Cost analysis for CPT 96413 — Administration of chemotherapy into vein, 1 hour or less
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.4x more than the cheapest for this procedure. CA averages $119.63 vs MS at $84.81.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $119.63 | $16.7M | 139.3K | 619 |
| DC | $119.15 | $217.3K | 1.8K | 19 |
| NJ | $114.98 | $6.0M | 52.1K | 225 |
| GU | $113.14 | $61.8K | 546 | 3 |
| MD | $112.74 | $6.9M | 61.5K | 234 |
| NY | $112.65 | $6.9M | 61.5K | 383 |
| CT | $111.10 | $694.4K | 6.3K | 51 |
| MA | $109.81 | $1.1M | 9.6K | 60 |
| AK | $109.72 | $665.5K | 6.1K | 22 |
| VT | $106.11 | $136.6K | 1.3K | 4 |
| HI | $105.71 | $69.1K | 654 | 5 |
| WA | $105.57 | $2.3M | 22.0K | 155 |
| CO | $104.87 | $2.8M | 26.9K | 143 |
| RI | $104.79 | $103.4K | 987 | 12 |
| NH | $103.46 | $364.2K | 3.5K | 23 |
| PA | $103.44 | $5.9M | 57.2K | 299 |
| VI | $102.93 | $51.5K | 500 | 2 |
| MN | $102.89 | $2.7M | 26.0K | 234 |
| VA | $102.62 | $6.5M | 63.5K | 229 |
| NV | $102.29 | $1.7M | 16.5K | 71 |
| DE | $101.97 | $914.6K | 9.0K | 25 |
| IL | $101.42 | $7.1M | 69.9K | 367 |
| WY | $101.34 | $137.3K | 1.4K | 6 |
| ME | $99.93 | $557.0K | 5.6K | 27 |
| OR | $99.51 | $1.6M | 15.9K | 87 |
| MT | $98.90 | $90.0K | 910 | 8 |
| FL | $98.78 | $19.1M | 193.5K | 733 |
| AZ | $98.10 | $5.6M | 57.3K | 227 |
| TX | $98.05 | $16.0M | 163.6K | 814 |
| SD | $97.90 | $175.8K | 1.8K | 13 |
| ND | $97.85 | $171.8K | 1.8K | 10 |
| MI | $96.94 | $2.7M | 27.9K | 168 |
| XX | $96.59 | $34.2K | 354 | 1 |
| MO | $95.32 | $3.1M | 32.5K | 162 |
| WI | $95.01 | $989.5K | 10.4K | 78 |
| NC | $94.37 | $4.3M | 46.0K | 275 |
| NM | $93.96 | $780.0K | 8.3K | 44 |
| GA | $93.63 | $3.2M | 33.7K | 155 |
| UT | $93.28 | $744.2K | 8.0K | 54 |
| IA | $93.21 | $1.9M | 20.6K | 80 |
| NE | $93.06 | $1.5M | 16.5K | 84 |
| OH | $92.88 | $3.6M | 38.3K | 212 |
| KS | $92.38 | $2.1M | 22.8K | 80 |
| SC | $91.52 | $3.3M | 35.7K | 148 |
| IN | $91.51 | $2.2M | 24.2K | 116 |
| LA | $90.49 | $1.5M | 16.6K | 66 |
| ID | $89.93 | $389.3K | 4.3K | 15 |
| WV | $89.70 | $195.5K | 2.2K | 10 |
| AL | $89.62 | $3.0M | 33.7K | 150 |
| TN | $89.45 | $4.6M | 51.5K | 244 |
| KY | $89.08 | $902.9K | 10.1K | 54 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Nehal Gandhi | Rheumatology | PA | $233.5K | 2.2K | $106.26 |
| Vinh-Linh Nguyen | Hematology-Oncology | CA | $232.8K | 2.2K | $106.58 |
| Joy Schechtman | Rheumatology | AZ | $215.8K | 2.1K | $101.44 |
| Mei Tang | Hematology-Oncology | MD | $209.3K | 1.9K | $111.91 |
| Craig Carson | Rheumatology | OK | $196.0K | 2.2K | $89.09 |
| Luke Dreisbach | Hematology-Oncology | CA | $171.9K | 1.5K | $112.84 |
| Aaron Broadwell | Rheumatology | LA | $169.9K | 1.8K | $92.05 |
| John Waples | Hematology-Oncology | AL | $153.3K | 1.7K | $92.49 |
| Jamal Misleh | Hematology-Oncology | DE | $152.7K | 1.5K | $103.62 |
| Thomas Buroker | Medical Oncology | IA | $152.3K | 1.6K | $93.28 |
| Rachel Chase | Rheumatology | KY | $151.7K | 1.6K | $93.04 |
| Richard Houk | Rheumatology | AR | $151.6K | 1.7K | $90.34 |
| Travis Koeneke | Hematology-Oncology | KS | $143.9K | 1.5K | $93.97 |
| Larry Broadwell | Rheumatology | LA | $143.3K | 1.5K | $93.01 |
| Bassam Mattar | Hematology-Oncology | KS | $138.4K | 1.5K | $93.57 |
| Kamal Patel | Hematology-Oncology | AR | $137.5K | 1.6K | $86.72 |
| Justin Kucinski | Hematology-Oncology | MD | $133.8K | 1.3K | $105.27 |
| Azriel Hirschfeld | Hematology-Oncology | NY | $133.6K | 1.1K | $125.95 |
| Shariar Cohen-Gadol | Rheumatology | CA | $133.3K | 1.1K | $120.12 |
| Robert Williams | Medical Oncology | CA | $132.6K | 1.2K | $110.05 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.