Average Medicaid Chemotherapy Payments in Pittsburgh, PA: $135.62
Avg. Paid
$135.62
Range
$3.07 – $659.38
Total Claims
6,879
Providers
25
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rock A Heyman
3471 5Th Ave |
$82.78 | 1,694 | 1,647 |
|
Whitney Marie Sunseri
4401 Penn Ave |
$265.85 | 940 | 900 |
|
Adam M Brufsky
300 Halket St |
$77.51 | 841 | 582 |
|
Vikram Gorantla
5115 Centre Ave |
$89.13 | 740 | 415 |
|
Cigdem Isitan
Upmc Magee Women'S Hospital |
$97.89 | 431 | 418 |
|
Shannon Leigh Huggins-Puhalla
300 Halket St |
$76.37 | 315 | 245 |
|
Arthur M. Barrie
200 Lothrop St |
$110.42 | 302 | 281 |
|
Daniel Kietz
3705 5Th Ave |
$313.58 | 277 | 250 |
|
Daniel Petro
5115 Centre Ave |
$85.14 | 232 | 117 |
|
Leah Siebold
1 Childrens Hospital Dr |
$245.79 | 208 | 203 |
|
Upmc Magee-Womens Hospital
300 Halket St |
$111.04 | 186 | 113 |
|
Gurprataap Sandhu
5115 Centre Ave Fl 3 |
$83.59 | 133 | 82 |
|
Margalit Elana Rosenkranz
3705 Fifth Avenue |
$314.61 | 126 | 106 |
|
John Rhee
5115 Centre Ave Fl 3 |
$99.32 | 68 | 38 |
|
Hongmei Liang
200 Delafield Rd |
$90.08 | 65 | 38 |
|
Upmc Children'S Hospital Of Pittsburgh
4401 Penn Ave |
$659.38 | 62 | 50 |
|
Siddharth Hemant Sheth
5230 Centre Ave |
$233.63 | 41 | 24 |
|
Monica Khunger Malhotra
5115 Centre Ave Fl 3 |
$127.76 | 41 | 26 |
|
Jennifer L Osborn
9100 Babcock Blvd |
$101.55 | 41 | 25 |
|
Mohammed F Islam
4815 Liberty Ave |
$82.94 | 38 | 24 |
|
Zahra Rahman Kelly
5115 Centre Ave Fl 3 |
$69.43 | 28 | 24 |
|
Alexander Barsouk
4815 Liberty Ave |
$93.64 | 21 | 13 |
|
Roby Thomas
5115 Centre Ave |
$96.10 | 20 | 12 |
|
West Penn Allegheny Health System Inc
4800 Friendship Avenue |
$3.07 | 16 | 12 |
|
Hannah Taggart Lynch
4401 Penn Ave |
$111.21 | 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 | — | — | — |
| 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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Pittsburgh, PA is $135.62 per claim, based on 6,879 claims from 25 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 Pittsburgh, PA?
There are 25 Medicaid providers offering Chemotherapy related services in Pittsburgh, PA according to public payment data.
What is the price range for Chemotherapy in Pittsburgh, PA?
Medicaid reimbursement for Chemotherapy in Pittsburgh, PA ranges from $3.07 to $659.38 per claim, with an average of $135.62. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims