Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes in Indiana
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Indiana
| Provider | Medicare | Services |
|---|---|---|
| Access To Care, Llc | $54.00 | 73 |
Indiana Pricing in Context
In Indiana, CPT code G0090 (Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes) carries an average Medicare payment of $54.00 — 50% below the national benchmark of $108.52. 1 providers across the state submitted claims for this procedure in 2023, performing 73 total services. Individual payments in IN 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 Indiana is $82.53, 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 Indiana 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 Temporary Procedures procedures, the estimated commercial insurance price in Indiana lands near $142.32, with self-pay cash prices typically around $73.53. 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 Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes cost in Indiana?
The average Medicare payment for Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes in Indiana is $54.00, which is 50% below the national average of $108.52. Providers in IN typically bill $82.53 for this procedure.
What does Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes cost with insurance in Indiana?
With commercial insurance in Indiana, Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes costs an estimated $142.32. Without insurance, the estimated cash price is $73.53. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes in Indiana?
1 providers in Indiana billed Medicare for Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes in 2023, performing 73 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes cheaper in Indiana than the national average?
Yes — Professional Services, Initial Visit, For The Administration Of Intravenous Chemotherapy Or Other Highly Complex Infusion Drug Or Biological For Each Infusion Drug Administration Calendar Day In The Individual's Home, Each 15 Minutes costs 50% below the national average in Indiana. The state average Medicare payment is $54.00 compared to $108.52 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.