Average Medicaid Chemotherapy Payments in Roanoke, VA: $125.15
Avg. Paid
$125.15
Range
$62.30 โ $170.37
Total Claims
12,782
Providers
10
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 Roanoke, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carilion Medical Center
1906 Belleview Ave Se |
$170.37 | 6,994 | 5,000 |
|
Suzan R Merten
2013 Jefferson St Sw |
$73.21 | 1,874 | 1,184 |
|
Amanda Lynn Gillespie-Twardy
2013 Jefferson St Sw Fl 2 |
$65.21 | 1,395 | 955 |
|
Matthew R Skelton
2013 Jefferson St Sw |
$73.16 | 845 | 568 |
|
Mark D Kochenderfer
2013 Jefferson St Sw |
$76.51 | 780 | 535 |
|
Padmaja V Mallidi
2013 Jefferson St Sw |
$62.30 | 597 | 362 |
|
Donald Charles Vile
2013 Jefferson St Sw Fl 2 |
$69.98 | 161 | 114 |
|
Joshua A Morales
2013 Jefferson St Sw Fl 2 |
$69.48 | 85 | 64 |
|
Harry E. Mccoy
1906 Belleview Ave Se |
$78.77 | 35 | 26 |
|
Eric J Pierce
2013 Jefferson St Sw Fl 2 |
$84.06 | 16 | 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 Roanoke, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Roanoke, VA is $125.15 per claim, based on 12,782 claims from 10 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 Roanoke, VA?
There are 10 Medicaid providers offering Chemotherapy related services in Roanoke, VA according to public payment data.
What is the price range for Chemotherapy in Roanoke, VA?
Medicaid reimbursement for Chemotherapy in Roanoke, VA ranges from $62.30 to $170.37 per claim, with an average of $125.15. 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
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