Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l
Medicare pricing data for 3,530 providers across 46 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
Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l (HCPCS code G0498) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $187.34, but hospitals typically charge $723.38 — a 3.9x 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 $187.34, your out-of-pocket cost would be approximately $37.47. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $148.58 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $273 | $765 | 23 | 347 | +45.8% |
| New York | $270 | $768 | 160 | 3,146 | +44.3% |
| New Hampshire | $269 | $888 | 10 | 289 | +43.8% |
| Massachusetts | $262 | $509 | 18 | 355 | +39.8% |
| Minnesota | $258 | $868 | 117 | 2,036 | +37.5% |
| Illinois | $255 | $1,034 | 199 | 6,268 | +36.0% |
| Wisconsin | $246 | $1,178 | 43 | 441 | +31.2% |
| Maine | $230 | $336 | 17 | 297 | +22.7% |
| West Virginia | $229 | $561 | 3 | 122 | +22.5% |
| Virginia | $223 | $760 | 138 | 3,415 | +19.0% |
| South Carolina | $219 | $584 | 28 | 823 | +16.7% |
| Georgia | $218 | $571 | 53 | 1,678 | +16.5% |
| Alabama | $215 | $1,812 | 76 | 2,360 | +15.0% |
| North Carolina | $214 | $727 | 66 | 1,204 | +14.2% |
| Tennessee | $205 | $773 | 145 | 3,671 | +9.6% |
| California | $194 | $767 | 284 | 6,354 | +3.6% |
| Alaska | $191 | $806 | 18 | 521 | +2.2% |
| Maryland | $191 | $639 | 73 | 1,486 | +1.7% |
| New Jersey | $189 | $751 | 49 | 1,354 | +1.0% |
| Delaware | $176 | $986 | 12 | 533 | -5.8% |
| Nevada | $174 | $768 | 54 | 1,561 | -6.9% |
| Pennsylvania | $173 | $714 | 88 | 1,890 | -7.9% |
| Washington | $171 | $441 | 54 | 743 | -8.7% |
| North Dakota | $170 | $590 | 8 | 116 | -9.3% |
| Colorado | $170 | $984 | 50 | 1,029 | -9.4% |
| Wyoming | $169 | $570 | 6 | 205 | -9.8% |
| Florida | $168 | $650 | 412 | 13,180 | -10.5% |
| Oregon | $168 | $861 | 51 | 554 | -10.6% |
| Arizona | $166 | $620 | 159 | 3,537 | -11.2% |
| South Dakota | $162 | $743 | 7 | 135 | -13.5% |
| Ohio | $162 | $653 | 106 | 2,247 | -13.7% |
| Utah | $160 | $399 | 24 | 353 | -14.4% |
| Texas | $160 | $495 | 503 | 12,658 | -14.5% |
| Missouri | $159 | $850 | 98 | 2,172 | -15.3% |
| Idaho | $158 | $459 | 7 | 140 | -15.6% |
| Michigan | $158 | $439 | 44 | 1,093 | -15.9% |
| Kentucky | $156 | $390 | 7 | 136 | -16.7% |
| New Mexico | $156 | $687 | 23 | 419 | -16.9% |
| Louisiana | $151 | $706 | 20 | 341 | -19.2% |
| Oklahoma | $148 | $927 | 21 | 523 | -20.9% |
| Mississippi | $147 | $577 | 26 | 1,289 | -21.5% |
| Indiana | $146 | $679 | 63 | 1,588 | -22.0% |
| Nebraska | $146 | $347 | 37 | 1,027 | -22.1% |
| Arkansas | $145 | $1,072 | 28 | 1,168 | -22.4% |
| Kansas | $143 | $535 | 49 | 2,036 | -23.8% |
| Iowa | $142 | $509 | 47 | 1,443 | -24.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber