Average Medicaid Chemotherapy Payments in Grand Rapids, MI: $58.69
Avg. Paid
$58.69
Range
$31.57 – $172.50
Total Claims
86,700
Providers
7
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohammad Mahmoud Hasan Alhyari
145 Michigan St Ne Ste 5200 |
$172.50 | 64 | 36 |
|
Saint Mary'S Health Services
200 Jefferson Ave Se |
$126.24 | 350 | 280 |
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$48.96 | 911 | 768 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$41.63 | 1,427 | 1,069 |
|
Infusion Associates Pllc
3230 Eagle Park Dr Ne |
$31.57 | 8,091 | 7,545 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$115.96 | 20,489 | 16,109 |
|
Cancer & Hematology Centers Of Western Mi, P.C.
145 Michigan St Ne Ste 3100 |
$41.51 | 55,368 | 32,281 |
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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Grand Rapids, MI is $58.69 per claim, based on 86,700 claims from 7 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 Grand Rapids, MI?
There are 7 Medicaid providers offering Chemotherapy related services in Grand Rapids, MI according to public payment data.
What is the price range for Chemotherapy in Grand Rapids, MI?
Medicaid reimbursement for Chemotherapy in Grand Rapids, MI ranges from $31.57 to $172.50 per claim, with an average of $58.69. 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 Grand Rapids, MI
Office Visit
Avg $56.03
3,306,257 claims
Blood Work & Lab Tests
Avg $4.19
2,384,351 claims
Substance Abuse Treatment
Avg $24.17
2,223,309 claims
X-Ray
Avg $7.57
2,155,834 claims
Emergency Room Visit
Avg $106.82
1,903,454 claims
Psychiatric Evaluation
Avg $79.32
1,323,354 claims
Physical Therapy
Avg $24.71
1,298,324 claims
Vaccines & Immunizations
Avg $10.34
1,229,009 claims