Average Medicaid Chemotherapy Payments in Houston, TX: $58.87
Avg. Paid
$58.87
Range
$1.50 โ $350.66
Total Claims
25,640
Providers
36
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 Houston, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Texas M. D. Anderson Cancer Center
1515 Holcombe Blvd |
$42.87 | 10,451 | 6,624 |
|
Harris County Hospital District
1504 Taub Loop |
$48.28 | 6,794 | 4,518 |
|
Doanh Nguyen
17203 Red Oak Dr Ste 101 |
$72.89 | 1,837 | 1,299 |
|
The Methodist Hospital
6565 Fannin St |
$115.16 | 1,239 | 773 |
|
Paul X Zhang
1213 Hermann Dr Ste 525 |
$65.48 | 1,065 | 616 |
|
Muhammad Aleem Imran
17070 Red Oak Dr Ste 105 |
$38.60 | 824 | 488 |
|
Theodore Lee
810 Highway 6 S Ste 211 |
$90.35 | 668 | 509 |
|
Wajeeha Yousaf
1635 North Loop W |
$99.56 | 478 | 425 |
|
Monica Guerra
6701 Fannin St |
$80.79 | 329 | 173 |
|
Amber Khan
2222 Greenhouse Rd, Bldg 800 |
$1.50 | 301 | 268 |
|
Vince Davd Cataldo
1515 Holcombe Blvd |
$112.03 | 262 | 141 |
|
Zunaira Ali
22485 Tomball Pkwy Ste 2100 |
$37.44 | 176 | 118 |
|
Yang Jiang
6431 Fannin St Ste Jjl 310 |
$267.02 | 117 | 112 |
|
Preethi Prasad
18400 Katy Fwy Ste 220 |
$209.96 | 114 | 107 |
|
Marietta De Guzman
6701 Fannin St |
$350.66 | 97 | 87 |
|
Abir Khan
1 Baylor Plz |
$189.65 | 88 | 56 |
|
Ahmed Elkhanany
2525A Holly Hall St |
$74.48 | 87 | 37 |
|
Alexandra P Ikeguchi
1515 Holcombe Blvd |
$174.83 | 80 | 59 |
|
Lisa Wang
6701 Fannin St |
$90.70 | 80 | 70 |
|
Richa Shukla
1504 Taub Loop |
$80.94 | 67 | 58 |
|
Timothy Joseph Porea
1102 Bates Ave |
$89.41 | 65 | 62 |
|
Fernando Xavier Cuascut
7200 Cambrigde St. |
$74.75 | 56 | 52 |
|
Carrie Hau Lai Yuen
6445 Main St |
$125.83 | 47 | 45 |
|
Patrick A Thompson
6701 Fannin St |
$47.85 | 43 | 24 |
|
Seema Mehta Walsh
6701 Fannin St |
$234.54 | 37 | 37 |
|
Memorial Hermann Health System
6411 Fannin St |
$59.69 | 37 | 25 |
|
Chintan Pareshbhai Shah
1515 Holcombe Blvd |
$48.91 | 37 | 28 |
|
George J. Hutton
6501 Fannin St |
$71.89 | 34 | 31 |
|
Filemon K Tan
6410 Fannin St |
$107.09 | 33 | 25 |
|
Terry Armstrong
6621 Fannin St |
$127.31 | 17 | 13 |
|
Marta Melissa Gonzalez
6701 Fannin St |
$157.56 | 15 | 12 |
|
Mary Katherine Gardner Dixon
1515 Holcombe Blvd |
$60.31 | 15 | 12 |
|
Fadi Ismail Abu-Shahin
18220 State Highway 249 Ste 100 |
$53.45 | 14 | 12 |
|
Amanda Bell Grimes
6701 Fannin St |
$85.15 | 12 | 12 |
|
Shelby Boone
6701 Fannin St |
$67.73 | 12 | 12 |
|
Laura Elizabeth Sealy
6701 Fannin St |
$64.82 | 12 | 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 Houston, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Houston, TX is $58.87 per claim, based on 25,640 claims from 36 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 Houston, TX?
There are 36 Medicaid providers offering Chemotherapy related services in Houston, TX according to public payment data.
What is the price range for Chemotherapy in Houston, TX?
Medicaid reimbursement for Chemotherapy in Houston, TX ranges from $1.50 to $350.66 per claim, with an average of $58.87. 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 Houston, TX
Office Visit
Avg $48.27
8,766,644 claims
Vaccines & Immunizations
Avg $6.36
4,720,768 claims
Dental Cleaning & Exam
Avg $39.95
3,744,881 claims
Blood Work & Lab Tests
Avg $9.56
3,408,214 claims
Emergency Room Visit
Avg $183.70
2,360,699 claims
X-Ray
Avg $9.02
1,931,677 claims
Personal Care Services
Avg $67.63
1,546,221 claims
Urinalysis & Urine Tests
Avg $5.15
1,340,067 claims