Average Medicaid Chemotherapy Payments in Kingsport, TN: $69.08
Avg. Paid
$69.08
Range
$31.11 – $98.39
Total Claims
4,641
Providers
9
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 Kingsport, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mountain States Health Alliance
2000 Brookside Dr |
$54.47 | 1,511 | 762 |
|
Kanishka Chakraborty
4 Sheridan Sq Ste 102 |
$98.39 | 1,287 | 707 |
|
Ibrahim Nakhoul
4485 W Stone Dr |
$60.68 | 743 | 423 |
|
Jamal Gerges Maatouk
4485 W Stone Dr |
$63.09 | 519 | 296 |
|
Edwin Mcelroy
111 W Stone Dr |
$54.85 | 191 | 128 |
|
Asheesh Shipstone
4485 W Stone Dr |
$84.61 | 136 | 97 |
|
Marco A Dasilva
2202 N John B Dennis Hwy Ste 100 |
$59.62 | 101 | 83 |
|
Steven J Baumrucker
2421 N John B Dennis Hwy |
$31.11 | 88 | 76 |
|
Mary Pat Francisco
105 W Stone Dr |
$47.49 | 65 | 40 |
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 Kingsport, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Kingsport, TN is $69.08 per claim, based on 4,641 claims from 9 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 Kingsport, TN?
There are 9 Medicaid providers offering Chemotherapy related services in Kingsport, TN according to public payment data.
What is the price range for Chemotherapy in Kingsport, TN?
Medicaid reimbursement for Chemotherapy in Kingsport, TN ranges from $31.11 to $98.39 per claim, with an average of $69.08. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $127.70
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Avg $94.27
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Boston, MA
Avg $328.18
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Milwaukee, WI
Avg $58.80
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Phoenix, AZ
Avg $50.04
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Los Angeles, CA
Avg $68.81
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Other Procedures in Kingsport, TN
Office Visit
Avg $43.89
1,005,838 claims
Blood Work & Lab Tests
Avg $5.84
551,873 claims
Durable Medical Equipment (DME)
Avg $18.44
215,749 claims
Emergency Room Visit
Avg $105.62
204,082 claims
Psychiatric Evaluation
Avg $51.17
175,169 claims
Vaccines & Immunizations
Avg $15.54
163,706 claims
Dental Cleaning & Exam
Avg $30.10
116,502 claims
Nursing Facility Care
Avg $8.27
95,203 claims