How Much Does Chemotherapy Intravenous Infusion, First Hour Cost?
Also known as: Chemo iv infusion 1 hr (CPT 96413)
Administration of chemotherapy by IV infusion, first hour.
Chemotherapy Intravenous Infusion, First Hour (CPT 96413) costs $133 at Medicare rates.
Patient Guide: Chemotherapy Intravenous Infusion, First Hour
What you need to know before your appointment
What to Expect
A nurse accesses your port or starts an IV and administers anti-cancer medication. You are closely monitored for reactions. Anti-nausea medication may be given first.
How Long Does It Take?
First hour (total infusion may be 2-6 hours)
Common Reasons Doctors Order This
Cancer treatment, various types of cancer requiring IV chemotherapy
How to Prepare
Eat a light meal before. Stay hydrated. Bring comfortable clothing, entertainment, and snacks. Have a driver available. Ask about anti-nausea medications to take at home.
Procedures Commonly Done Together
These procedures are frequently performed alongside Chemo iv infusion 1 hr
How to Reduce Your Cost for Chemo iv infusion 1 hr
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (3.99) x CF ($33.40) = $133
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Chemo iv infusion 1 hr cost?
The Medicare facility rate for Chemo iv infusion 1 hr is $133. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Chemo iv infusion 1 hr cost without insurance?
Without insurance, the cost of Chemo iv infusion 1 hr can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Chemo iv infusion 1 hr?
Most commercial health insurance plans and Medicare cover Chemo iv infusion 1 hr when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.