Average Medicaid Chemotherapy Payments in Nashville, TN: $90.85
Avg. Paid
$90.85
Range
$20.08 – $200.03
Total Claims
15,205
Providers
29
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 Nashville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dana S Thompson
250 25Th Ave N |
$50.50 | 3,150 | 1,704 |
|
Vanderbilt University Medical Center
1211 Medical Center Drive |
$200.03 | 3,113 | 1,704 |
|
Precision Healthcare, Inc.
441 Donelson Pike |
$63.71 | 1,962 | 897 |
|
Habib Doss
2004 Hayes St Ste 350 |
$57.35 | 1,923 | 933 |
|
Siddharama Pawate
3601 The Vanderbilt Clinic |
$84.77 | 1,004 | 760 |
|
Denise A Yardley
250 25Th Ave N |
$59.93 | 621 | 366 |
|
Nancy W Peacock
2004 Hayes St Ste 350 |
$87.48 | 565 | 290 |
|
Mohammed Amine Achhal El Kadmiri
1005 Dr Db Todd Jr Blvd |
$93.27 | 468 | 271 |
|
Marci Levy Kleinrock
2000 Richard Jones Rd Ste 220 |
$28.18 | 269 | 219 |
|
Margaret A Coplin
3601 The Vanderbilt Clinic |
$120.10 | 268 | 141 |
|
David R Spigel
250 25Th Ave N |
$55.13 | 262 | 171 |
|
Edward Kirk Barnes
3443 Dickerson Pike |
$63.93 | 239 | 104 |
|
Jack Erter
397 Wallace Rd |
$64.69 | 213 | 122 |
|
Subramaniam Sriram
3601 Tvc |
$27.02 | 169 | 105 |
|
William H Liggett
3443 Dickerson Pike |
$72.63 | 166 | 77 |
|
William Bruce Donnellan
250 25Th Ave N |
$62.13 | 137 | 81 |
|
Michael Howard Gold
2000 Richard Jones Rd |
$26.77 | 137 | 100 |
|
William C Penley
2004 Hayes St Ste 350 |
$92.32 | 109 | 65 |
|
Kent C Shih
4220 Harding Pike |
$29.65 | 100 | 52 |
|
Richard Lewis Martin
3443 Dickerson Pike Ste 760 |
$102.70 | 88 | 53 |
|
Todd Michael Bauer
300 20Th Ave N |
$53.71 | 47 | 25 |
|
Tara York Ward
2200 Childrens Way |
$108.47 | 36 | 28 |
|
Rachel Marie Eckert
333 Murfreesboro Pike |
$29.88 | 34 | 24 |
|
Tennessee Oncology Pllc
2004 Hayes St Ste 800 |
$20.08 | 29 | 13 |
|
Michael Norbert Neuss
3601 The Vanderbilt Clinic |
$94.09 | 24 | 13 |
|
Leora Horn
3601 Tvc |
$58.41 | 22 | 12 |
|
Robert Seth Cooper
4220 Harding Pike |
$27.09 | 19 | 12 |
|
Casey Claire Fletcher
3601 The Vanderbilt Clinic |
$69.66 | 16 | 12 |
|
Shemeka Nicole Davis
3601 The Vanderbilt Clinic |
$105.74 | 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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Nashville, TN is $90.85 per claim, based on 15,205 claims from 29 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 Nashville, TN?
There are 29 Medicaid providers offering Chemotherapy related services in Nashville, TN according to public payment data.
What is the price range for Chemotherapy in Nashville, TN?
Medicaid reimbursement for Chemotherapy in Nashville, TN ranges from $20.08 to $200.03 per claim, with an average of $90.85. 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 Nashville, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Case Management Services
Avg $197.77
5,117,343 claims
Office Visit
Avg $46.51
4,188,840 claims
Emergency Room Visit
Avg $115.01
1,887,270 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims