Average Medicaid Radiation Therapy Payments in New York, NY: $510.72
Avg. Paid
$510.72
Range
$40.33 โ $3,318
Total Claims
51,920
Providers
39
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Memorial Hospital For Cancer And Allied Diseases
1275 York Ave |
$236.09 | 22,257 | 2,848 |
|
Nyu Langone Hospitals
160 E 34Th St |
$343.58 | 9,008 | 1,364 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$250.40 | 5,773 | 701 |
|
The New York And Presbyterian Hospital
525 E 68Th St |
$244.40 | 4,371 | 482 |
|
The New York Proton Center
225 E 126Th St |
$3,318 | 3,015 | 357 |
|
Mount Sinai Hospital
1 Gustave L Levy Pl |
$264.65 | 2,429 | 257 |
|
Talha A Shaikh
1421 3Rd Ave Lowr Level |
$79.50 | 984 | 492 |
|
Charles B Simone
225 E 126Th St |
$2,128 | 944 | 470 |
|
James E Lee
47 Essex Street |
$40.33 | 523 | 235 |
|
Icahn School Of Medicine At Mount Sinai
1184 5Th Ave # 1236 |
$172.81 | 294 | 139 |
|
Nancy Lee
1275 York Ave |
$2,253 | 191 | 135 |
|
Akkamma Ravi
525 E 68Th St |
$97.40 | 190 | 99 |
|
Christopher Andrew Barker
1275 York Ave |
$2,095 | 160 | 84 |
|
Gilbert S Lederman
1384 Broadway |
$123.93 | 158 | 91 |
|
St Lukes Roosevelt Hospital Center
1000 10Th Ave |
$266.41 | 148 | 12 |
|
Anthony Nehlsen
1000 10Th Ave |
$2,083 | 143 | 91 |
|
Nyu Langone Hospitals
550 1St Ave |
$175.59 | 141 | 12 |
|
Suzanne L Wolden
1275 York Ave |
$1,609 | 140 | 76 |
|
Stanislav Lazarev
1184 5Th Avenue, First Floor |
$2,416 | 134 | 79 |
|
Yoshiya Yamada
1275 York Ave |
$1,902 | 128 | 72 |
|
Deborah Marshall
1 Gustave L Levy Pl |
$2,049 | 81 | 57 |
|
Kaled M Alektiar
1275 York Ave |
$1,765 | 79 | 50 |
|
Daniel Gorovets
160 E 34Th St |
$2,726 | 77 | 51 |
|
Zahra Ghiassi-Nejad
622 West 168Th Street |
$1,423 | 70 | 53 |
|
Irini Yacoub
225 E 126Th St |
$1,933 | 69 | 31 |
|
Andrew G Brandmaier
525 E 68Th St |
$92.44 | 61 | 37 |
|
Richard Fred Cohen
566 First Avenue |
$81.53 | 53 | 26 |
|
Kenneth S Hu
160 E 34Th St |
$86.56 | 37 | 14 |
|
John Paul Tracy Ng
408 Broadway |
$189.81 | 31 | 12 |
|
Alfred Rosenbaum
1421 3Rd Ave |
$70.66 | 31 | 14 |
|
Carla Hajj
1275 York Ave |
$1,250 | 27 | 16 |
|
Stella C Lymberis
160 E 34Th St |
$111.23 | 27 | 15 |
|
Lawrence B Tena
10 Union Sq E |
$55.26 | 27 | 12 |
|
Bhupesh Parashar
525 E 68Th St |
$64.62 | 23 | 12 |
|
Colin Hill
160 E 34Th St |
$86.20 | 22 | 13 |
|
Eileen Patricia Connolly
622 W 168Th St |
$176.99 | 21 | 13 |
|
Richard L Bakst
1184 5Th Avenue |
$2,249 | 19 | 13 |
|
Jonathan Tzu-I Yang
160 E 34Th St |
$1,733 | 17 | 13 |
|
Paul Gliedman
1000 10Th Ave |
$107.88 | 17 | 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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Radiation Therapy in New York, NY is $510.72 per claim, based on 51,920 claims from 39 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 New York, NY?
There are 39 Medicaid providers offering Radiation Therapy related services in New York, NY according to public payment data.
What is the price range for Radiation Therapy in New York, NY?
Medicaid reimbursement for Radiation Therapy in New York, NY ranges from $40.33 to $3,318 per claim, with an average of $510.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Radiation Therapy in Other Cities
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
Seattle, WA
Avg $422.93
28,371 claims ยท 9 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims