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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 96413
  4. Cost Analysis

How Much Does Administration of chemotherapy into vein, 1 hour or less Cost on Medicare?

Cost analysis for CPT 96413 — Administration of chemotherapy into vein, 1 hour or less

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Average Medicare Payment

N/A

Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. CA averages $119.63 vs MS at $84.81.

StateAvg PaymentTotal PaymentsServicesProviders
CA$119.63$16.7M139.3K619
DC$119.15$217.3K1.8K19
NJ$114.98$6.0M52.1K225
GU$113.14$61.8K5463
MD$112.74$6.9M61.5K234
NY$112.65$6.9M61.5K383
CT$111.10$694.4K6.3K51
MA$109.81$1.1M9.6K60
AK$109.72$665.5K6.1K22
VT$106.11$136.6K1.3K4
HI$105.71$69.1K6545
WA$105.57$2.3M22.0K155
CO$104.87$2.8M26.9K143
RI$104.79$103.4K98712
NH$103.46$364.2K3.5K23
PA$103.44$5.9M57.2K299
VI$102.93$51.5K5002
MN$102.89$2.7M26.0K234
VA$102.62$6.5M63.5K229
NV$102.29$1.7M16.5K71
DE$101.97$914.6K9.0K25
IL$101.42$7.1M69.9K367
WY$101.34$137.3K1.4K6
ME$99.93$557.0K5.6K27
OR$99.51$1.6M15.9K87
MT$98.90$90.0K9108
FL$98.78$19.1M193.5K733
AZ$98.10$5.6M57.3K227
TX$98.05$16.0M163.6K814
SD$97.90$175.8K1.8K13
ND$97.85$171.8K1.8K10
MI$96.94$2.7M27.9K168
XX$96.59$34.2K3541
MO$95.32$3.1M32.5K162
WI$95.01$989.5K10.4K78
NC$94.37$4.3M46.0K275
NM$93.96$780.0K8.3K44
GA$93.63$3.2M33.7K155
UT$93.28$744.2K8.0K54
IA$93.21$1.9M20.6K80
NE$93.06$1.5M16.5K84
OH$92.88$3.6M38.3K212
KS$92.38$2.1M22.8K80
SC$91.52$3.3M35.7K148
IN$91.51$2.2M24.2K116
LA$90.49$1.5M16.6K66
ID$89.93$389.3K4.3K15
WV$89.70$195.5K2.2K10
AL$89.62$3.0M33.7K150
TN$89.45$4.6M51.5K244
KY$89.08$902.9K10.1K54

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Nehal GandhiRheumatologyPA$233.5K2.2K$106.26
Vinh-Linh NguyenHematology-OncologyCA$232.8K2.2K$106.58
Joy SchechtmanRheumatologyAZ$215.8K2.1K$101.44
Mei TangHematology-OncologyMD$209.3K1.9K$111.91
Craig CarsonRheumatologyOK$196.0K2.2K$89.09
Luke DreisbachHematology-OncologyCA$171.9K1.5K$112.84
Aaron BroadwellRheumatologyLA$169.9K1.8K$92.05
John WaplesHematology-OncologyAL$153.3K1.7K$92.49
Jamal MislehHematology-OncologyDE$152.7K1.5K$103.62
Thomas BurokerMedical OncologyIA$152.3K1.6K$93.28
Rachel ChaseRheumatologyKY$151.7K1.6K$93.04
Richard HoukRheumatologyAR$151.6K1.7K$90.34
Travis KoenekeHematology-OncologyKS$143.9K1.5K$93.97
Larry BroadwellRheumatologyLA$143.3K1.5K$93.01
Bassam MattarHematology-OncologyKS$138.4K1.5K$93.57
Kamal PatelHematology-OncologyAR$137.5K1.6K$86.72
Justin KucinskiHematology-OncologyMD$133.8K1.3K$105.27
Azriel HirschfeldHematology-OncologyNY$133.6K1.1K$125.95
Shariar Cohen-GadolRheumatologyCA$133.3K1.1K$120.12
Robert WilliamsMedical OncologyCA$132.6K1.2K$110.05

🤔 Is Administration of chemotherapy into vein, 1 hour or less Overpriced?

Based on the data, CPT 96413 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.