Administration of chemotherapy into vein, each additional hour
Medicare pricing data for 12,469 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 chemotherapy into vein, each additional hour (HCPCS code 96415) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.78, but hospitals typically charge $126.76 — a 4.6x 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 $27.78, your out-of-pocket cost would be approximately $5.56. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $21.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $32 | $195 | 47 | 916 | +15.0% |
| California | $32 | $148 | 1,057 | 68,208 | +14.7% |
| Alaska | $32 | $260 | 37 | 2,311 | +14.4% |
| New Jersey | $31 | $141 | 336 | 23,268 | +12.4% |
| New York | $31 | $144 | 693 | 32,510 | +10.0% |
| Maryland | $31 | $161 | 356 | 22,448 | +9.8% |
| Massachusetts | $30 | $164 | 135 | 7,003 | +8.5% |
| Connecticut | $30 | $174 | 159 | 3,294 | +7.6% |
| Rhode Island | $29 | $138 | 17 | 616 | +3.9% |
| Hawaii | $29 | $62 | 9 | 280 | +3.3% |
| Colorado | $29 | $130 | 242 | 12,132 | +3.0% |
| Washington | $29 | $121 | 260 | 9,903 | +2.9% |
| Vermont | $28 | $180 | 5 | 444 | +2.4% |
| Virginia | $28 | $137 | 335 | 22,121 | +2.3% |
| Pennsylvania | $28 | $129 | 536 | 23,886 | +1.7% |
| New Hampshire | $28 | $152 | 45 | 1,186 | +1.2% |
| Illinois | $28 | $154 | 547 | 28,752 | +0.7% |
| Delaware | $28 | $124 | 52 | 3,708 | +0.0% |
| Nevada | $28 | $124 | 110 | 7,638 | -0.1% |
| Minnesota | $28 | $135 | 372 | 10,832 | -0.1% |
| Wyoming | $28 | $145 | 20 | 642 | -0.6% |
| Montana | $28 | $83 | 19 | 869 | -1.0% |
| South Dakota | $27 | $155 | 25 | 1,175 | -1.2% |
| Oregon | $27 | $111 | 205 | 8,591 | -1.3% |
| Florida | $27 | $91 | 1,056 | 72,629 | -1.5% |
| Arizona | $27 | $124 | 332 | 21,597 | -3.0% |
| Maine | $27 | $156 | 36 | 1,437 | -3.4% |
| Texas | $27 | $125 | 1,253 | 68,434 | -3.4% |
| Puerto Rico | $27 | $44 | 61 | 2,711 | -4.0% |
| Michigan | $27 | $84 | 342 | 12,155 | -4.3% |
| Missouri | $26 | $121 | 283 | 12,722 | -4.8% |
| North Dakota | $26 | $86 | 20 | 688 | -5.6% |
| New Mexico | $26 | $114 | 71 | 4,219 | -6.4% |
| Georgia | $26 | $151 | 324 | 13,941 | -6.4% |
| North Carolina | $26 | $125 | 485 | 20,365 | -6.4% |
| Wisconsin | $26 | $201 | 144 | 6,058 | -6.6% |
| Utah | $26 | $80 | 97 | 4,405 | -7.0% |
| Ohio | $26 | $132 | 382 | 15,130 | -7.2% |
| Nebraska | $26 | $83 | 117 | 5,028 | -7.6% |
| Iowa | $26 | $83 | 116 | 7,021 | -7.8% |
| Kansas | $26 | $134 | 124 | 12,681 | -7.9% |
| Indiana | $26 | $126 | 211 | 9,869 | -8.1% |
| West Virginia | $26 | $87 | 16 | 712 | -8.2% |
| Idaho | $25 | $116 | 32 | 2,093 | -9.2% |
| Louisiana | $25 | $130 | 117 | 5,004 | -9.4% |
| South Carolina | $25 | $138 | 204 | 15,223 | -9.5% |
| Alabama | $25 | $101 | 212 | 11,894 | -10.2% |
| Kentucky | $25 | $106 | 110 | 5,124 | -10.4% |
| Oklahoma | $25 | $86 | 92 | 8,147 | -10.8% |
| Tennessee | $25 | $94 | 383 | 17,192 | -10.9% |
| Arkansas | $24 | $107 | 117 | 11,335 | -12.3% |
| Mississippi | $24 | $118 | 106 | 6,810 | -12.3% |
⚠️ 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