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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $16.9M |
| 2 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $13.1M |
| 3 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $11.7M |
| 4 | Children's Hospital Corporation Boston, MA · Clinic/Center | $10.0M |
| 5 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $9.1M |
| 6 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $8.6M |
| 7 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $8.5M |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $7.6M |
| 9 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $6.9M |
| 10 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $6.9M |
| 11 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $6.5M |
| 12 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $6.4M |
| 13 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $6.3M |
| 14 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $6.1M |
| 15 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $5.4M |
| 16 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $5.2M |
| 17 | Community Health Network, Inc Indianapolis, IN · General Acute Care Hospital | $4.9M |
| 18 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $4.5M |
| 19 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $4.5M |
| 20 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $4.4M |
Showing top 20 of 2K providers billing this code