Average Medicaid Radiation Therapy Payments in Lexington, KY: $494.87
Avg. Paid
$494.87
Range
$35.38 โ $514.63
Total Claims
32,649
Providers
10
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicolas P. Burnett
701 Bob O Link Dr Ste 120 |
$35.38 | 56 | 13 |
|
Eddy Shih-Hsin Yang
800 Rose St |
$107.39 | 77 | 42 |
|
Ronald C Mcgarry
800 Rose St |
$68.51 | 93 | 50 |
|
William Henry St. Clair
800 Rose St |
$101.04 | 99 | 51 |
|
Baptist Healthcare System, Inc
1740 Nicholasville Rd |
$165.96 | 108 | 12 |
|
Robert S Lavey
1401 Harrodsburg Rd Ste A100 |
$123.67 | 144 | 15 |
|
Weisi Yan
800 Rose St Ste C114D |
$79.37 | 172 | 82 |
|
Brian Alexander Williams
701 Bob O Link Dr Ste 120 |
$68.73 | 270 | 94 |
|
Mark Edmund Bernard
800 Rose Stree, C114 |
$91.00 | 508 | 287 |
|
University Of Kentucky
800 Rose St |
$514.63 | 31,122 | 2,994 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Radiation Therapy in Lexington, KY is $494.87 per claim, based on 32,649 claims from 10 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 Lexington, KY?
There are 10 Medicaid providers offering Radiation Therapy related services in Lexington, KY according to public payment data.
What is the price range for Radiation Therapy in Lexington, KY?
Medicaid reimbursement for Radiation Therapy in Lexington, KY ranges from $35.38 to $514.63 per claim, with an average of $494.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Radiation Therapy in Other Cities
New York, NY
Avg $510.72
51,920 claims ยท 39 providers
New Haven, CT
Avg $194.37
40,048 claims ยท 9 providers
San Diego, CA
Avg $593.59
38,278 claims ยท 12 providers
Detroit, MI
Avg $161.78
35,148 claims ยท 4 providers
Milwaukee, WI
Avg $135.23
33,289 claims ยท 12 providers
Hartford, CT
Avg $123.23
30,015 claims ยท 10 providers
Jackson, MS
Avg $134.75
28,774 claims ยท 7 providers
Seattle, WA
Avg $422.93
28,371 claims ยท 9 providers
Other Procedures in Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims