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Based on public Medicaid payment data.

Average Medicaid Chemotherapy Payments in Philadelphia, PA: $173.35

Avg. Paid

$173.35

Range

$3.32 โ€“ $331.34

Total Claims

18,808

Providers

63

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 Philadelphia, PA

Provider Avg. Paid Claims Patients
Childrens Hospital Of Philadelphia

34Th And Civic Center Blvd

$331.34 5,967 4,019
Juhi Mittal

3401 N Broad St

$62.97 1,691 925
Janice M. Carsello

1300 Wolf St

$214.09 657 431
Aruna Padmanabhan

3401 N Broad St

$71.29 653 364
Claudia Mattos Da Costa Dourado

5501 Old York Rd

$120.21 643 370
Moshe Chaim Chasky

3998 Red Lion Rd

$76.98 640 388
Emmanuel Tan Quien

333 Cottman Ave

$107.82 560 294
Alexander Gaitanis

5501 Old York Rd Ste 1

$62.04 542 295
Frederick Dold

3998 Red Lion Rd

$83.11 540 299
Rene R Rubin

207 N Broad St

$78.35 496 260
Allen Terzian

3998 Red Lion Rd

$89.87 477 288
John Charles Leighton

5501 Old York Road

$146.56 428 257
Alvaro Pereira-Rico

3401 N Broad St

$18.46 426 381
Trustees Of The University Of Pennsylvania

3400 Spruce St

$69.80 390 237
Ngoc An Phan

909 S 11Th St

$3.32 373 372
Stc Opco Llc

160 E Erie Ave

$212.10 369 290
Temple University Hospital, Inc

3401 N Broad St

$92.09 355 263
Temple University Hospital, Inc

333 Cottman Ave

$83.03 346 229
Rajan Singla

833 Chestnut St

$128.79 321 196
Minal Milind Dhamankar

5501 Old York Rd Ste 1

$161.21 303 165
Hayley Michelle Knollman

3400 Civic Center Blvd Fl 10

$158.54 277 166
Faten N Aberra

3400 Civic Center Boulevard

$148.94 213 206
Presbyterian Medical Center Of The University Of Pennsylvania Health S

51 N 39Th St

$14.14 160 90
Joseph Nicholas Bodor

333 Cottman Ave

$65.18 139 78
Thomas Jefferson University Hospitals Inc

111 S 11Th St

$112.68 125 81
Jeannette Marcelle Guziel

3401 N Broad St

$230.01 115 105
Judith R Kelsen

3401 Civic Center Blvd

$180.41 113 110
Svetlana Lvovich

160 E Erie Ave

$127.70 101 93
Joseph Robert Berger

3400 Civic Center Blvd

$94.97 89 78
Robert Gil Micheletti

3400 Civic Center Blvd.

$125.04 82 79
Dana Christine Wynne

333 Cottman Ave

$76.13 80 50
Lin Mei

3400 Spruce Street

$89.27 78 49
Julia Judd

3401 N Broad St

$92.00 71 37
Thomas Karasic

3400 Civic Center Blvd

$71.51 71 53
Efrat Dotan

333 Cottman Avenue

$56.90 69 44
Melina Elpi Marmarelis

3400 Civic Center Blvd

$126.18 68 50
Russell J Schilder

925 Chestnut St

$146.06 64 41
Michael John Hall

333 Cottman Ave

$109.76 54 40
Christopher Andrew Davella

333 Cottman Ave

$92.31 48 33
Daniel Lin

925 Chestnut St Ste 320A

$160.94 43 24
Gregory Emmett Halligan

Erie Ave At Front St

$99.87 43 26
Patricia Ann Ford

230 W Washington Sq

$65.66 42 24
Ida Micaily

925 Chestnut St Fl 3

$160.64 41 24
James P Stevenson

51 N. 39Th Street

$85.80 35 25
Karen Houck

3401 N Broad St

$82.77 34 25
Jessica Ann Hellyer

3400 Spruce St

$24.67 33 26
Marleah N Dimenna

1101 Chestnut St Fl 14

$200.08 32 24
Namrata Vijayvergia

333 Cottman Ave

$179.53 32 24
Jennifer Maria Johnson

925 Chestnut St

$231.37 25 13
Ingrid Follweiler Kohut

230 W Washington Sq

$104.80 24 14

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 Philadelphia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Philadelphia, PA is $173.35 per claim, based on 18,808 claims from 63 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 Philadelphia, PA?

There are 63 Medicaid providers offering Chemotherapy related services in Philadelphia, PA according to public payment data.

What is the price range for Chemotherapy in Philadelphia, PA?

Medicaid reimbursement for Chemotherapy in Philadelphia, PA ranges from $3.32 to $331.34 per claim, with an average of $173.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Chemotherapy in Other Cities

Other Procedures in Philadelphia, PA