Missouri · G0498

Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L in Missouri

Missouri Medicare Avg
$126.49
15% below national avg
National Medicare Avg
$148.58
All states combined
Billed Charge (MO)
$850.17
What providers submit
Est. Commercial (MO)
$329.94
National avg: $419.65
Est. Cash / Self-Pay (MO)
$352.76
Typical self-pay discount

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

2.2K
Services in MO
98
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Missouri

Provider Medicare Services
Oppelt, Peter MD $177.10 158
Suresh, Rama MD $121.65 139
Tan, Benjamin MD $124.81 91

Missouri Pricing in Context

In Missouri, CPT code G0498 (Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L) carries an average Medicare payment of $126.49 — 15% below the national benchmark of $148.58. 98 providers across the state submitted claims for this procedure in 2023, performing 2.2K total services. Individual payments in MO 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 Missouri is $850.17, 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 Missouri 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 Missouri lands near $329.94, with self-pay cash prices typically around $352.76. 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 Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L cost in Missouri?

The average Medicare payment for Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L in Missouri is $126.49, which is 15% below the national average of $148.58. Providers in MO typically bill $850.17 for this procedure.

What does Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L cost with insurance in Missouri?

With commercial insurance in Missouri, Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L costs an estimated $329.94. Without insurance, the estimated cash price is $352.76. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L in Missouri?

98 providers in Missouri billed Medicare for Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L in 2023, performing 2.2K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L cheaper in Missouri than the national average?

Yes — Chemotherapy Administration, Intravenous Infusion Technique; Initiation Of Infusion In The Office/clinic Setting Using Office/clinic Pump/supplies, With Continuation Of The Infusion In The Community Setting (e.g., Home, Domiciliary, Rest Home Or Assisted L costs 15% below the national average in Missouri. The state average Medicare payment is $126.49 compared to $148.58 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