Average Medicaid Chemotherapy Payments in Richmond, VA: $162.34
Avg. Paid
$162.34
Range
$33.84 – $225.37
Total Claims
78,911
Providers
22
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 Richmond, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Virginia Commonwealth University Health System Authority
1250 E Marshall St |
$187.73 | 51,171 | 28,146 |
|
Bon Secours-Richmond Community Hospital Llc
1500 N 28Th St |
$115.73 | 25,696 | 15,538 |
|
James E. Shaw
1250 E Marshall St |
$225.37 | 563 | 397 |
|
Gisa-Beate A Schunn
1401 Johnston Willis Dr |
$73.18 | 222 | 156 |
|
Pablo M Gonzalez
1401 Johnston Willis Dr |
$50.75 | 211 | 160 |
|
Randal John West
9101 Stony Point Dr Ste 3300 |
$71.28 | 182 | 92 |
|
Hca Health Services Of Virginia Inc
1602 Skipwith Rd |
$33.84 | 130 | 75 |
|
Kenneth S Haft
6600 W Broad St Ste 300 |
$92.38 | 116 | 86 |
|
Attique Samdani
1401 Johnston Willis Dr |
$62.45 | 106 | 78 |
|
Ritsu Kuno
1000 Boulders Pkwy |
$93.25 | 93 | 83 |
|
Will Rowland Voelzke
1401 Johnston Willis Dr |
$68.70 | 73 | 66 |
|
Sharon A Goble
1401 Johnston Willis Dr |
$53.50 | 69 | 54 |
|
Glenn M Giessel
1000 Boulders Pkwy |
$112.82 | 49 | 45 |
|
Elke K Friedman
8007 Discovery Dr Ste A |
$81.98 | 47 | 41 |
|
James Leon Khatcheressian
8007 Discovery Dr Ste A |
$81.26 | 46 | 40 |
|
Virginia Cancer Institute Incorporated
8007 Discovery Dr Ste A |
$51.63 | 39 | 24 |
|
Reed Brian Mitchell
8007 Discovery Dr Ste A |
$86.95 | 19 | 15 |
|
Sarah Wilema Gordon
1250 E Marshall St |
$163.15 | 18 | 12 |
|
Joshua J Mcfarlane
8007 Discovery Dr Ste A |
$56.42 | 17 | 12 |
|
Purvi K Shah
8007 Discovery Dr Ste A |
$68.58 | 16 | 12 |
|
Rachit Kumar
8007 Discovery Dr Ste A |
$64.94 | 16 | 12 |
|
John T Sentz
6600 W Broad St Ste 300 |
$115.60 | 12 | 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 Richmond, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Richmond, VA is $162.34 per claim, based on 78,911 claims from 22 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 Richmond, VA?
There are 22 Medicaid providers offering Chemotherapy related services in Richmond, VA according to public payment data.
What is the price range for Chemotherapy in Richmond, VA?
Medicaid reimbursement for Chemotherapy in Richmond, VA ranges from $33.84 to $225.37 per claim, with an average of $162.34. 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
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