Average Medicaid Chemotherapy Payments in Ponce, PR: $80.62
Avg. Paid
$80.62
Range
$35.91 – $107.38
Total Claims
58,275
Providers
13
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 Ponce, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hector Antonio Velez Cortes
1217 Ave Hostos |
$75.73 | 18,179 | 9,355 |
|
Anna Maria Di Marco
609 Ave Tito Castro Ste 102 |
$82.12 | 15,715 | 8,912 |
|
Jorge I. Rodriguez Lugo
Torre Med San Lucas |
$84.59 | 9,070 | 3,324 |
|
Rolando L Jimenez
2225 Ponce Byp Ste 706 |
$60.11 | 4,023 | 2,130 |
|
Maryknoll De La Paz
2225 Ponce Byp Ste 607 |
$104.37 | 3,458 | 1,655 |
|
Roberto Velazquez Torres
Edificio Porrata Pila 2431 Ave Las Americas |
$95.37 | 2,289 | 1,021 |
|
Jose A Cangiano
35 Calle Castillo |
$53.36 | 1,857 | 964 |
|
Caribbean Cancer Care Services, Llc
2225 Ponce By Pass |
$87.47 | 1,716 | 948 |
|
Luis Gabriel Sepulveda-Maldonado
Edificio Michelle Plaza |
$104.17 | 1,561 | 639 |
|
Caribbean Wellness Oncology, Psc
1378 Calle Salud |
$84.69 | 188 | 108 |
|
Breast Cancer Care, Csp
Torre Med San Lucas |
$86.68 | 97 | 48 |
|
Federico Alberto Corica
2435 Blvd Luis A Ferre |
$35.91 | 93 | 93 |
|
Centro Oncologico De La Mujer De Puerto Rico Csp
1378 Calle Salud |
$107.38 | 29 | 24 |
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 Ponce, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Ponce, PR is $80.62 per claim, based on 58,275 claims from 13 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 Ponce, PR?
There are 13 Medicaid providers offering Chemotherapy related services in Ponce, PR according to public payment data.
What is the price range for Chemotherapy in Ponce, PR?
Medicaid reimbursement for Chemotherapy in Ponce, PR ranges from $35.91 to $107.38 per claim, with an average of $80.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $127.70
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Avg $21.42
1,360,962 claims
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Avg $9.32
1,169,019 claims
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Avg $4.89
299,051 claims
Urinalysis & Urine Tests
Avg $3.76
273,785 claims
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Avg $20.09
231,783 claims
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Avg $18.40
217,440 claims
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Avg $51.49
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Avg $89.42
187,636 claims