Average Medicaid Chemotherapy Payments in Santa Cruz, CA: $81.24
Avg. Paid
$81.24
Range
$33.47 – $112.81
Total Claims
6,677
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 — 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 Santa Cruz, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Hsi-Ming Yen
1669 Dominican Way |
$97.58 | 2,778 | 1,635 |
|
Dignity Health
1555 Soquel Dr |
$39.29 | 1,004 | 665 |
|
Amy D Mcmullen
1669 Dominican Way |
$79.76 | 933 | 501 |
|
Thaila Ramanujam
1505 Soquel Dr |
$112.81 | 775 | 731 |
|
Michael Wu
2850 Commercial Xing |
$43.27 | 505 | 376 |
|
Janet Luyu Wang
2850 Commercial Crossing |
$70.37 | 305 | 259 |
|
Glenn Wong
2850 Commercial Xing |
$81.06 | 202 | 163 |
|
Rohan Ahluwalia
2850 Commercial Xing |
$61.98 | 113 | 97 |
|
Raina M Ferzoco
1779 Dominican Way Ste B |
$33.47 | 34 | 25 |
|
Amir Tabatabai
1779 Dominican Way Ste B |
$79.70 | 28 | 26 |
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 Santa Cruz, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Santa Cruz, CA is $81.24 per claim, based on 6,677 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 Santa Cruz, CA?
There are 10 Medicaid providers offering Chemotherapy related services in Santa Cruz, CA according to public payment data.
What is the price range for Chemotherapy in Santa Cruz, CA?
Medicaid reimbursement for Chemotherapy in Santa Cruz, CA ranges from $33.47 to $112.81 per claim, with an average of $81.24. 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
Other Procedures in Santa Cruz, CA
Office Visit
Avg $33.23
980,453 claims
Substance Abuse Treatment
Avg $32.01
703,736 claims
Psychiatric Evaluation
Avg $65.40
298,214 claims
Emergency Room Visit
Avg $85.44
235,236 claims
Behavioral & Mental Health Therapy
Avg $272.72
195,735 claims
Blood Work & Lab Tests
Avg $11.46
185,254 claims
Non-Emergency Medical Transportation
Avg $31.30
175,051 claims
X-Ray
Avg $12.48
166,316 claims