Average Medicaid Chemotherapy Payments in Dayton, OH: $99.59
Avg. Paid
$99.59
Range
$37.43 โ $248.83
Total Claims
26,245
Providers
14
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 Dayton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dayton Osteopathic Hospital
405 W Grand Ave |
$111.96 | 15,062 | 7,741 |
|
Miami Valley Hospital
1 Wyoming St |
$65.54 | 6,583 | 2,738 |
|
Tracy J. Eicher
30 E Apple St |
$84.03 | 1,645 | 1,351 |
|
Charles L Bane
8881 N Main St |
$55.78 | 872 | 599 |
|
Dayton Children'S Hospital
1 Childrens Plz |
$248.83 | 788 | 470 |
|
James H Sabiers
3700 Southern Blvd Ste 401 |
$158.99 | 301 | 172 |
|
Roger Allen Wood
8881 N Main St |
$61.72 | 267 | 192 |
|
Howard M Gross
8881 N Main St |
$59.14 | 246 | 183 |
|
Mark D Romer
3120 Governors Place Blvd |
$67.84 | 134 | 82 |
|
Shamim Z Jilani
8881 N Main St |
$37.43 | 116 | 56 |
|
Ketan S. Shah
3120 Governors Place Blvd |
$67.31 | 110 | 71 |
|
Jhansi L Koduri
1029 Whispering Pine Ln |
$66.78 | 78 | 56 |
|
Mukund Govind Dole
1 Childrens Plz |
$164.35 | 26 | 24 |
|
Thomas J A Reid
30 E Apple St |
$215.65 | 17 | 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 Dayton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Dayton, OH is $99.59 per claim, based on 26,245 claims from 14 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 Dayton, OH?
There are 14 Medicaid providers offering Chemotherapy related services in Dayton, OH according to public payment data.
What is the price range for Chemotherapy in Dayton, OH?
Medicaid reimbursement for Chemotherapy in Dayton, OH ranges from $37.43 to $248.83 per claim, with an average of $99.59. 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 Dayton, OH
Home Health Visit
Avg $59.90
3,092,172 claims
Office Visit
Avg $64.03
3,013,507 claims
Substance Abuse Treatment
Avg $99.66
2,178,156 claims
Emergency Room Visit
Avg $97.08
1,743,160 claims
Blood Work & Lab Tests
Avg $6.58
1,534,294 claims
Behavioral & Mental Health Therapy
Avg $69.30
1,407,770 claims
Psychiatric Evaluation
Avg $74.24
998,423 claims
X-Ray
Avg $8.52
885,936 claims