Texas · 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 Texas

Texas Medicare Avg
$126.98
15% below national avg
National Medicare Avg
$148.58
All states combined
Billed Charge (TX)
$494.75
What providers submit
Est. Commercial (TX)
$368.35
National avg: $419.65
Est. Cash / Self-Pay (TX)
$256.17
Typical self-pay discount

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

12.7K
Services in TX
503
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Texas

Provider Medicare Services
Drengler, Ronald M.D. $126.06 184
Marek, Billie MD $123.85 184
Dspain, David D.O. $123.42 147
Prakash, Sucharu MD $123.14 132
Raizen, Yuval MD $130.65 129
Daggubati, Sreedevi MD $123.16 115
Rizvi, Akbar MD $123.12 109
Kocs, Darren MD $123.85 105
Osteen, James M.D. $123.35 104
Reddy, Praveen MD $122.72 96
Challagalla, Jagathi M.D. $122.53 94
Stuart, Selena M.D. $122.93 88
Gupta, Rohan DO $133.20 86
Akhtar, Syed M.D. $121.77 85
Mobley, James M.D. $123.85 84
Faridi, Amir M.D. $123.85 84
Karippot, Asha MD $124.21 84
Syed, Nayyar MD $123.85 81
Kaczor, Joseph MD $123.85 81
Nair, Kruti M.D. $123.85 77
Vemuganti, Hareesha M.D $122.82 77
Mangat, Manmeet MD $122.18 76
Malireddy, Srikar MD $122.22 76
Bajaj, Kelash MD $120.26 76
Sakruti, Susmita M.D $125.01 73

Texas Pricing in Context

In Texas, 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 $126.98 — 15% below the national benchmark of $148.58. 503 providers across the state submitted claims for this procedure in 2023, performing 12.7K total services. Individual payments in TX 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 Texas is $494.75, 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 Texas 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 Texas lands near $368.35, with self-pay cash prices typically around $256.17. 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 Texas?

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 Texas is $126.98, which is 15% below the national average of $148.58. Providers in TX typically bill $494.75 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 Texas?

With commercial insurance in Texas, 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 $368.35. Without insurance, the estimated cash price is $256.17. 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 Texas?

503 providers in Texas 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 12.7K 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 Texas 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 Texas. The state average Medicare payment is $126.98 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