Based on public Medicaid payment data.

Average Medicaid Chemotherapy Payments in San Juan, PR: $86.49

Avg. Paid

$86.49

Range

$0.00 – $121.85

Total Claims

23,293

Providers

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 San Juan, PR

Provider	Avg. Paid	Claims	Patients
Omayra L Gonzalez San Juan City Hospital	$92.11	7,074	3,777
Elizabeth Calderon-Alicea 10 Calle Casia	$78.96	2,534	1,245
Luis Baez Vallecillo 97 Ave De Diego	$66.25	1,975	939
Rafael Perez Hospital San Juan	$94.63	1,886	911
Eddiemar Ortiz Cruz 998 Ave Munoz Rivera	$87.06	1,736	1,070
Jose L Ortega Sanchez 1427 Ave Fernandez Juncos	$93.76	1,640	1,039
Myrna Figueroa 252 Calle San Jorge Ste 504	$121.85	1,585	996
San Jorge Children'S Medical Specialties,Psc 252 Calle San Jorge	$106.72	1,180	1,023
Luis A Delgado Mateu Hosp. Dr. Isaacgonzalez Martinez	$50.67	866	502
Maria Eloisa Perez Grau 1429 Ave Fernandez Juncos	$69.47	755	397
Mirelis Acosta Ave 359 De Diego	$59.63	717	254
Luis D Flores 369 Calle De Diego	$89.06	174	81
Recinto De Ciencias Medicas Edif. Principal Rcm 5To Piso Ofic 563	$34.02	166	108
Recinto De Ciencias Medicas Ave. Americo Miranda Centro Medico De Pr Edif Principal	$65.28	161	92
Cristina Juliana Ramos 500 Calle Guayanilla	$59.09	147	115
Noridza Rivera-Rodriguez Hospital Universitario Adultos	$90.14	144	82
Luis A Cotto Santana 735 Ave Ponce De Leon Ste 701Y705	$79.36	122	65
New Horizons Hematology & Oncology Group Psc 550 Calle Sergio Cuevas Bustamante	$111.89	112	55
San Jorge Childrens Medical Speialties 252 Calle San Jorge Ste 504	$0.00	76	61
Armando F. Garcia Hospital Metropolitano	$63.12	56	38
Sixto Perez Garcia 1789 Carr 21 Ste 301	$81.83	56	28
Luis Antonio Clavell 252 Calle San Jorge	$40.58	42	24
Jhon A Guerra Upr Recinto De Ciencias Medicas Hospital Pediatrico	$47.35	31	14
Grupo Oncologico Comunitario De San Juan Psc Medicos 735 Ave Ponce De Leon	$26.65	23	12
Edgardo Luis Santiago-Guzman Hospital Del Maestro	$91.49	21	12
Leslie Ann Soto Velez Ave Americo Miranda	$78.76	14	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 San Juan, PR?

Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in San Juan, PR is $86.49 per claim, based on 23,293 claims from 26 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 Juan, PR?

There are 26 Medicaid providers offering Chemotherapy related services in San Juan, PR according to public payment data.

What is the price range for Chemotherapy in San Juan, PR?

Medicaid reimbursement for Chemotherapy in San Juan, PR ranges from $0.00 to $121.85 per claim, with an average of $86.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Chemotherapy Payments in San Juan, PR: $86.49

Providers Offering Chemotherapy in San Juan, PR

What to Expect: Chemotherapy

Cost Components

Frequently Asked Questions

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