Not otherwise classified, antineoplastic drugs
Medicare pricing data for 704 providers across 17 states
Prices vary significantly by location — from $0 in New Mexico to $31,591 in Missouri. 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
Not otherwise classified, antineoplastic drugs (HCPCS code J9999) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $781.27, but hospitals typically charge $2,434 — a 3.1x 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 $781.27, your out-of-pocket cost would be approximately $156.25. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $622.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Missouri | $31,591 | $64,817 | 13 | 18 | +3943.6% |
| Minnesota | $8,830 | $24,639 | 54 | 308 | +1030.3% |
| Colorado | $8,604 | $27,762 | 15 | 100 | +1001.3% |
| Tennessee | $7,779 | $23,357 | 34 | 198 | +895.6% |
| Illinois | $5,379 | $18,231 | 47 | 333 | +588.5% |
| Arizona | $4,543 | $19,435 | 30 | 120 | +481.5% |
| North Carolina | $2,407 | $10,224 | 15 | 77 | +208.1% |
| Texas | $2,344 | $8,413 | 54 | 504 | +200.0% |
| Florida | $1,487 | $4,406 | 156 | 1,838 | +90.4% |
| Washington | $896 | $2,065 | 11 | 353 | +14.7% |
| California | $508 | $1,776 | 77 | 4,716 | -35.0% |
| Kansas | $500 | $3,144 | 10 | 557 | -36.0% |
| Oregon | $217 | $1,011 | 18 | 155 | -72.2% |
| Ohio | $178 | $536 | 11 | 3,423 | -77.2% |
| Maryland | $141 | $292 | 7 | 1,966 | -81.9% |
| Puerto Rico | $57 | $65 | 6 | 23 | -92.7% |
| New Mexico | $0 | $56 | 1 | 255 | -99.9% |
⚠️ 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