Average Medicaid Radiation Therapy Payments
Typical Medicaid Radiation Therapy reimbursement across 567 cities
Avg. Medicaid Paid
$240.50
Price Range
$0.00 – $2,162
Total Claims
1.3M
Cities
567
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.
About This Procedure
Radiation therapy uses high-energy beams to kill cancer cells and shrink tumors. May be used alone or combined with other treatments.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Kokomo, IN | $89.47 | $89.47 – $89.47 | 13 | 1 |
| Coeur D Alene, ID | $95.94 | $95.94 – $95.94 | 13 | 1 |
| Evergreen Park, IL | $139.97 | $139.97 – $139.97 | 14 | 1 |
| Altoona, PA | $69.07 | $69.07 – $69.07 | 15 | 1 |
| Green Bay, WI | $93.38 | $93.38 – $93.38 | 15 | 1 |
| Kenosha, WI | $103.68 | $103.68 – $103.68 | 15 | 1 |
| Northampton, MA | $81.96 | $81.96 – $81.96 | 16 | 1 |
| Mansfield, MA | $96.00 | $96.00 – $96.00 | 16 | 1 |
| Bethlehem, PA | $101.13 | $101.13 – $101.13 | 17 | 1 |
| Williamsburg, VA | $86.40 | $86.40 – $86.40 | 17 | 1 |
| Mobile, AL | $92.49 | $92.49 – $92.49 | 17 | 1 |
| Gloucester, VA | $144.21 | $144.21 – $144.21 | 17 | 1 |
| Bowling Green, OH | $108.33 | $108.33 – $108.33 | 17 | 1 |
| Rock Hill, SC | $68.06 | $68.06 – $68.06 | 17 | 1 |
| Round Rock, TX | $91.95 | $91.95 – $91.95 | 17 | 1 |
| Lancaster, CA | $75.09 | $75.09 – $75.09 | 18 | 1 |
| St. Louis, MO | $50.37 | $50.37 – $50.37 | 19 | 1 |
| Lewisburg, PA | $114.99 | $114.99 – $114.99 | 19 | 1 |
| Webster, TX | $65.74 | $65.74 – $65.74 | 19 | 1 |
| Sewell, NJ | $57.05 | $57.05 – $57.05 | 19 | 1 |
| Salisbury, NC | $81.26 | $81.26 – $81.26 | 19 | 1 |
| New London, CT | $56.83 | $56.83 – $56.83 | 19 | 1 |
| Cleveland, TN | $49.95 | $49.95 – $49.95 | 20 | 1 |
| Uniontown, PA | $76.13 | $76.13 – $76.13 | 21 | 1 |
| Post Falls, ID | $84.33 | $84.33 – $84.33 | 21 | 1 |
| Lisle, IL | $60.20 | $60.20 – $60.20 | 22 | 1 |
| Oak Lawn, IL | $74.36 | $74.36 – $74.36 | 22 | 1 |
| Lady Lake, FL | $120.96 | $120.96 – $120.96 | 23 | 1 |
| Sun City, AZ | $156.30 | $156.30 – $156.30 | 23 | 1 |
| Pensacola, FL | $49.06 | $49.06 – $49.06 | 23 | 1 |
| Kingston, NY | $176.79 | $176.79 – $176.79 | 23 | 1 |
| Norwalk, CT | $208.50 | $208.50 – $208.50 | 24 | 1 |
| Beavercreek, OH | $75.91 | $75.91 – $75.91 | 24 | 1 |
| Elyria, OH | $60.56 | $60.56 – $60.56 | 24 | 1 |
| Toms River, NJ | $86.57 | $86.57 – $86.57 | 24 | 1 |
| Darby, PA | $206.86 | $206.86 – $206.86 | 24 | 1 |
| Irvine, CA | $230.55 | $230.55 – $230.55 | 24 | 1 |
| Elizabeth City, VA | $58.70 | $58.70 – $58.70 | 25 | 1 |
| Wildomar, CA | $66.00 | $66.00 – $66.00 | 25 | 1 |
| Newnan, GA | $83.60 | $83.60 – $83.60 | 25 | 1 |
| Astoria, NY | $113.45 | $113.45 – $113.45 | 25 | 1 |
| Longview, TX | $78.51 | $78.51 – $78.51 | 26 | 1 |
| Bismarck, ND | $23.77 | $23.77 – $23.77 | 26 | 1 |
| Tempe, AZ | $98.72 | $98.72 – $98.72 | 26 | 1 |
| Merritt Island, FL | $4.20 | $4.20 – $4.20 | 26 | 1 |
| Franklin, TN | $25.34 | $25.34 – $25.34 | 26 | 1 |
| Plattsburgh, NY | $160.94 | $160.94 – $160.94 | 26 | 1 |
| Napa, CA | $73.90 | $73.90 – $73.90 | 26 | 1 |
| Bourbonnais, IL | $93.46 | $93.46 – $93.46 | 27 | 1 |
| Bonita Springs, FL | $109.66 | $109.66 – $109.66 | 27 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.