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 |
|---|---|---|---|---|
| Lodi, CA | $122.80 | $122.80 – $122.80 | 28 | 1 |
| Durham, NC | $67.64 | $67.64 – $67.64 | 28 | 1 |
| Casper, WY | $119.77 | $119.77 – $119.77 | 28 | 1 |
| Laredo, TX | $53.83 | $53.83 – $53.83 | 28 | 1 |
| Newark, OH | $98.29 | $98.29 – $98.29 | 28 | 1 |
| Aberdeen, SD | $105.73 | $105.73 – $105.73 | 28 | 1 |
| Rapid City, SD | $117.21 | $117.21 – $117.21 | 28 | 1 |
| Paterson, NJ | $212.39 | $212.39 – $212.39 | 28 | 1 |
| Hot Springs, AR | $115.22 | $115.22 – $115.22 | 29 | 1 |
| Gainesville, FL | $104.97 | $104.97 – $104.97 | 29 | 1 |
| Johnson City, NY | $189.39 | $189.39 – $189.39 | 29 | 1 |
| Grafton, WI | $63.61 | $63.61 – $63.61 | 29 | 1 |
| Exeter, NH | $94.46 | $94.46 – $94.46 | 29 | 1 |
| Morristown, NJ | $163.08 | $163.08 – $163.08 | 30 | 1 |
| Calhoun, GA | $49.99 | $49.99 – $49.99 | 30 | 1 |
| Lewiston, ID | $91.79 | $91.79 – $91.79 | 30 | 1 |
| Norfolk, NE | $134.13 | $134.13 – $134.13 | 30 | 1 |
| Joint Base Lewis Mcchord, WA | $81.64 | $81.64 – $81.64 | 30 | 1 |
| Mcallen, TX | $109.99 | $109.99 – $109.99 | 30 | 1 |
| Smithfield, NC | $32.05 | $32.05 – $32.05 | 30 | 1 |
| Pinellas Park, FL | $47.32 | $47.32 – $47.32 | 31 | 1 |
| Emporia, KS | $64.09 | $64.09 – $64.09 | 31 | 1 |
| Zion, IL | $97.00 | $97.00 – $97.00 | 31 | 1 |
| La Jolla, CA | $107.76 | $107.76 – $107.76 | 31 | 1 |
| Port Jefferson Station, NY | $89.21 | $89.21 – $89.21 | 32 | 1 |
| Milford, MA | $12.48 | $12.48 – $12.48 | 32 | 1 |
| Gresham, OR | $104.46 | $104.46 – $104.46 | 32 | 1 |
| Prescott, AZ | $85.42 | $85.42 – $85.42 | 32 | 1 |
| Youngstown, OH | $90.33 | $90.33 – $90.33 | 32 | 1 |
| Topeka, KS | $101.73 | $101.73 – $101.73 | 32 | 1 |
| Grants Pass, OR | $122.85 | $122.85 – $122.85 | 33 | 1 |
| Colorado Springs, CO | $92.68 | $89.23 – $95.55 | 33 | 2 |
| Alhambra, CA | $63.74 | $63.74 – $63.74 | 34 | 1 |
| Port St Lucie, FL | $125.56 | $125.56 – $125.56 | 34 | 1 |
| State College, PA | $79.91 | $79.91 – $79.91 | 35 | 1 |
| Glen Burnie, MD | $966.65 | $966.65 – $966.65 | 35 | 1 |
| South Bend, IN | $92.38 | $92.38 – $92.38 | 35 | 1 |
| Fullerton, CA | $117.63 | $117.63 – $117.63 | 36 | 1 |
| Santa Rosa, CA | $48.22 | $48.22 – $48.22 | 37 | 1 |
| Sevierville, TN | $73.44 | $73.44 – $73.44 | 37 | 1 |
| Lancaster, SC | $100.54 | $100.54 – $100.54 | 37 | 1 |
| Sheboygan, WI | $61.37 | $61.37 – $61.37 | 37 | 1 |
| Deland, FL | $67.43 | $67.43 – $67.43 | 38 | 1 |
| Dickson, TN | $26.39 | $26.39 – $26.39 | 39 | 1 |
| Gallipolis, OH | $104.86 | $101.33 – $107.58 | 39 | 2 |
| Mattoon, IL | $29.61 | $29.61 – $29.61 | 39 | 1 |
| Saint Simons Island, GA | $56.50 | $56.50 – $56.50 | 39 | 1 |
| Kansas City, KS | $553.78 | $553.78 – $553.78 | 41 | 1 |
| Denver, CO | $77.88 | $77.88 – $77.88 | 41 | 1 |
| Goldsboro, NC | $24.35 | $24.35 – $24.35 | 41 | 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.