Nevada · 96417

Administration Of Additional New Drug Or Substance Into Vein, 1 Hour Or Less in Nevada

Nevada Medicare Avg
$50.37
1% below national avg
National Medicare Avg
$50.77
All states combined
Billed Charge (NV)
$275.67
What providers submit
Est. Commercial (NV)
$152.00
National avg: $137.32
Est. Cash / Self-Pay (NV)
$123.31
Typical self-pay discount

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

4.9K
Services in NV
73
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Nevada

Provider Medicare Services
Agastya, Manas M.D. $48.17 229
Jean, Clark MD $51.91 220
Parikh, Rupesh MD $50.73 219

Nevada Pricing in Context

In Nevada, CPT code 96417 (Administration Of Additional New Drug Or Substance Into Vein, 1 Hour Or Less) carries an average Medicare payment of $50.37 — 1% below the national benchmark of $50.77. 73 providers across the state submitted claims for this procedure in 2023, performing 4.9K total services. Individual payments in NV 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 Nevada is $275.67, 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 Nevada sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in Nevada lands near $152.00, with self-pay cash prices typically around $123.31. 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, 1 Hour Or Less cost in Nevada?

The average Medicare payment for Administration Of Additional New Drug Or Substance Into Vein, 1 Hour Or Less in Nevada is $50.37, which is 1% below the national average of $50.77. Providers in NV typically bill $275.67 for this procedure.

What does Administration Of Additional New Drug Or Substance Into Vein, 1 Hour Or Less cost with insurance in Nevada?

With commercial insurance in Nevada, Administration Of Additional New Drug Or Substance Into Vein, 1 Hour Or Less costs an estimated $152.00. Without insurance, the estimated cash price is $123.31. 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, 1 Hour Or Less in Nevada?

73 providers in Nevada billed Medicare for Administration Of Additional New Drug Or Substance Into Vein, 1 Hour Or Less in 2023, performing 4.9K 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, 1 Hour Or Less cheaper in Nevada than the national average?

Yes — Administration Of Additional New Drug Or Substance Into Vein, 1 Hour Or Less costs 1% below the national average in Nevada. The state average Medicare payment is $50.37 compared to $50.77 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