Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each inf
Medicare pricing data for 121 providers across 20 states
Prices vary significantly by location — from $28 in Arizona to $128 in Kentucky. Where you get this procedure matters more than almost any other factor. 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
Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each inf (HCPCS code G0068) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.08, but hospitals typically charge $163.62 — a 2.7x 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 $61.08, your out-of-pocket cost would be approximately $12.22. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $48.46 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Kentucky | $128 | $263 | 2 | 408 | +109.9% |
| Pennsylvania | $78 | $173 | 9 | 3,360 | +27.3% |
| New Jersey | $68 | $130 | 8 | 10,658 | +11.2% |
| Wisconsin | $68 | $169 | 2 | 731 | +10.8% |
| Delaware | $64 | $239 | 2 | 1,488 | +4.8% |
| Texas | $63 | $134 | 6 | 1,049 | +3.2% |
| Michigan | $62 | $112 | 3 | 790 | +1.4% |
| Alabama | $58 | $165 | 6 | 1,140 | -4.6% |
| Virginia | $58 | $105 | 5 | 1,687 | -4.8% |
| New York | $56 | $139 | 8 | 3,547 | -7.8% |
| Illinois | $55 | $71 | 2 | 880 | -10.7% |
| Washington | $53 | $117 | 6 | 1,340 | -12.7% |
| Connecticut | $53 | $245 | 1 | 3,306 | -13.9% |
| California | $52 | $74 | 4 | 1,024 | -14.4% |
| Massachusetts | $52 | $210 | 4 | 1,104 | -15.1% |
| North Carolina | $52 | $373 | 4 | 278 | -15.6% |
| Georgia | $51 | $220 | 5 | 623 | -17.3% |
| Maryland | $44 | $116 | 3 | 885 | -27.7% |
| Florida | $38 | $240 | 11 | 2,639 | -37.2% |
| Arizona | $28 | $122 | 2 | 216 | -53.6% |
⚠️ 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