Average Medicaid Chemotherapy Payments in San Francisco, CA: $92.25
Avg. Paid
$92.25
Range
$0.00 โ $503.00
Total Claims
27,096
Providers
23
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 San Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
City & County Of San Francisco
1001 Potrero Ave |
$5.18 | 9,824 | 6,880 |
|
University Of California San Francisco Medical Center
505 Parnassus Ave |
$64.41 | 8,452 | 5,877 |
|
University Of California, San Francisco
505 Parnassus Ave |
$171.02 | 3,095 | 2,385 |
|
City & County Of San Francisco
1001 Potrero Ave |
$450.77 | 2,393 | 1,743 |
|
Sutter Bay Hospitals
1101 Van Ness Ave |
$150.39 | 1,058 | 637 |
|
Monica Bien
1001 Potrero Ave # 1E21 |
$0.00 | 491 | 410 |
|
Justin P Quock
929 Clay St |
$72.20 | 415 | 245 |
|
Mihir Bikhchandani
2351 Clay St Ste 380 |
$275.40 | 245 | 215 |
|
Marissa Kristensen
1001 Potrero Ave |
$0.00 | 240 | 212 |
|
Niharika Dixit
995 Potrero Ave |
$0.00 | 216 | 159 |
|
Ari D Baron
2100 Webster Street Suite 225 |
$27.47 | 174 | 120 |
|
Sutter West Bay Hospitals
2333 Buchanan Street |
$0.00 | 165 | 96 |
|
Bertrand Y Tuan
2100 Webster St Ste 225 |
$33.05 | 115 | 87 |
|
Ucsf Health Community Hospitals
450 Stanyan St |
$65.90 | 55 | 36 |
|
Alain Algazi
505 Parnassus Ave # M1286 |
$302.00 | 23 | 16 |
|
Shannon M Thyne
1001 Potrero Ave |
$0.00 | 22 | 14 |
|
Alfredo R. Lopez
2200 Ofarrell St |
$503.00 | 20 | 12 |
|
University Of California San Francisco Medical Center
505 Parnassus Ave |
$501.75 | 20 | 12 |
|
Ana I Velazquez Manana
995 Potrero Ave |
$0.00 | 18 | 12 |
|
Wei Wang
2100 Webster St |
$7.74 | 16 | 12 |
|
Caroline Marie Behler
2100 Webster St Ste 225 |
$24.42 | 13 | 12 |
|
Dayana Othonie Carcamo-Molina
2351 Clay St Ste 380 |
$0.00 | 13 | 13 |
|
Erin Huiras Amerson
1701 Divisadero St |
$0.00 | 13 | 13 |
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 San Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in San Francisco, CA is $92.25 per claim, based on 27,096 claims from 23 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 San Francisco, CA?
There are 23 Medicaid providers offering Chemotherapy related services in San Francisco, CA according to public payment data.
What is the price range for Chemotherapy in San Francisco, CA?
Medicaid reimbursement for Chemotherapy in San Francisco, CA ranges from $0.00 to $503.00 per claim, with an average of $92.25. 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
Other Procedures in San Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims