Administration of additional new drug or substance into vein, 1 hour or less
Medicare pricing data for 5,583 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 additional new drug or substance into vein, 1 hour or less (HCPCS code 96417) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.87, but hospitals typically charge $253.21 — 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 $63.87, your out-of-pocket cost would be approximately $12.77. 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 $50.77 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $75 | $279 | 688 | 39,603 | +16.7% |
| District of Columbia | $73 | $288 | 12 | 266 | +14.0% |
| New Jersey | $72 | $241 | 156 | 9,223 | +13.4% |
| New York | $72 | $290 | 302 | 12,596 | +12.2% |
| Maryland | $71 | $238 | 146 | 12,575 | +10.9% |
| Alaska | $70 | $339 | 18 | 1,643 | +8.8% |
| Connecticut | $69 | $259 | 34 | 1,100 | +8.6% |
| Hawaii | $69 | $133 | 7 | 110 | +7.8% |
| Massachusetts | $68 | $221 | 31 | 813 | +6.8% |
| Vermont | $66 | $228 | 4 | 370 | +4.1% |
| Rhode Island | $66 | $224 | 2 | 26 | +3.3% |
| Washington | $66 | $211 | 131 | 5,154 | +3.3% |
| Montana | $65 | $241 | 3 | 19 | +2.3% |
| Colorado | $65 | $331 | 89 | 3,660 | +2.3% |
| Delaware | $65 | $392 | 15 | 1,329 | +2.0% |
| New Hampshire | $65 | $246 | 14 | 676 | +1.9% |
| Pennsylvania | $65 | $224 | 159 | 8,920 | +1.1% |
| Virginia | $64 | $321 | 179 | 14,500 | +0.9% |
| Minnesota | $64 | $327 | 177 | 6,002 | +0.1% |
| Wyoming | $64 | $342 | 8 | 512 | -0.2% |
| Oregon | $63 | $313 | 70 | 2,668 | -0.7% |
| Nevada | $63 | $276 | 73 | 4,879 | -0.8% |
| Illinois | $63 | $307 | 276 | 17,253 | -1.1% |
| Maine | $63 | $260 | 20 | 991 | -1.3% |
| Florida | $62 | $202 | 520 | 38,348 | -2.5% |
| Michigan | $62 | $166 | 106 | 5,879 | -3.0% |
| Texas | $62 | $293 | 653 | 38,740 | -3.0% |
| South Dakota | $62 | $389 | 7 | 231 | -3.3% |
| Arizona | $62 | $238 | 183 | 11,867 | -3.6% |
| North Dakota | $61 | $199 | 9 | 301 | -4.3% |
| Missouri | $61 | $268 | 150 | 6,573 | -5.2% |
| Wisconsin | $60 | $415 | 60 | 1,754 | -6.3% |
| North Carolina | $60 | $241 | 89 | 4,417 | -6.7% |
| New Mexico | $60 | $251 | 44 | 2,133 | -6.7% |
| Puerto Rico | $59 | $64 | 48 | 742 | -7.4% |
| Utah | $59 | $175 | 38 | 1,411 | -7.5% |
| Nebraska | $59 | $153 | 57 | 4,010 | -8.0% |
| South Carolina | $59 | $198 | 64 | 6,078 | -8.1% |
| Ohio | $59 | $253 | 148 | 6,942 | -8.3% |
| Indiana | $58 | $243 | 76 | 4,365 | -9.1% |
| Iowa | $58 | $180 | 66 | 3,952 | -9.2% |
| Kansas | $58 | $222 | 58 | 4,859 | -9.3% |
| Georgia | $58 | $237 | 99 | 7,332 | -9.5% |
| Idaho | $58 | $186 | 9 | 764 | -9.6% |
| Oklahoma | $57 | $144 | 27 | 2,083 | -10.3% |
| West Virginia | $57 | $145 | 3 | 301 | -10.3% |
| Tennessee | $57 | $205 | 189 | 11,349 | -11.0% |
| Kentucky | $57 | $194 | 24 | 906 | -11.1% |
| Alabama | $56 | $241 | 115 | 6,820 | -11.8% |
| Louisiana | $56 | $263 | 42 | 2,266 | -11.9% |
| Arkansas | $55 | $212 | 50 | 7,119 | -13.9% |
| Mississippi | $54 | $192 | 27 | 3,591 | -15.7% |
⚠️ 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