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
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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims