New Jersey · 96411

Administration Of Additional New Drug Or Substance Into Vein Using Push Technique in New Jersey

New Jersey Medicare Avg
$49.51
14% above national avg
National Medicare Avg
$43.39
All states combined
Billed Charge (NJ)
$225.57
What providers submit
Est. Commercial (NJ)
$158.76
National avg: $117.70
Est. Cash / Self-Pay (NJ)
$108.72
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

3.9K
Services in NJ
136
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in New Jersey

Provider Medicare Services
Nahum, Kenneth D.O. $48.71 142
Lindenberg, Noah MD $49.84 140
Fleming, Elizabeth NP $43.75 127
Balar, Bhavesh MD $48.71 117
Shah, Chirag MD $48.94 110
Chatiwala, Jumana M.D. $51.10 108
Zrada, Stephen MD $49.19 82

New Jersey Pricing in Context

In New Jersey, CPT code 96411 (Administration Of Additional New Drug Or Substance Into Vein Using Push Technique) carries an average Medicare payment of $49.51 — 14% above the national benchmark of $43.39. 136 providers across the state submitted claims for this procedure in 2023, performing 3.9K total services. Individual payments in NJ ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in New Jersey is $225.57, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because New Jersey sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in New Jersey lands near $158.76, with self-pay cash prices typically around $108.72. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Administration Of Additional New Drug Or Substance Into Vein Using Push Technique cost in New Jersey?

The average Medicare payment for Administration Of Additional New Drug Or Substance Into Vein Using Push Technique in New Jersey is $49.51, which is 14% above the national average of $43.39. Providers in NJ typically bill $225.57 for this procedure.

What does Administration Of Additional New Drug Or Substance Into Vein Using Push Technique cost with insurance in New Jersey?

With commercial insurance in New Jersey, Administration Of Additional New Drug Or Substance Into Vein Using Push Technique costs an estimated $158.76. Without insurance, the estimated cash price is $108.72. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Administration Of Additional New Drug Or Substance Into Vein Using Push Technique in New Jersey?

136 providers in New Jersey billed Medicare for Administration Of Additional New Drug Or Substance Into Vein Using Push Technique in 2023, performing 3.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Administration Of Additional New Drug Or Substance Into Vein Using Push Technique cheaper in New Jersey than the national average?

No — Administration Of Additional New Drug Or Substance Into Vein Using Push Technique costs 14% above the national average in New Jersey. The state average Medicare payment is $49.51 compared to $43.39 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial