Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes
Medicare pricing data for 37 providers across 8 states
Prices vary significantly by location — from $90 in Maryland to $304 in Pennsylvania. 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
Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes (HCPCS code G0070) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $196.30, but hospitals typically charge $254.73 — a 1.3x 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 $196.30, your out-of-pocket cost would be approximately $39.26. 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 1.3x more than what Medicare allows for this procedure. Medicare actually pays $155.89 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Pennsylvania | $304 | $341 | 3 | 3,371 | +54.9% |
| New Jersey | $199 | $253 | 3 | 2,151 | +1.2% |
| Washington | $155 | $312 | 3 | 623 | -21.2% |
| New York | $122 | $175 | 3 | 1,373 | -37.7% |
| Indiana | $122 | $145 | 1 | 297 | -37.9% |
| Massachusetts | $119 | $197 | 1 | 221 | -39.5% |
| Minnesota | $107 | $188 | 1 | 756 | -45.3% |
| Maryland | $90 | $141 | 3 | 550 | -54.1% |
⚠️ 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