Average Medicaid Chemotherapy Payments in Dover, DE: $56.92
Avg. Paid
$56.92
Range
$2.89 – $64.24
Total Claims
5,753
Providers
6
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 Dover, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rheumatology Center Of Delaware, Llc
260 Beiser Blvd Ste 201 |
$60.80 | 3,778 | 3,361 |
|
Infusion Solutions Of Delaware
1100 Forrest Ave |
$64.24 | 1,453 | 1,246 |
|
Maged I Hosny
260 Beiser Blvd Ste 201 |
$9.31 | 432 | 338 |
|
Jinsong Zhang
1100 Forrest Ave |
$2.89 | 40 | 25 |
|
Bayhealth Medical Center, Inc.
640 South State Street |
$5.98 | 35 | 17 |
|
Robert A Moyer
1100 Forrest Ave |
$4.93 | 15 | 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 Dover, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Dover, DE is $56.92 per claim, based on 5,753 claims from 6 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 Dover, DE?
There are 6 Medicaid providers offering Chemotherapy related services in Dover, DE according to public payment data.
What is the price range for Chemotherapy in Dover, DE?
Medicaid reimbursement for Chemotherapy in Dover, DE ranges from $2.89 to $64.24 per claim, with an average of $56.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Dover, DE
Office Visit
Avg $55.49
541,196 claims
Personal Care Services
Avg $107.16
437,262 claims
Blood Work & Lab Tests
Avg $14.59
230,179 claims
Emergency Room Visit
Avg $142.47
220,056 claims
X-Ray
Avg $11.25
131,691 claims
Psychiatric Evaluation
Avg $55.09
118,201 claims
Dental Cleaning & Exam
Avg $50.03
102,368 claims
Vaccines & Immunizations
Avg $7.81
91,997 claims