{"procedure":{"code_type":"CPT","code":"96409","lay_name":"Chemotherapy IV push of a single drug","blurb":"Covers a rapid intravenous injection of one anti-cancer medication; the drug itself is billed separately.","slug":"cpt-96409-chemotherapy-iv-push-of-a-single-drug","description":"Chemotx Admn IV Push Tq 1/1st Sbst/Drug","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"224","label":"Cancer chemotherapy","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":2810,"n_usable":2682,"n_not_usable":0,"n_labelled":37,"n_no_cash":88,"n_estimated":3,"n_states":50,"cash_p10":166.02,"cash_p20":226.85,"cash_p25":254.8,"cash_p50":392.07,"cash_p75":589.9,"cash_p80":652.2,"cash_p90":922.5,"cash_mean_trimmed":408.23,"gross_p50":680.95,"cash_to_gross_p50":0.6,"medicare_rate":337.46,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.1618,"by_state":[{"state":"AK","n":12,"p20":372.0,"p50":462.0,"p80":752.0},{"state":"AL","n":26,"p20":185.09,"p50":294.0,"p80":360.0},{"state":"AR","n":26,"p20":162.0,"p50":203.4,"p80":263.9},{"state":"AZ","n":42,"p20":177.27,"p50":252.89,"p80":1210.0},{"state":"CA","n":180,"p20":292.95,"p50":665.6,"p80":1009.0},{"state":"CO","n":66,"p20":268.45,"p50":390.0,"p80":798.0},{"state":"CT","n":19,"p20":330.0,"p50":561.0,"p80":827.0},{"state":"DE","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":115,"p20":327.61,"p50":626.6,"p80":858.32},{"state":"GA","n":75,"p20":255.0,"p50":320.96,"p80":591.0},{"state":"HI","n":12,"p20":443.4,"p50":447.0,"p80":720.75},{"state":"IA","n":74,"p20":209.4,"p50":364.0,"p80":492.05},{"state":"ID","n":20,"p20":313.77,"p50":500.0,"p80":1358.0},{"state":"IL","n":100,"p20":249.6,"p50":435.6,"p80":645.4},{"state":"IN","n":84,"p20":260.78,"p50":395.85,"p80":552.0},{"state":"KS","n":57,"p20":143.98,"p50":212.0,"p80":326.62},{"state":"KY","n":48,"p20":204.0,"p50":373.02,"p80":1331.87},{"state":"LA","n":43,"p20":141.44,"p50":210.8,"p80":321.65},{"state":"MA","n":46,"p20":367.65,"p50":586.11,"p80":887.0},{"state":"MD","n":33,"p20":292.8,"p50":476.62,"p80":660.54},{"state":"ME","n":19,"p20":169.0,"p50":270.56,"p80":467.0},{"state":"MI","n":88,"p20":246.0,"p50":349.7,"p80":473.45},{"state":"MN","n":88,"p20":208.38,"p50":344.32,"p80":402.52},{"state":"MO","n":72,"p20":215.7,"p50":351.65,"p80":508.5},{"state":"MS","n":34,"p20":150.92,"p50":227.52,"p80":326.8},{"state":"MT","n":19,"p20":235.8,"p50":324.9,"p80":417.0},{"state":"NC","n":74,"p20":171.0,"p50":295.0,"p80":589.9},{"state":"ND","n":14,"p20":303.17,"p50":384.0,"p80":464.8},{"state":"NE","n":56,"p20":269.0,"p50":360.0,"p80":470.0},{"state":"NH","n":22,"p20":160.08,"p50":253.08,"p80":564.0},{"state":"NJ","n":55,"p20":291.0,"p50":368.91,"p80":451.93},{"state":"NM","n":16,"p20":231.6,"p50":352.0,"p80":473.9},{"state":"NV","n":18,"p20":185.69,"p50":388.0,"p80":715.0},{"state":"NY","n":101,"p20":281.0,"p50":456.57,"p80":1062.75},{"state":"OH","n":135,"p20":295.1,"p50":498.55,"p80":778.05},{"state":"OK","n":42,"p20":118.6,"p50":253.5,"p80":317.85},{"state":"OR","n":48,"p20":232.31,"p50":472.0,"p80":744.75},{"state":"PA","n":117,"p20":277.0,"p50":502.0,"p80":791.4},{"state":"RI","n":7,"p20":null,"p50":null,"p80":null},{"state":"SC","n":44,"p20":333.0,"p50":359.0,"p80":476.0},{"state":"SD","n":18,"p20":370.4,"p50":506.0,"p80":570.4},{"state":"TN","n":60,"p20":110.1,"p50":166.98,"p80":345.44},{"state":"TX","n":160,"p20":221.9,"p50":399.6,"p80":560.5},{"state":"UT","n":29,"p20":401.05,"p50":512.92,"p80":623.69},{"state":"VA","n":60,"p20":254.8,"p50":540.0,"p80":642.25},{"state":"VT","n":10,"p20":257.46,"p50":499.72,"p80":744.0},{"state":"WA","n":53,"p20":334.81,"p50":558.6,"p80":619.5},{"state":"WI","n":93,"p20":248.57,"p50":395.87,"p80":562.4},{"state":"WV","n":32,"p20":219.6,"p50":288.5,"p80":471.75},{"state":"WY","n":13,"p20":209.16,"p50":281.0,"p80":491.15}],"by_segment":{"hospital_type":[{"key":"acute","n":2043,"p20":227.52,"p50":402.52,"p80":696.21},{"key":"childrens","n":51,"p20":326.8,"p50":468.6,"p80":922.5},{"key":"critical_access","n":578,"p20":222.6,"p50":363.0,"p80":546.4}],"ownership":[{"key":"for_profit","n":283,"p20":248.57,"p50":437.19,"p80":942.0},{"key":"government","n":429,"p20":204.6,"p50":343.38,"p80":569.6},{"key":"nonprofit","n":1960,"p20":229.95,"p50":396.55,"p80":652.8}],"affiliation":[{"key":"affiliated","n":2237,"p20":227.95,"p50":393.8,"p80":665.54},{"key":"independent","n":445,"p20":219.6,"p50":363.8,"p80":607.75}]},"histogram":[{"lo":125.8,"hi":158.63,"n":103},{"lo":158.63,"hi":200.04,"n":169},{"lo":200.04,"hi":252.25,"n":243},{"lo":252.25,"hi":318.08,"n":321},{"lo":318.08,"hi":401.11,"n":420},{"lo":401.11,"hi":505.79,"n":355},{"lo":505.79,"hi":637.81,"n":374},{"lo":637.81,"hi":804.28,"n":213},{"lo":804.28,"hi":1014.19,"n":124},{"lo":1014.19,"hi":1278.9,"n":94}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:07:09.005325Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1993,"n_usable":1886,"n_not_usable":1,"n_labelled":24,"n_no_cash":82,"n_estimated":0,"n_states":50,"cash_p10":166.98,"cash_p20":231.0,"cash_p25":259.05,"cash_p50":407.0,"cash_p75":595.2,"cash_p80":663.0,"cash_p90":919.0,"cash_mean_trimmed":420.47,"gross_p50":713.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":18,"p20":192.0,"p50":306.0,"p80":370.0},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":39,"p20":195.8,"p50":309.0,"p80":1210.0},{"state":"CA","n":152,"p20":306.0,"p50":665.6,"p80":1016.95},{"state":"CO","n":47,"p20":268.45,"p50":373.54,"p80":672.8},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":71,"p20":381.55,"p50":626.6,"p80":773.0},{"state":"GA","n":61,"p20":285.18,"p50":322.2,"p80":591.0},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":44,"p20":233.52,"p50":396.15,"p80":587.88},{"state":"ID","n":14,"p20":333.9,"p50":522.75,"p80":1358.0},{"state":"IL","n":88,"p20":266.4,"p50":455.0,"p80":675.2},{"state":"IN","n":57,"p20":254.8,"p50":400.4,"p80":562.68},{"state":"KS","n":26,"p20":132.47,"p50":175.0,"p80":435.18},{"state":"KY","n":29,"p20":171.9,"p50":223.2,"p80":1178.0},{"state":"LA","n":24,"p20":136.92,"p50":164.5,"p80":320.6},{"state":"MA","n":40,"p20":334.02,"p50":586.11,"p80":887.0},{"state":"MD","n":16,"p20":292.8,"p50":468.39,"p80":584.51},{"state":"ME","n":16,"p20":169.0,"p50":223.74,"p80":412.5},{"state":"MI","n":71,"p20":246.0,"p50":340.85,"p80":473.45},{"state":"MN","n":74,"p20":208.38,"p50":340.01,"p80":386.29},{"state":"MO","n":41,"p20":270.0,"p50":396.55,"p80":481.2},{"state":"MS","n":23,"p20":145.54,"p50":227.52,"p80":355.6},{"state":"MT","n":10,"p20":216.8,"p50":287.93,"p80":485.6},{"state":"NC","n":42,"p20":152.0,"p50":250.39,"p80":589.9},{"state":"ND","n":10,"p20":241.15,"p50":336.0,"p80":437.32},{"state":"NE","n":23,"p20":200.58,"p50":288.96,"p80":439.2},{"state":"NH","n":13,"p20":217.0,"p50":253.08,"p80":410.04},{"state":"NJ","n":24,"p20":367.13,"p50":442.6,"p80":621.57},{"state":"NM","n":12,"p20":231.6,"p50":352.0,"p80":473.9},{"state":"NV","n":8,"p20":null,"p50":null,"p80":null},{"state":"NY","n":50,"p20":256.0,"p50":447.0,"p80":718.0},{"state":"OH","n":121,"p20":338.47,"p50":538.2,"p80":910.5},{"state":"OK","n":27,"p20":118.6,"p50":175.0,"p80":297.6},{"state":"OR","n":29,"p20":189.87,"p50":403.0,"p80":744.75},{"state":"PA","n":105,"p20":246.4,"p50":508.2,"p80":855.0},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":36,"p20":341.25,"p50":341.25,"p80":462.0},{"state":"SD","n":10,"p20":369.6,"p50":491.4,"p80":583.2},{"state":"TN","n":49,"p20":110.1,"p50":166.98,"p80":336.0},{"state":"TX","n":119,"p20":248.08,"p50":468.6,"p80":534.45},{"state":"UT","n":25,"p20":410.35,"p50":555.18,"p80":623.69},{"state":"VA","n":41,"p20":254.8,"p50":448.0,"p80":582.0},{"state":"VT","n":7,"p20":null,"p50":null,"p80":null},{"state":"WA","n":41,"p20":268.07,"p50":558.6,"p80":731.12},{"state":"WI","n":79,"p20":272.5,"p50":451.75,"p80":572.4},{"state":"WV","n":10,"p20":219.6,"p50":254.8,"p80":854.23},{"state":"WY","n":7,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1501,"p20":229.95,"p50":419.05,"p80":685.9},{"key":"childrens","n":39,"p20":331.38,"p50":533.4,"p80":931.0},{"key":"critical_access","n":336,"p20":229.95,"p50":381.92,"p80":570.4}],"ownership":[{"key":"for_profit","n":156,"p20":245.6,"p50":394.0,"p80":736.5},{"key":"government","n":250,"p20":198.99,"p50":329.0,"p80":586.16},{"key":"nonprofit","n":1470,"p20":235.52,"p50":427.0,"p80":669.52}],"affiliation":[{"key":"affiliated","n":1626,"p20":234.2,"p50":417.6,"p80":665.6},{"key":"independent","n":260,"p20":219.6,"p50":354.0,"p80":607.6}]},"histogram":[{"lo":126.0,"hi":157.98,"n":73},{"lo":157.98,"hi":198.09,"n":107},{"lo":198.09,"hi":248.37,"n":156},{"lo":248.37,"hi":311.41,"n":215},{"lo":311.41,"hi":390.46,"n":252},{"lo":390.46,"hi":489.58,"n":259},{"lo":489.58,"hi":613.85,"n":283},{"lo":613.85,"hi":769.67,"n":181},{"lo":769.67,"hi":965.04,"n":95},{"lo":965.04,"hi":1210.0,"n":80}],"previous":null}},"related":[{"code_type":"CPT","code":"96413","lay_name":"Chemotherapy IV infusion, first hour","slug":"cpt-96413-chemotherapy-iv-infusion-first-hour"},{"code_type":"CPT","code":"96415","lay_name":"Chemotherapy IV infusion, each additional hour","slug":"cpt-96415-chemotherapy-iv-infusion-each-additional-hour"},{"code_type":"CPT","code":"96401","lay_name":"Non-hormonal chemotherapy shot under skin or in muscle","slug":"cpt-96401-non-hormonal-chemotherapy-shot-under-skin-or-in-muscle"},{"code_type":"CPT","code":"96402","lay_name":"Hormonal chemotherapy shot under skin or in muscle","slug":"cpt-96402-hormonal-chemotherapy-shot-under-skin-or-in-muscle"},{"code_type":"CPT","code":"96417","lay_name":"Chemotherapy IV infusion, each additional drug up to 1 hour","slug":"cpt-96417-chemotherapy-iv-infusion-each-additional-drug-up-to-1-hour"},{"code_type":"CPT","code":"96411","lay_name":"Chemotherapy IV push, each additional drug","slug":"cpt-96411-chemotherapy-iv-push-each-additional-drug"},{"code_type":"CPT","code":"96416","lay_name":"Chemotherapy infusion over 8 hours with a portable pump","slug":"cpt-96416-chemotherapy-infusion-over-8-hours-with-a-portable-pump"},{"code_type":"CPT","code":"96450","lay_name":"Chemotherapy into spinal fluid with spinal tap","slug":"cpt-96450-chemotherapy-into-spinal-fluid-with-spinal-tap"},{"code_type":"CPT","code":"51720","lay_name":"Anti-cancer drug instilled into the bladder","slug":"cpt-51720-anti-cancer-drug-instilled-into-the-bladder"},{"code_type":"CPT","code":"96420","lay_name":"Chemotherapy injected into an artery","slug":"cpt-96420-chemotherapy-injected-into-an-artery"},{"code_type":"CPT","code":"96542","lay_name":"Chemotherapy into brain or spinal fluid through a reservoir","slug":"cpt-96542-chemotherapy-into-brain-or-spinal-fluid-through-a-reservoir"},{"code_type":"CPT","code":"96446","lay_name":"Chemotherapy into the abdominal cavity through a port","slug":"cpt-96446-chemotherapy-into-the-abdominal-cavity-through-a-port"}]}