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See a sample rate comparisonHCPCS C8957 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Miscellaneous Drugs, Biologicals, and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C8957 |
National average reimbursement for HCPCS C8957 by major payers:
$84.39
$94.55
$346.83
$25.59
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HCPCS C8957
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$891.66Published rateOur Lady Of The Angels Hospital, Inc., Our Lady Of The Angels Hospital
Our Lady Of The Angels Hospital Inc
$530.00Published rateParish Hospital Service District For The Parish Of Orleans, New Orleans East Hospital
$441.35Published rateSpecialists Hospital Shreveport, LLC
Specialists Hospital Shreveport, L.L.C.
$387.73Published rateClhg, Minden Medical Center
$231.13Published rate
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See a sample payer proposalHCPCS C8957 vs. Other Miscellaneous Drugs, Biologicals, and Supplies Codes
The HCPCS C8957 code is part of the Outpatient PPS services used for Miscellaneous Drugs, Biologicals, and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS C8957 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| C8937-HCPCS | Low | Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) |
| C8957-HCPCS | Low | Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump |
| C9046-HCPCS | Low | Cocaine hydrochloride nasal solution for topical administration, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C8957. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C8957 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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