CPT 96406 Chemotherapy/Infusion
Chemo intralesional over 7 Cost
Body System: General
Medicare Facility Rate
$37
CMS PFS CY2026
Medicare Non-Facility Rate
$132
Office/clinic setting
Hospital Outpatient
$217
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.80
Work RVU
0.26
Facility PE RVU
0.06
Malpractice RVU
3.95
Total RVU
Frequently Asked Questions
How much does Chemo intralesional over 7 cost?
The Medicare facility rate is $37. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $217.
How much does Chemo intralesional over 7 cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $37.