Average Medicaid Chemotherapy Payments in Orange, CA: $40.51
Avg. Paid
$40.51
Range
$14.17 โ $245.55
Total Claims
101,902
Providers
10
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 Orange, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of California Irvine
101 The City Dr S |
$46.53 | 70,391 | 41,334 |
|
St. Joseph Hospital Of Orange
1100 W Stewart Dr |
$29.78 | 18,692 | 10,940 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$14.17 | 12,009 | 7,931 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$178.54 | 480 | 389 |
|
Madhavi Mummaneni
805 W La Veta Ave Ste 101 |
$46.16 | 124 | 87 |
|
Yasir Khan
101 The City Dr S |
$245.55 | 80 | 78 |
|
Joo-Hyung Lee
1010 W La Veta Ave Ste 360 |
$147.77 | 62 | 56 |
|
Andrew Ira Shulman
455 S Main St |
$39.94 | 26 | 25 |
|
Mehrnaz Hojjati
2501 E Chapman Ave Ste 301 |
$100.66 | 25 | 24 |
|
Jamie N Frediani
1201 W La Veta Ave |
$184.71 | 13 | 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 Orange, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Orange, CA is $40.51 per claim, based on 101,902 claims from 10 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 Orange, CA?
There are 10 Medicaid providers offering Chemotherapy related services in Orange, CA according to public payment data.
What is the price range for Chemotherapy in Orange, CA?
Medicaid reimbursement for Chemotherapy in Orange, CA ranges from $14.17 to $245.55 per claim, with an average of $40.51. 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
Brooklyn, NY
Avg $120.97
92,275 claims ยท 41 providers
Other Procedures in Orange, CA
Blood Work & Lab Tests
Avg $4.74
2,673,584 claims
Office Visit
Avg $52.01
2,116,805 claims
Ambulance Transport
Avg $108.94
1,443,285 claims
X-Ray
Avg $8.74
1,084,008 claims
Emergency Room Visit
Avg $91.53
892,554 claims
Urinalysis & Urine Tests
Avg $2.54
841,684 claims
Dental Cleaning & Exam
Avg $49.98
541,480 claims
EKG / ECG (Electrocardiogram)
Avg $12.71
437,065 claims