Average Medicaid Chemotherapy Payments in Pinehurst, NC: $21.54
Avg. Paid
$21.54
Range
$13.20 – $26.52
Total Claims
3,534
Providers
5
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 Pinehurst, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Firsthealth Of The Carolinas, Inc.
155 Memorial Dr |
$21.31 | 2,941 | 1,556 |
|
Mcpc-12, Llc
145 Applecross Rd |
$26.52 | 370 | 257 |
|
Charles Samuel Kuzma
220 Page Rd |
$16.16 | 84 | 51 |
|
Todd Anthony Moore
220 Page Rd |
$19.07 | 76 | 40 |
|
Susan Elizabeth Bazinet
220 Page Rd |
$13.20 | 63 | 49 |
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 Pinehurst, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Pinehurst, NC is $21.54 per claim, based on 3,534 claims from 5 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 Pinehurst, NC?
There are 5 Medicaid providers offering Chemotherapy related services in Pinehurst, NC according to public payment data.
What is the price range for Chemotherapy in Pinehurst, NC?
Medicaid reimbursement for Chemotherapy in Pinehurst, NC ranges from $13.20 to $26.52 per claim, with an average of $21.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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