CPT 96440 Chemotherapy/Infusion
Chmotx admn plrl cav thrcnts Cost
Body System: General
Medicare Facility Rate
$116
CMS PFS CY2026
Medicare Non-Facility Rate
$768
Office/clinic setting
Hospital Outpatient
$337
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.12
Work RVU
1.22
Facility PE RVU
0.14
Malpractice RVU
22.98
Total RVU
Frequently Asked Questions
How much does Chmotx admn plrl cav thrcnts cost?
The Medicare facility rate is $116. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $337.
How much does Chmotx admn plrl cav thrcnts 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 $116.