Average Medicaid Chemotherapy Payments in Detroit, MI: $113.59
Avg. Paid
$113.59
Range
$28.59 – $147.16
Total Claims
76,076
Providers
8
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 Detroit, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Barbara Ann Karmanos Cancer Hospital
4100 John R St |
$112.02 | 30,872 | 20,197 |
|
Henry Ford Health System
2799 W Grand Blvd |
$115.64 | 29,237 | 21,057 |
|
Vhs Childrens Hospital Of Michigan Inc
3901 Beaubien St |
$110.54 | 13,366 | 9,799 |
|
Vhs Sinai-Grace Hospital Inc
6071 W Outer Dr |
$147.16 | 2,006 | 1,175 |
|
University Pediatricians
3901 Beaubien |
$43.35 | 434 | 352 |
|
University Physician Group
4201 St. Antoine St. |
$28.59 | 92 | 78 |
|
Morgan L Taylor
3909 Woodward Ave |
$137.32 | 53 | 24 |
|
Talal M Derani
2799 W Grand Blvd |
$49.74 | 16 | 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 Detroit, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Detroit, MI is $113.59 per claim, based on 76,076 claims from 8 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 Detroit, MI?
There are 8 Medicaid providers offering Chemotherapy related services in Detroit, MI according to public payment data.
What is the price range for Chemotherapy in Detroit, MI?
Medicaid reimbursement for Chemotherapy in Detroit, MI ranges from $28.59 to $147.16 per claim, with an average of $113.59. 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 · 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
Other Procedures in Detroit, MI
Emergency Room Visit
Avg $110.55
4,694,783 claims
Office Visit
Avg $56.69
4,680,416 claims
Blood Work & Lab Tests
Avg $3.68
4,416,700 claims
Substance Abuse Treatment
Avg $28.79
3,445,158 claims
Home Health Visit
Avg $57.99
2,886,533 claims
X-Ray
Avg $10.17
1,790,332 claims
Psychiatric Evaluation
Avg $99.11
1,494,151 claims
Behavioral & Mental Health Therapy
Avg $129.03
1,324,733 claims