Average Medicaid Chemotherapy Payments in Cincinnati, OH: $137.88
Avg. Paid
$137.88
Range
$22.42 โ $466.42
Total Claims
46,511
Providers
33
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Cincinnati Medical Center, Llc
3188 Bellevue Avenue |
$135.70 | 15,732 | 8,616 |
|
The Good Samaritan Hospital Of Cincinnati, Ohio
375 Dixmyth Ave |
$114.50 | 11,048 | 6,121 |
|
Children'S Hospital Medical Center
3333 Burnet Ave |
$224.64 | 6,305 | 4,592 |
|
Kurt P Leuenberger
3301 Mercy Health Blvd Ste 100 |
$68.60 | 2,414 | 1,488 |
|
Benjamin Thomas Herms
601 Ivy Gtwy Ste 1100 |
$61.66 | 2,096 | 1,307 |
|
Christ Hospital
2139 Auburn Ave |
$129.74 | 1,452 | 654 |
|
Mark E Johns
601 Ivy Gtwy Ste 1100 |
$68.47 | 1,451 | 850 |
|
Elyse E Lower
234 Goodman St |
$353.66 | 1,296 | 814 |
|
Suzanne Partridge
3301 Mercy Health Blvd |
$67.25 | 1,012 | 648 |
|
Patrick J Ward
4350 Malsbary Rd |
$62.85 | 609 | 351 |
|
David R Drosick
601 Ivy Gtwy Ste 1100 |
$66.77 | 484 | 320 |
|
Robert P. Baughman
222 Piedmont Ave |
$228.19 | 470 | 404 |
|
David M Waterhouse
3301 Mercy Health Blvd Ste 100 |
$73.63 | 345 | 241 |
|
Kara Mari De Felice
222 Piedmont Ave |
$208.30 | 276 | 242 |
|
Aram Zabeti
3113 Bellevue Ave Fl 3 |
$153.23 | 220 | 203 |
|
John Charles Morris
234 Goodman St |
$466.42 | 182 | 103 |
|
Alexander N Starodub
2139 Auburn Ave |
$70.65 | 154 | 65 |
|
Mahmoud Charif
231 Albert Sabin Way |
$173.05 | 146 | 89 |
|
Slobodan M Stanisic
4460 Red Bank Rd |
$53.51 | 127 | 57 |
|
Apurva C Mehta
5520 Cheviot Road |
$57.87 | 98 | 49 |
|
Kerri Anne Mcgovern
3151 Bellevue Ave |
$61.26 | 85 | 48 |
|
Kirubel Tefera
234 Goodman St |
$172.18 | 82 | 48 |
|
Trisha Michel Wise-Draper
234 Goodman St |
$98.60 | 75 | 37 |
|
Jennifer Lynn Huggins
3333 Burnet Avenue |
$29.95 | 60 | 49 |
|
Roman Mehari Kassa
3113 Bellevue Ave Fl 3 |
$143.27 | 58 | 56 |
|
Julie Specht
4460 Red Bank Rd |
$82.93 | 43 | 24 |
|
Omar Alkharabsheh
3151 Bellevue Ave |
$64.29 | 42 | 24 |
|
Mark Andolina
234 Goodman St |
$133.85 | 41 | 24 |
|
Faisal Adhami
5520 Cheviot Rd |
$101.90 | 29 | 12 |
|
Ranga S Brahmamdam
5520 Cheviot Road |
$95.27 | 26 | 16 |
|
Samer Alsidawi
5520 Cheviot Rd |
$153.36 | 22 | 12 |
|
Michael Schmerler
4805 Montgomery Rd |
$133.70 | 16 | 15 |
|
Terri M Mcmillan
3333 Burnet Ave |
$22.42 | 15 | 13 |
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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Cincinnati, OH is $137.88 per claim, based on 46,511 claims from 33 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 Cincinnati, OH?
There are 33 Medicaid providers offering Chemotherapy related services in Cincinnati, OH according to public payment data.
What is the price range for Chemotherapy in Cincinnati, OH?
Medicaid reimbursement for Chemotherapy in Cincinnati, OH ranges from $22.42 to $466.42 per claim, with an average of $137.88. 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 Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Substance Abuse Treatment
Avg $55.29
2,244,339 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims