louisiana$88$30234330-13.2%
Arkansas$86$32744948-14.8%
Kentucky$86$26714121-14.9%
Mississippi$86$26422824-15.4%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber