Administration of prolonged chemotherapy into vein
Medicare pricing data for 1,892 providers across 38 states
Prices vary significantly by location — from $39 in Mississippi to $151 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 prolonged chemotherapy into vein (HCPCS code 96416) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $129.87, but hospitals typically charge $518.27 — a 4.0x 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 $129.87, your out-of-pocket cost would be approximately $25.97. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $103.37 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $151 | $682 | 317 | 4,777 | +16.3% |
| New York | $147 | $541 | 116 | 1,449 | +13.3% |
| New Jersey | $146 | $501 | 87 | 1,631 | +12.1% |
| Maryland | $141 | $503 | 93 | 1,623 | +8.4% |
| Oregon | $132 | $603 | 31 | 324 | +1.3% |
| Washington | $131 | $521 | 35 | 300 | +1.1% |
| Illinois | $131 | $557 | 86 | 927 | +0.8% |
| New Hampshire | $128 | $540 | 7 | 46 | -1.8% |
| Pennsylvania | $125 | $401 | 66 | 983 | -3.7% |
| Delaware | $125 | $777 | 10 | 99 | -4.0% |
| Virginia | $124 | $588 | 73 | 647 | -4.5% |
| Colorado | $124 | $990 | 26 | 94 | -4.9% |
| New Mexico | $123 | $517 | 21 | 450 | -5.5% |
| Arizona | $120 | $404 | 26 | 130 | -7.9% |
| Michigan | $118 | $250 | 67 | 1,069 | -9.0% |
| North Carolina | $118 | $510 | 41 | 281 | -9.2% |
| Florida | $118 | $340 | 130 | 1,030 | -9.4% |
| Minnesota | $117 | $520 | 43 | 305 | -9.6% |
| South Carolina | $117 | $518 | 20 | 888 | -9.9% |
| Iowa | $117 | $539 | 10 | 117 | -10.0% |
| Nebraska | $116 | $333 | 23 | 859 | -10.4% |
| Utah | $116 | $331 | 6 | 92 | -10.4% |
| Puerto Rico | $115 | $122 | 13 | 139 | -11.1% |
| Missouri | $115 | $522 | 24 | 128 | -11.6% |
| Wisconsin | $114 | $1,079 | 18 | 115 | -12.0% |
| Texas | $113 | $452 | 168 | 1,555 | -12.9% |
| Oklahoma | $113 | $462 | 5 | 79 | -13.1% |
| Kentucky | $112 | $494 | 8 | 76 | -13.6% |
| Ohio | $112 | $464 | 33 | 458 | -13.8% |
| Georgia | $111 | $604 | 59 | 703 | -14.6% |
| Indiana | $111 | $452 | 19 | 127 | -14.6% |
| Arkansas | $109 | $471 | 34 | 471 | -15.9% |
| Tennessee | $108 | $314 | 10 | 48 | -17.1% |
| Kansas | $107 | $503 | 13 | 35 | -17.7% |
| Louisiana | $107 | $460 | 29 | 370 | -17.8% |
| Alabama | $105 | $533 | 44 | 428 | -19.4% |
| Nevada | $82 | $492 | 24 | 98 | -37.1% |
| Mississippi | $39 | $428 | 13 | 53 | -69.8% |
⚠️ 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