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#211 of 11K

96413

Chemotherapy administration, IV infusion, up to 1 hour

Chemotherapy administration, IV infusion, up to 1 hour is the #211 most-billed Medicaid procedure code, with $735.2M in payments across 6.3M claims from 2018–2024. The national median cost per claim is $75.28. Costs vary widely — the 90th percentile is $195.70 per claim, 2.6× the median.

Total Paid

$735.2M

0.07% of all spending

Total Claims

6.3M

Providers

2K

Avg Cost/Claim

$117

National Cost Distribution

How much do providers bill per claim for 96413? Based on 2K providers billing this code nationally.

Median

$75.28

Average

$102.82

Std Dev

$129.63

Max

$3,566.16

Percentile Distribution (Cost per Claim)

p10
$22.24
p25
$45.05
Median
$75.28
p75
$124.18
p90
$195.70
p95
$248.31
p99
$503.39

50% of providers bill between $45.05 and $124.18 per claim for this code.

90% bill between $22.24 and $195.70.

Top 1% bill above $503.39.

About This Procedure

HCPCS code 96413 (Chemotherapy administration, IV infusion, up to 1 hour) was billed by 2K providers across 6.3M claims, totaling $735.2M in Medicaid payments from 2018–2024. This code was used for 3.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.28

Providers Billing

2K

National Spending

$735.2M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96413

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$16.9M
2Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$13.1M
3Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$11.7M
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$10.0M
5Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$9.1M
6Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$8.6M
7Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$8.5M
8Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$7.6M
9The Cooper Health System

Camden, NJ · General Acute Care Hospital

$6.9M
10Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$6.9M
11Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$6.5M
12University Of Kentucky

Lexington, KY · General Acute Care Hospital

$6.4M
13The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$6.3M
14University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$6.1M
15Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$5.4M
16Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$5.2M
17Community Health Network, Inc

Indianapolis, IN · General Acute Care Hospital

$4.9M
18Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$4.5M
19City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$4.5M
20State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$4.4M

Showing top 20 of 2K providers billing this code