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Based on public Medicaid payment data.

Average Medicaid Chemotherapy Payments in Toledo, OH: $109.38

Avg. Paid

$109.38

Range

$43.13 โ€“ $139.46

Total Claims

20,251

Providers

11

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 Toledo, OH

Provider Avg. Paid Claims Patients
Mercy Health - St Vincent Medical Center Llc

2213 Cherry St

$124.17 6,870 3,230
The Toledo Hospital

2142 N Cove Blvd

$97.71 5,711 3,002
Medical University Of Ohio At Toledo

3000 Arlington Ave

$112.10 3,144 1,695
Nauman Shahid

4126 N Holland Sylvania Rd

$134.42 2,049 994
Ghassan S Safadi

7615 Kings Pointe Rd

$43.13 1,146 601
Abhay R Shelke

3404 W Sylvania Ave

$139.46 481 249
Timothy C Kasunic

1325 Conference Dr Ste 2010

$59.45 453 276
Danae Marie Hamouda

3000 Arlington Ave

$112.22 164 101
Roland Skeel

1325 Conference Dr

$61.99 160 80
Richard Clifton Phinney

4126 N Holland Sylvania Rd Ste 105

$57.63 47 29
Sanjoy Banerjee

2109 Hughes Dr

$64.32 26 24

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 Toledo, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Toledo, OH is $109.38 per claim, based on 20,251 claims from 11 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 Toledo, OH?

There are 11 Medicaid providers offering Chemotherapy related services in Toledo, OH according to public payment data.

What is the price range for Chemotherapy in Toledo, OH?

Medicaid reimbursement for Chemotherapy in Toledo, OH ranges from $43.13 to $139.46 per claim, with an average of $109.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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