Administration of additional new drug or substance into vein using push technique
Medicare pricing data for 4,643 providers across 50 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 additional new drug or substance into vein using push technique (HCPCS code 96411) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $54.75, but hospitals typically charge $217.14 — a 4.0x 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 $54.75, your out-of-pocket cost would be approximately $10.95. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $43.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $64 | $236 | 518 | 11,027 | +17.8% |
| District of Columbia | $64 | $175 | 11 | 89 | +16.7% |
| New Jersey | $62 | $226 | 136 | 3,884 | +13.7% |
| Maryland | $62 | $211 | 125 | 3,912 | +12.6% |
| Hawaii | $61 | $111 | 6 | 58 | +12.1% |
| New York | $60 | $207 | 231 | 4,928 | +10.4% |
| Connecticut | $60 | $225 | 30 | 546 | +9.7% |
| Alaska | $60 | $335 | 18 | 638 | +8.8% |
| Massachusetts | $58 | $234 | 27 | 461 | +6.2% |
| Washington | $57 | $192 | 96 | 1,645 | +4.6% |
| Colorado | $57 | $278 | 65 | 1,702 | +3.8% |
| New Hampshire | $56 | $243 | 15 | 276 | +3.2% |
| Vermont | $56 | $185 | 3 | 235 | +3.1% |
| Delaware | $56 | $265 | 13 | 423 | +2.4% |
| Virginia | $56 | $269 | 162 | 4,545 | +2.3% |
| Pennsylvania | $56 | $208 | 143 | 3,372 | +1.9% |
| Wyoming | $56 | $254 | 6 | 61 | +1.6% |
| Puerto Rico | $55 | $62 | 11 | 54 | +0.6% |
| Illinois | $55 | $265 | 249 | 6,539 | -0.0% |
| Minnesota | $55 | $268 | 152 | 2,064 | -0.0% |
| Nevada | $55 | $239 | 64 | 1,669 | -0.2% |
| Oregon | $54 | $228 | 62 | 1,072 | -1.0% |
| Florida | $53 | $179 | 458 | 14,819 | -2.3% |
| Missouri | $53 | $208 | 112 | 2,361 | -2.5% |
| Maine | $53 | $235 | 19 | 444 | -2.7% |
| North Dakota | $53 | $166 | 6 | 136 | -3.1% |
| Arizona | $53 | $221 | 166 | 4,861 | -3.1% |
| Texas | $53 | $261 | 528 | 11,557 | -3.2% |
| Michigan | $53 | $139 | 91 | 2,106 | -3.3% |
| New Mexico | $52 | $220 | 28 | 710 | -5.2% |
| South Dakota | $52 | $207 | 7 | 167 | -5.7% |
| Wisconsin | $51 | $393 | 49 | 574 | -6.6% |
| Utah | $51 | $151 | 29 | 442 | -6.9% |
| North Carolina | $51 | $177 | 86 | 1,435 | -7.2% |
| Ohio | $51 | $214 | 129 | 2,800 | -7.8% |
| Georgia | $50 | $219 | 86 | 2,432 | -7.8% |
| South Carolina | $50 | $203 | 64 | 2,107 | -8.0% |
| Nebraska | $50 | $135 | 48 | 1,530 | -8.5% |
| Idaho | $50 | $161 | 7 | 164 | -8.8% |
| Iowa | $50 | $161 | 47 | 1,685 | -9.0% |
| Indiana | $50 | $219 | 66 | 1,568 | -9.2% |
| Kansas | $50 | $187 | 52 | 2,010 | -9.2% |
| Oklahoma | $50 | $142 | 26 | 710 | -9.6% |
| West Virginia | $49 | $125 | 3 | 236 | -9.9% |
| Tennessee | $49 | $157 | 157 | 3,896 | -10.8% |
| Kentucky | $49 | $146 | 16 | 341 | -11.0% |
| Alabama | $48 | $223 | 100 | 2,497 | -11.6% |
| Louisiana | $48 | $204 | 37 | 926 | -12.3% |
| Arkansas | $47 | $183 | 48 | 2,700 | -13.4% |
| Mississippi | $46 | $205 | 26 | 1,635 | -15.1% |
⚠️ 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