Kansas · J9206

Injection, Irinotecan, 20 Mg in Kansas

Injection, Irinotecan, 20 Mg in Kansas · the short answer

Medicare pays $1.86 on average for injection, irinotecan, 20 mg in Kansas, 0% above the $1.86 national average across all states.

$1.86
KS Medicare avg
$1.86
National Medicare avg
0% above
vs. national average

State and national averages are computed directly from CMS Medicare Physician & Other Practitioners claims data, 2023.

Kansas Medicare Avg
$1.86
0% above national avg
National Medicare Avg
$1.86
All states combined
Billed Charge (KS)
$86.65
What providers submit
Est. Commercial (KS)
$4.86
National avg: $5.24
Est. Cash / Self-Pay (KS)
$25.58
Typical self-pay discount

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

8.5K
Services in KS
42
Providers
$86.65
Avg Billed
$1.86
Medicare Avg

Top Providers in Kansas

Provider Medicare Services
Mattar, Bassam MD $1.89 1.3K
Koeneke, Travis MD $1.87 957
Moore, Dennis MD $1.81 539
Moore, Joseph MD $1.86 457
Nabbout, Nassim M.D. $1.89 364
Truong, Quoc MD $1.89 348
Dakhil, Shaker MD $1.79 303

Kansas Pricing in Context

In Kansas, CPT code J9206 (Injection, Irinotecan, 20 Mg) carries an average Medicare payment of $1.86 - 0% above the national benchmark of $1.86. 42 providers across the state submitted claims for this procedure in 2023, performing 8.5K total services. Payment ranges by individual claim are not published in this CMS extract; the state average above is the figure to compare against the national benchmark.

The average billed charge in Kansas is $86.65, 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 Kansas 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 Drugs (Administered) procedures, the estimated commercial insurance price in Kansas lands near $4.86, with self-pay cash prices typically around $25.58. 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 Injection, Irinotecan, 20 Mg cost in Kansas?

The average Medicare payment for Injection, Irinotecan, 20 Mg in Kansas is $1.86, which is 0% above the national average of $1.86. Providers in KS typically bill $86.65 for this procedure.

What does Injection, Irinotecan, 20 Mg cost with insurance in Kansas?

With commercial insurance in Kansas, Injection, Irinotecan, 20 Mg costs an estimated $4.86. Without insurance, the estimated cash price is $25.58. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Injection, Irinotecan, 20 Mg in Kansas?

42 providers in Kansas billed Medicare for Injection, Irinotecan, 20 Mg in 2023, performing 8.5K total services. The state Medicare average for this code is $1.86.

Is Injection, Irinotecan, 20 Mg cheaper in Kansas than the national average?

No - Injection, Irinotecan, 20 Mg costs 0% above the national average in Kansas. The state average Medicare payment is $1.86 compared to $1.86 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

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

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.