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Based on public Medicaid payment data.

Average Medicaid Radiation Therapy Payments in Albuquerque, NM: $309.99

Avg. Paid

$309.99

Range

$79.44 โ€“ $332.75

Total Claims

7,262

Providers

8

Typical Payment Range

Typical Medicaid Radiation Therapy payments fall between $66.11 and $146.04 per claim (median: $95.71). The top 10% of payments exceed $343.97.

Based on per-provider averages across all Medicaid claims in this category.

Radiation therapy uses high-energy beams to kill cancer cells and shrink tumors. May be used alone or combined with other treatments.

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 Radiation Therapy in Albuquerque, NM

Provider Avg. Paid Claims Patients
Unm Hospital

2211 Lomas Blvd., N.E.

$332.75 5,129 565
Presbyterian Healthcare Services

1100 Central Se

$304.20 1,599 162
Gregg E. Franklin

4901 Lang Ave Ne

$113.35 198 113
Mary Kara Bucci

8300 Constitution Ave Ne

$127.08 120 76
Benny Liem

1201 Camino De Salud Ne

$90.74 75 36
David Y. Lee

1201 Camino De Salud Ne

$93.28 61 26
Thomas Mcneil Schroeder

1201 Camino De Salud Ne

$79.44 46 14
Paul A Anthony

4650 Jefferson Ln Ne

$124.07 34 12

What to Expect: Radiation Therapy

Radiation therapy sessions typically take 15-30 minutes, with the actual radiation lasting only a few minutes. Treatment is usually given 5 days a week for several weeks. The process is painless โ€” similar to getting an X-ray. Side effects develop gradually and may include skin changes, fatigue, and site-specific effects. A simulation session maps the treatment area before therapy begins.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code Description Avg. Paid Claims Providers
77386 IMRT delivery complex $350.92 617,220 243
77412 Radiation treatment complex $157.06 478,018 213
77427 Radiation mgmt 5 treatments $83.29 297,327 1,118
77401 Radiation treatment delivery $10.32 35,321 17
77417 Therapeutic radiology port film $26.19 33,819 93
77523 Proton treatment intermediate $1,840 15,201 48
77385 IMRT delivery simple $294.29 12,566 15
77525 Proton treatment complex $646.32 386 8
77431 Radiation therapy mgmt compl $22.24 223 1
77402 Radiation treatment simple โ€” โ€” โ€”
77407 Radiation treatment intermed โ€” โ€” โ€”
77432 Stereotactic radiation mgmt โ€” โ€” โ€”
77435 Stereotactic body radiation โ€” โ€” โ€”
77520 Proton treatment simple โ€” โ€” โ€”
77522 Proton treatment simple w/comp 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 Radiation Therapy cost in Albuquerque, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Radiation Therapy in Albuquerque, NM is $309.99 per claim, based on 7,262 claims from 8 providers. Typical payments fall between $66.11 and $146.04. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Radiation Therapy in Albuquerque, NM?

There are 8 Medicaid providers offering Radiation Therapy related services in Albuquerque, NM according to public payment data.

What is the price range for Radiation Therapy in Albuquerque, NM?

Medicaid reimbursement for Radiation Therapy in Albuquerque, NM ranges from $79.44 to $332.75 per claim, with an average of $309.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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