Average Medicaid Chemotherapy Payments in Buffalo, NY: $219.49
Avg. Paid
$219.49
Range
$42.75 – $263.86
Total Claims
21,579
Providers
10
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roswell Park Cancer Institute
Elm And Carlton St |
$219.54 | 17,749 | 10,737 |
|
Kaleida Health
818 Ellicott St |
$263.86 | 2,135 | 2,029 |
|
Kaleida Health
100 High St |
$214.22 | 1,075 | 888 |
|
Erie County Medical Center Corporation
462 Grider St |
$63.70 | 212 | 125 |
|
Gil I Wolfe
1010 Main St |
$74.82 | 110 | 100 |
|
Devinderpal Singh Randhawa
462 Grider St |
$79.95 | 104 | 54 |
|
Bianca Weinstock Guttman
100 High St |
$98.47 | 88 | 84 |
|
Niraj Konchady Shenoy
Elm And Carlton St |
$42.75 | 64 | 51 |
|
Svetlana Primma Eckert
1001 Main St |
$109.92 | 26 | 25 |
|
Channa Malka Kolb
100 High St |
$109.07 | 16 | 16 |
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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Buffalo, NY is $219.49 per claim, based on 21,579 claims from 10 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 Buffalo, NY?
There are 10 Medicaid providers offering Chemotherapy related services in Buffalo, NY according to public payment data.
What is the price range for Chemotherapy in Buffalo, NY?
Medicaid reimbursement for Chemotherapy in Buffalo, NY ranges from $42.75 to $263.86 per claim, with an average of $219.49. 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
Boston, MA
Avg $328.18
148,953 claims · 17 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
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Avg $138.93
2,641,639 claims
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Avg $60.22
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Avg $8.36
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Avg $44.27
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Avg $135.39
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