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 |
|---|---|---|---|---|
| Fresno, CA | $15.22 | $4.94 – $162.31 | 4,258 | 8 |
| Roanoke, VA | $468.44 | $96.45 – $515.43 | 4,291 | 3 |
| San Antonio, TX | $308.70 | $190.15 – $309.16 | 4,431 | 2 |
| Norwich, CT | $132.35 | $132.35 – $132.35 | 4,443 | 1 |
| Englewood, NJ | $89.47 | $83.71 – $90.09 | 4,559 | 2 |
| Lafayette, LA | $112.11 | $38.99 – $134.29 | 4,610 | 6 |
| Flushing, NY | $276.17 | $40.87 – $308.99 | 5,130 | 6 |
| Flint, MI | $94.22 | $87.52 – $95.07 | 5,146 | 3 |
| Tupelo, MS | $97.07 | $20.87 – $113.44 | 5,476 | 3 |
| Ponce, PR | $221.99 | $215.14 – $223.40 | 5,716 | 2 |
| Charleston, WV | $227.00 | $89.53 – $269.00 | 5,737 | 4 |
| Shreveport, LA | $199.00 | $52.00 – $204.77 | 5,886 | 7 |
| Royal Oak, MI | $106.92 | $0.00 – $107.70 | 5,888 | 5 |
| Rio Piedras, PR | $272.95 | $269.09 – $275.96 | 6,001 | 2 |
| Syracuse, NY | $93.26 | $92.50 – $178.56 | 6,377 | 5 |
| Grand Rapids, MI | $144.62 | $96.67 – $250.34 | 7,025 | 2 |
| Albany, GA | $81.98 | $70.08 – $96.64 | 7,105 | 3 |
| Albuquerque, NM | $309.99 | $79.44 – $332.75 | 7,262 | 8 |
| New Orleans, LA | $87.80 | $69.71 – $95.57 | 7,714 | 4 |
| New Brunswick, NJ | $319.79 | $128.17 – $321.42 | 7,860 | 4 |
| Sacramento, CA | $466.42 | $0.94 – $512.44 | 7,941 | 5 |
| Florence, SC | $27.25 | $22.39 – $107.25 | 8,534 | 3 |
| Apopka, FL | $0.32 | $0.17 – $0.61 | 8,593 | 2 |
| Newark, NJ | $236.55 | $96.21 – $251.49 | 8,705 | 3 |
| Phoenix, AZ | $203.67 | $15.71 – $377.40 | 8,893 | 12 |
| Clovis, CA | $37.00 | $11.41 – $37.65 | 8,917 | 2 |
| Hackensack, NJ | $83.03 | $63.82 – $84.14 | 9,138 | 3 |
| Madison, WI | $139.51 | $47.99 – $893.06 | 9,228 | 4 |
| Little Rock, AR | $211.86 | $62.37 – $344.23 | 9,801 | 6 |
| New Hyde Park, NY | $277.57 | $277.57 – $277.57 | 10,071 | 1 |
| Augusta, ME | $165.83 | $84.28 – $172.09 | 10,216 | 4 |
| Los Angeles, CA | $393.10 | $0.00 – $1,322 | 10,374 | 33 |
| Bayamon, PR | $284.94 | $138.27 – $306.49 | 10,475 | 7 |
| San Jose, CA | $33.05 | $8.98 – $162.13 | 11,236 | 3 |
| Boston, MA | $228.82 | $63.53 – $640.40 | 11,296 | 13 |
| Columbus, OH | $1,369 | $47.99 – $1,412 | 12,565 | 14 |
| Wilson, NC | $9.08 | $8.89 – $65.39 | 13,010 | 2 |
| Tacoma, WA | $406.06 | $67.70 – $414.74 | 13,368 | 5 |
| Hattiesburg, MS | $137.07 | $14.44 – $139.80 | 13,734 | 4 |
| Monroe, LA | $106.52 | $97.35 – $112.74 | 14,942 | 2 |
| Brooklyn, NY | $255.67 | $27.75 – $380.51 | 15,503 | 13 |
| Washington, DC | $334.35 | $24.83 – $504.23 | 16,710 | 8 |
| Tucson, AZ | $170.56 | $13.77 – $206.66 | 16,899 | 11 |
| Stanford, CA | $367.42 | $37.05 – $367.90 | 18,055 | 2 |
| Ann Arbor, MI | $214.35 | $49.49 – $255.83 | 18,232 | 4 |
| San Juan, PR | $140.88 | $68.10 – $240.28 | 18,934 | 5 |
| Jackson, TN | $33.77 | $33.22 – $36.14 | 19,323 | 2 |
| Richmond, VA | $512.33 | $93.85 – $521.90 | 19,493 | 7 |
| Baton Rouge, LA | $140.30 | $27.69 – $216.90 | 20,135 | 11 |
| Bronx, NY | $285.12 | $55.39 – $1,990 | 20,696 | 14 |
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.