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 |
|---|---|---|---|---|
| Loma Linda, CA | $146.98 | $33.57 – $166.97 | 21,508 | 5 |
| Duarte, CA | $463.76 | $75.89 – $652.62 | 21,747 | 4 |
| Bangor, ME | $150.28 | $150.28 – $150.28 | 21,755 | 1 |
| Portland, ME | $170.25 | $52.65 – $171.55 | 22,044 | 6 |
| Louisville, KY | $397.66 | $67.05 – $615.59 | 22,991 | 13 |
| Cleveland, OH | $310.65 | $85.57 – $668.95 | 23,761 | 12 |
| Orange, CA | $140.76 | $59.10 – $505.56 | 24,403 | 6 |
| Camden, NJ | $146.91 | $58.23 – $244.25 | 25,887 | 7 |
| Seattle, WA | $422.93 | $47.57 – $1,927 | 28,371 | 9 |
| Jackson, MS | $134.75 | $23.15 – $195.94 | 28,774 | 7 |
| Hartford, CT | $123.23 | $26.99 – $151.06 | 30,015 | 10 |
| Lexington, KY | $494.87 | $35.38 – $514.63 | 32,649 | 10 |
| Milwaukee, WI | $135.23 | $19.23 – $150.73 | 33,289 | 12 |
| Detroit, MI | $161.78 | $105.35 – $224.58 | 35,148 | 4 |
| San Diego, CA | $593.59 | $54.76 – $2,085 | 38,278 | 12 |
| New Haven, CT | $194.37 | $16.00 – $466.06 | 40,048 | 9 |
| New York, NY | $510.72 | $40.33 – $3,318 | 51,920 | 39 |
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.