Average Medicaid Radiation Therapy Payments in Madison, WI: $139.51
Avg. Paid
$139.51
Range
$47.99 โ $893.06
Total Claims
9,228
Providers
4
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aleksandra Kuczmarska-Haas
600 Highland Ave |
$47.99 | 54 | 28 |
|
Huaising Cindy Ko
Uw Hospital And Clinics 600 Highland Ave |
$536.32 | 122 | 92 |
|
Matthew Edward Witek
309 W Johnson St Apt 714 |
$893.06 | 167 | 57 |
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$120.45 | 8,885 | 893 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Radiation Therapy in Madison, WI is $139.51 per claim, based on 9,228 claims from 4 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 Madison, WI?
There are 4 Medicaid providers offering Radiation Therapy related services in Madison, WI according to public payment data.
What is the price range for Radiation Therapy in Madison, WI?
Medicaid reimbursement for Radiation Therapy in Madison, WI ranges from $47.99 to $893.06 per claim, with an average of $139.51. 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
Lexington, KY
Avg $494.87
32,649 claims ยท 10 providers
Hartford, CT
Avg $123.23
30,015 claims ยท 10 providers
Jackson, MS
Avg $134.75
28,774 claims ยท 7 providers
Other Procedures in Madison, WI
Substance Abuse Treatment
Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
Emergency Room Visit
Avg $59.96
734,593 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims