Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
Medicare pricing data for 12,633 providers across 52 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
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS code 96402) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.54, but hospitals typically charge $115.49 — a 3.4x 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 $33.54, your out-of-pocket cost would be approximately $6.71. 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 3.4x more than what Medicare allows for this procedure. Medicare actually pays $25.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $39 | $133 | 1,272 | 41,897 | +15.0% |
| New York | $38 | $141 | 754 | 18,455 | +14.5% |
| New Jersey | $38 | $127 | 408 | 13,829 | +13.1% |
| Alaska | $37 | $175 | 39 | 1,362 | +11.6% |
| District of Columbia | $37 | $121 | 28 | 431 | +11.6% |
| Connecticut | $36 | $122 | 129 | 2,735 | +8.8% |
| Maryland | $36 | $115 | 302 | 11,380 | +8.1% |
| Massachusetts | $36 | $116 | 165 | 2,995 | +7.8% |
| Hawaii | $36 | $91 | 31 | 689 | +7.7% |
| New Hampshire | $34 | $119 | 40 | 743 | +2.2% |
| Rhode Island | $34 | $96 | 27 | 161 | +1.3% |
| Colorado | $34 | $124 | 200 | 4,562 | +1.1% |
| Washington | $34 | $113 | 298 | 5,683 | +1.0% |
| Vermont | $34 | $118 | 8 | 136 | +0.3% |
| Montana | $34 | $76 | 36 | 544 | +0.2% |
| Virginia | $34 | $131 | 365 | 11,486 | 0.0% |
| Minnesota | $33 | $150 | 308 | 5,750 | -0.5% |
| Illinois | $33 | $139 | 525 | 14,706 | -0.8% |
| Oregon | $33 | $115 | 171 | 3,556 | -0.8% |
| Delaware | $33 | $108 | 44 | 2,059 | -1.6% |
| Pennsylvania | $33 | $100 | 515 | 12,115 | -1.7% |
| Maine | $33 | $116 | 31 | 974 | -1.7% |
| Nevada | $33 | $117 | 121 | 4,626 | -1.8% |
| Florida | $33 | $97 | 1,144 | 39,772 | -2.0% |
| Texas | $33 | $116 | 1,093 | 26,846 | -3.1% |
| Puerto Rico | $33 | $42 | 83 | 1,045 | -3.1% |
| Wyoming | $32 | $111 | 16 | 370 | -3.2% |
| Arizona | $32 | $114 | 348 | 10,378 | -3.7% |
| Michigan | $32 | $84 | 263 | 4,893 | -3.8% |
| South Dakota | $32 | $113 | 44 | 993 | -5.6% |
| Missouri | $31 | $117 | 265 | 4,989 | -6.2% |
| Wisconsin | $31 | $229 | 201 | 2,598 | -6.3% |
| New Mexico | $31 | $124 | 48 | 2,065 | -6.4% |
| North Dakota | $31 | $112 | 40 | 359 | -6.9% |
| North Carolina | $31 | $101 | 365 | 7,968 | -7.1% |
| Ohio | $31 | $121 | 404 | 8,495 | -7.4% |
| Georgia | $31 | $119 | 345 | 10,500 | -7.6% |
| Utah | $31 | $84 | 95 | 2,112 | -7.7% |
| Nebraska | $31 | $80 | 119 | 4,897 | -8.7% |
| South Carolina | $31 | $120 | 203 | 6,347 | -8.7% |
| Indiana | $30 | $99 | 286 | 7,051 | -9.2% |
| West Virginia | $30 | $87 | 17 | 243 | -9.2% |
| Kansas | $30 | $90 | 129 | 4,912 | -9.6% |
| Louisiana | $30 | $92 | 137 | 3,270 | -9.7% |
| Tennessee | $30 | $98 | 317 | 8,827 | -9.9% |
| Idaho | $30 | $94 | 44 | 1,011 | -10.0% |
| Iowa | $30 | $95 | 146 | 3,918 | -10.2% |
| Oklahoma | $30 | $72 | 126 | 3,636 | -10.2% |
| Kentucky | $30 | $93 | 87 | 2,079 | -10.5% |
| Alabama | $30 | $98 | 222 | 6,765 | -10.8% |
| Mississippi | $29 | $97 | 105 | 5,086 | -15.0% |
| Arkansas | $28 | $101 | 114 | 6,407 | -15.9% |
⚠️ 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