Average Medicaid Chemotherapy Payments in Washington, DC: $127.69
Avg. Paid
$127.69
Range
$2.61 โ $214.40
Total Claims
46,663
Providers
24
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 Washington, DC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medstar Washington Hospital Center
110 Irving St Nw |
$124.37 | 21,240 | 12,731 |
|
Medstar - Georgetown Medical Center, Inc.
3800 Reservoir Rd., Nw |
$136.85 | 10,773 | 6,348 |
|
Howard University Hospital Corp
2041 Georgia Ave Nw |
$79.16 | 4,391 | 2,689 |
|
Children'S Hospital
111 Michigan Ave Nw |
$214.40 | 3,519 | 2,130 |
|
Lucy Webb Hayes National Training School For Deaconesses & Missionarie
5255 Loughboro Rd Nw |
$156.18 | 3,290 | 1,889 |
|
Faysal Haroun
2150 Pennsylvania Ave Nw Ste 5-404 |
$59.61 | 1,582 | 1,128 |
|
Robert Steven Siegel
2150 Pennsylvania Ave Nw |
$74.06 | 581 | 472 |
|
Imad A. Tabbara
2150 Pennsylvania Ave Nw |
$66.10 | 479 | 354 |
|
Samah Nassereddine
2150 Pennsylvania Ave |
$59.54 | 204 | 172 |
|
Mitchell Reed Smith
2150 Pennsylvania Avenue, Suite 1-200 |
$74.01 | 95 | 84 |
|
Medical Faculty Associates, Inc
2150 Pennsylvania Ave Nw |
$100.33 | 93 | 60 |
|
Sunil Adige
2150 Pennsylvania Ave Nw |
$90.37 | 82 | 64 |
|
Julie Elaine Bauman
2150 Pennsylvania Ave Nw |
$70.48 | 67 | 40 |
|
Kieron Dunleavy
3800 Reservoir Rd Nw |
$77.75 | 56 | 50 |
|
Pamela W Coleman
1160 Varnum St Ne |
$8.83 | 39 | 31 |
|
Providence Hospital
1150 Varnum St Ne |
$2.61 | 36 | 27 |
|
Ndelela Nadine Mbuyi
2300 M St Nw |
$98.09 | 28 | 27 |
|
Puja Chokshi Arora
110 Irving St Nw |
$89.43 | 21 | 13 |
|
Edward James Tanner
5275 Loughboro Rd Nw Bldg D |
$19.42 | 17 | 12 |
|
Mukhtar Hassan
2041 Georgia Ave Nw |
$149.43 | 16 | 14 |
|
Dahye Dana Hong
4200 Wisconsin Ave, Nw |
$119.06 | 14 | 13 |
|
Jonathan David Miller
2150 Pennsylvania Ave Nw |
$88.92 | 14 | 12 |
|
Ashley Manalel
2150 Pennsylvania Ave Nw Fl 1 |
$77.22 | 14 | 12 |
|
Mariastella Serrano
4200 Wisconsin Ave Nw Ste 400 |
$93.15 | 12 | 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 | 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 Washington, DC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Chemotherapy in Washington, DC is $127.69 per claim, based on 46,663 claims from 24 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 Washington, DC?
There are 24 Medicaid providers offering Chemotherapy related services in Washington, DC according to public payment data.
What is the price range for Chemotherapy in Washington, DC?
Medicaid reimbursement for Chemotherapy in Washington, DC ranges from $2.61 to $214.40 per claim, with an average of $127.69. 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 Washington, DC
Home Health Visit
Avg $134.65
9,995,071 claims
Behavioral & Mental Health Therapy
Avg $86.63
8,402,752 claims
Office Visit
Avg $76.54
4,461,887 claims
Substance Abuse Treatment
Avg $44.95
3,041,260 claims
Emergency Room Visit
Avg $153.94
2,354,612 claims
Blood Work & Lab Tests
Avg $3.91
2,038,554 claims
Dental Cleaning & Exam
Avg $40.35
1,310,251 claims
Physical Therapy
Avg $77.12
1,280,107 claims