Average Medicaid Chemotherapy Payments in Boston, MA: $328.18
Avg. Paid
$328.18
Range
$13.81 – $1,110
Total Claims
148,953
Providers
17
Typical Payment Range
Typical Medicaid Chemotherapy payments fall between $46.77 and $118.62 per claim (median: $74.00). The top 10% of payments exceed $195.22.
Based on per-provider averages across all Medicaid claims in this category.
Chemotherapy uses drugs to destroy cancer cells. Treatment may be given intravenously, orally, or through injection.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Chemotherapy in Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dana-Farber Cancer Institute, Inc.
450 Brookline Ave |
$236.15 | 57,756 | 34,228 |
|
Beth Israel Deaconess Medical Center, Inc.
330 Brookline Ave |
$378.96 | 27,652 | 19,305 |
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$388.91 | 26,189 | 17,824 |
|
The General Hospital Corporation
55 Fruit St |
$108.58 | 13,128 | 7,959 |
|
Tufts Medical Center, Inc.
800 Washington St |
$345.96 | 9,449 | 6,314 |
|
Children'S Hospital Corporation
300 Longwood Ave |
$1,110 | 6,882 | 6,184 |
|
Dana-Farber Cancer Institute, Inc.
75 Francis St |
$316.07 | 3,429 | 1,952 |
|
Dana Farber Cancer Institute
44 Binney St |
$400.29 | 1,256 | 693 |
|
Haeseong Park
450 Brookline Ave |
$55.88 | 960 | 726 |
|
Brigham & Womens Hospital, Inc.
75 Francis St |
$557.48 | 855 | 779 |
|
John L Niles
101 Merrimac St |
$46.60 | 664 | 644 |
|
Thomas M Reske
88 Enewton - Robinson 2 Geriatrics Department |
$158.39 | 306 | 162 |
|
Tufts Medical Center, Inc.
750 Washington St |
$251.52 | 139 | 108 |
|
Jacob Matt Elkon
800 Washington St # 245 |
$66.23 | 121 | 101 |
|
Brigham And Women'S Faulkner Hospital, Inc
1153 Centre St |
$26.80 | 107 | 98 |
|
Mark C Fisher
55 Fruit St |
$13.81 | 42 | 42 |
|
Enrico Castellucci
1 Boston Medical Ctr Pl |
$41.97 | 18 | 12 |
What to Expect: Chemotherapy
Chemotherapy sessions vary in length from 30 minutes to several hours. Treatment is given in cycles, with rest periods between sessions. You'll typically sit in a treatment chair while medication is delivered through an IV. Side effects vary by drug but may include fatigue, nausea, hair loss, and increased infection risk. Your oncology team will monitor you closely.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 96413 | Chemo IV infusion 1st hr | $117.22 | 6,271,753 | 5,360 |
| 96415 | Chemo IV infusion each addl hr | $133.82 | 1,276,390 | 1,260 |
| 96417 | Chemo IV infusion each addl seq | $46.31 | 875,230 | 905 |
| 96401 | Chemo admin subcut/IM non-horm | $58.63 | 403,163 | 556 |
| 96411 | Chemo IV push addl drug | $55.59 | 286,798 | 290 |
| 96402 | Chemo admin subcut/IM hormonal | $60.58 | 262,364 | 362 |
| 96409 | Chemo IV push single drug | $90.29 | 199,614 | 201 |
| 96416 | Chemo IV infusion initiation | $164.00 | 144,761 | 171 |
| 96450 | Chemo into CNS via lumbar | $254.61 | 45,433 | 149 |
| 96422 | Chemo intra-arterial infusion | $50.81 | 156 | 2 |
| 96405 | Chemo intralesional up to 7 | $43.62 | 127 | 2 |
| 96406 | Chemo intralesional >7 lesions | — | — | — |
| 96420 | Chemo intra-arterial push | — | — | — |
| 96423 | Chemo intra-arterial each addl | — | — | — |
| 96425 | Chemo intra-arterial pump | — | — | — |
| 96440 | Chemo intracavitary | — | — | — |
| 96446 | Chemo intraperitoneal | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Chemotherapy cost in Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Boston, MA is $328.18 per claim, based on 148,953 claims from 17 providers. Typical payments fall between $46.77 and $118.62. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Chemotherapy in Boston, MA?
There are 17 Medicaid providers offering Chemotherapy related services in Boston, MA according to public payment data.
What is the price range for Chemotherapy in Boston, MA?
Medicaid reimbursement for Chemotherapy in Boston, MA ranges from $13.81 to $1,110 per claim, with an average of $328.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Chemotherapy in Other Cities
New York, NY
Avg $178.23
295,768 claims · 52 providers
New Haven, CT
Avg $127.70
180,966 claims · 3 providers
Seattle, WA
Avg $94.27
173,055 claims · 20 providers
Milwaukee, WI
Avg $58.80
135,048 claims · 9 providers
Phoenix, AZ
Avg $50.04
125,784 claims · 33 providers
Los Angeles, CA
Avg $68.81
111,106 claims · 77 providers
Orange, CA
Avg $40.51
101,902 claims · 10 providers
Brooklyn, NY
Avg $120.97
92,275 claims · 41 providers
Other Procedures in Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims