Price Checker / CPT 96411

CPT 96411Chemo iv push addl drug

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$57

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$57

What Medicare pays in a physician's office

Avg Hospital Charge

$16,890

Based on 9 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT 96411

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Glen Cove Hospital

, NY

$2,45039592%
Huntington Hospital

, NY

$2,45039592%
Long Island Jewish Forest Hills

, NY

$2,45039592%
Long Island Jewish Valley Stream

, NY

$2,45039592%
North Shore University Hospital

, NY

$2,45039592%
Syosset Hospital

, NY

$2,45039592%
Phelps Hospital

, NY

$2,45027287%
Iroquois Memorial Hospital

, IL

$336$235488%
Elmhurst Hospital Center

Elmhurst, NY

-100%

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About CPT 96411

CPT code 96411 refers to “Chemo iv push addl drug”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $57 in a facility (hospital or ambulatory surgery center) and $57in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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