Average Medicaid Chemotherapy Payments in Bronx, NY: $143.66
Avg. Paid
$143.66
Range
$6.14 โ $1,684
Total Claims
68,715
Providers
24
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 โ 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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Montefiore Medical Center
111 E 210Th St |
$147.80 | 54,077 | 37,933 |
|
Bronxcare Health System
1650 Grand Concourse |
$98.43 | 5,705 | 3,551 |
|
New York City Health And Hospitals Corporation
234 E 149Th St |
$122.22 | 2,713 | 1,574 |
|
New York City Health And Hospitals Corporation
1400 Pelham Pkwy S |
$150.93 | 2,301 | 1,420 |
|
St. Barnabas Hospital
4422 Third Avenue |
$93.90 | 1,231 | 670 |
|
Avi Samson Retter
2330 Eastchester Rd |
$60.72 | 486 | 364 |
|
Roopalekha Shenoy
1650 Grand Concourse |
$109.93 | 397 | 114 |
|
Chitra Balasundaram
130 W Kingsbridge Rd |
$175.97 | 349 | 200 |
|
Fabio Volterra
2330 Eastchester Rd |
$70.00 | 341 | 261 |
|
Tarek Elrafei
1200 Waters Pl |
$81.01 | 253 | 88 |
|
Montefiore Medical Center
111 E 210Th St |
$1,684 | 159 | 117 |
|
Caroline Hwang
111 E 210Th St |
$123.43 | 151 | 14 |
|
Alan Kaufman
3626 E Tremont Ave |
$154.25 | 104 | 83 |
|
Jason Elliott Sandler
111 E 210Th St |
$88.55 | 92 | 17 |
|
Sandeep Malik
899 Elton Ave |
$6.14 | 80 | 74 |
|
Xuan Ge
1400 Pelham Pkwy S |
$250.82 | 74 | 67 |
|
Benjamin Adam Gartrell
111 E 210Th St # 100 |
$74.41 | 41 | 28 |
|
Sun Young Oh
1695 Eastchester Rd |
$110.75 | 40 | 26 |
|
Noah Saul Kornblum
111 E 210Th St |
$24.14 | 38 | 26 |
|
Howard Warren Bruckner
1500 Astor Ave Fl 2B |
$18.97 | 25 | 14 |
|
Abhishek Kumar
1400 Pelham Pkwy S Ste 3N20 |
$42.67 | 18 | 12 |
|
Denisa Elena Ferastraoaru
1400 Pelham Pkwy S |
$67.11 | 15 | 13 |
|
Golda Hudes
Montefiore Medical Park |
$59.05 | 13 | 12 |
|
Robert Lopez
1400 Pelham Pkwy S |
$218.45 | 12 | 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 | โ | โ | โ |
| 96420 | Chemo intra-arterial push | โ | โ | โ |
| 96423 | Chemo intra-arterial each addl | โ | โ | โ |
| 96425 | Chemo intra-arterial pump | โ | โ | โ |
| 96440 | Chemo intracavitary | โ | โ | โ |
| 96446 | Chemo intraperitoneal | โ | โ | โ |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Bronx, NY is $143.66 per claim, based on 68,715 claims from 24 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 Bronx, NY?
There are 24 Medicaid providers offering Chemotherapy related services in Bronx, NY according to public payment data.
What is the price range for Chemotherapy in Bronx, NY?
Medicaid reimbursement for Chemotherapy in Bronx, NY ranges from $6.14 to $1,684 per claim, with an average of $143.66. 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 ยท 52 providers
New Haven, CT
Avg $127.70
180,966 claims ยท 3 providers
Seattle, WA
Avg $94.27
173,055 claims ยท 20 providers
Boston, MA
Avg $328.18
148,953 claims ยท 17 providers
Milwaukee, WI
Avg $58.80
135,048 claims ยท 9 providers
Phoenix, AZ
Avg $50.04
125,784 claims ยท 33 providers
Los Angeles, CA
Avg $68.81
111,106 claims ยท 77 providers
Orange, CA
Avg $40.51
101,902 claims ยท 10 providers
Other Procedures in Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims