Average Medicaid Radiation Therapy Payments in Philadelphia, PA: $381.03
Avg. Paid
$381.03
Range
$80.01 – $2,278
Total Claims
1,126
Providers
11
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 — 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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Curtis Miyamoto
3401 N Broad St |
$123.41 | 418 | 213 |
|
Jeremy G Price
3401 N Broad St |
$145.90 | 135 | 69 |
|
Ryan Christopher Miller
111 S 11Th St |
$582.43 | 134 | 53 |
|
Joseph Caster
111 S 11Th St |
$296.25 | 114 | 15 |
|
Nitin Ohri
834 Chestnut St |
$2,278 | 95 | 67 |
|
Adam S Reese
5501 Old York Rd Bldg Ground |
$147.17 | 86 | 39 |
|
Kenneth L. Zeitzer
5501 Old York Road |
$107.87 | 51 | 25 |
|
Gary Mitchel Freedman
3400 Spruce Street |
$134.37 | 28 | 12 |
|
Nina Burbure
3401 N Broad St |
$147.42 | 25 | 16 |
|
Manuj Agarwal
333 Cottman Avenue |
$113.41 | 21 | 12 |
|
Amardeep Singh Grewal
3400 Spruce St |
$80.01 | 19 | 14 |
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 — 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 | — | — | — |
| 77407 | Radiation treatment intermed | — | — | — |
| 77432 | Stereotactic radiation mgmt | — | — | — |
| 77435 | Stereotactic body radiation | — | — | — |
| 77520 | Proton treatment simple | — | — | — |
| 77522 | Proton treatment simple w/comp | — | — | — |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Radiation Therapy in Philadelphia, PA is $381.03 per claim, based on 1,126 claims from 11 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 Philadelphia, PA?
There are 11 Medicaid providers offering Radiation Therapy related services in Philadelphia, PA according to public payment data.
What is the price range for Radiation Therapy in Philadelphia, PA?
Medicaid reimbursement for Radiation Therapy in Philadelphia, PA ranges from $80.01 to $2,278 per claim, with an average of $381.03. 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 · 39 providers
New Haven, CT
Avg $194.37
40,048 claims · 9 providers
San Diego, CA
Avg $593.59
38,278 claims · 12 providers
Detroit, MI
Avg $161.78
35,148 claims · 4 providers
Milwaukee, WI
Avg $135.23
33,289 claims · 12 providers
Lexington, KY
Avg $494.87
32,649 claims · 10 providers
Hartford, CT
Avg $123.23
30,015 claims · 10 providers
Jackson, MS
Avg $134.75
28,774 claims · 7 providers
Other Procedures in Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims