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 |
|---|---|---|---|---|
| Elizabethtown, KY | $71.87 | $42.28 – $85.86 | 190 | 2 |
| Saddle Brook, NJ | $60.73 | $60.73 – $60.73 | 191 | 1 |
| Chandler, AZ | $121.44 | $97.23 – $151.90 | 198 | 3 |
| Roseburg, OR | $111.22 | $108.78 – $111.87 | 200 | 2 |
| Rahway, NJ | $57.46 | $57.46 – $57.46 | 201 | 1 |
| Pleasant Hill, CA | $119.74 | $92.73 – $134.81 | 204 | 3 |
| Burlington, NC | $30.58 | $30.58 – $30.58 | 205 | 1 |
| Rolla, MO | $274.45 | $274.45 – $274.45 | 205 | 1 |
| Petersburg, VA | $0.00 | $0.00 – $0.00 | 208 | 2 |
| Newburgh, IN | $68.02 | $38.31 – $75.01 | 210 | 2 |
| Texarkana, TX | $49.47 | $35.33 – $57.28 | 211 | 2 |
| Pennington, NJ | $182.78 | $69.87 – $243.10 | 212 | 4 |
| Wellington, FL | $137.64 | $86.11 – $157.52 | 212 | 2 |
| Corona, CA | $108.15 | $108.15 – $108.15 | 215 | 1 |
| Pembroke Pines, FL | $31.34 | $25.45 – $51.66 | 218 | 2 |
| Columbus, GA | $55.76 | $55.76 – $55.76 | 219 | 1 |
| Dublin, CA | $112.81 | $74.20 – $147.43 | 220 | 2 |
| Iowa City, IA | $348.58 | $256.03 – $428.25 | 223 | 3 |
| Oroville, CA | $49.90 | $49.90 – $49.90 | 224 | 1 |
| Springfield, OH | $128.53 | $87.24 – $132.32 | 226 | 2 |
| Orlando, FL | $44.90 | $38.78 – $131.39 | 227 | 2 |
| West Plains, MO | $250.99 | $250.99 – $250.99 | 227 | 1 |
| Hampton, VA | $83.13 | $23.97 – $110.06 | 228 | 3 |
| Sioux Falls, SD | $105.71 | $74.88 – $110.29 | 230 | 3 |
| Greensboro, NC | $89.11 | $77.93 – $120.67 | 237 | 2 |
| Woodland Hills, CA | $31.57 | $31.57 – $31.57 | 242 | 1 |
| Danville, VA | $315.48 | $315.48 – $315.48 | 243 | 1 |
| Pittsburg, KS | $55.06 | $55.06 – $55.06 | 244 | 1 |
| Turlock, CA | $64.25 | $64.25 – $64.25 | 250 | 1 |
| Traverse City, MI | $179.23 | $76.72 – $322.82 | 251 | 3 |
| Saint Paul, MN | $155.37 | $120.73 – $162.90 | 252 | 2 |
| Oakland, CA | $481.13 | $67.77 – $674.48 | 253 | 3 |
| Santa Maria, CA | $88.48 | $71.21 – $91.57 | 257 | 2 |
| Pueblo, CO | $82.92 | $78.56 – $83.92 | 263 | 2 |
| Jamaica, NY | $58.50 | $58.50 – $58.50 | 264 | 1 |
| Lacey, WA | $72.67 | $55.05 – $75.75 | 267 | 5 |
| Hillsboro, OR | $393.79 | $393.79 – $393.79 | 270 | 1 |
| Roswell, NM | $104.39 | $104.39 – $104.39 | 271 | 1 |
| Perrysburg, OH | $83.46 | $83.32 – $83.86 | 273 | 2 |
| Concord, CA | $72.55 | $30.76 – $111.39 | 274 | 2 |
| Chillicothe, OH | $159.73 | $72.03 – $187.24 | 276 | 3 |
| Merrillville, IN | $83.70 | $44.02 – $90.77 | 278 | 2 |
| Antioch, CA | $154.12 | $153.32 – $154.59 | 283 | 2 |
| Charlotte, NC | $85.14 | $68.98 – $118.44 | 283 | 8 |
| Oxnard, CA | $116.67 | $104.56 – $135.16 | 292 | 3 |
| Fayetteville, AR | $297.52 | $255.31 – $382.34 | 294 | 3 |
| Suffolk, VA | $106.94 | $106.94 – $106.94 | 296 | 1 |
| Nashville, TN | $124.30 | $75.17 – $212.75 | 296 | 3 |
| Tarzana, CA | $57.04 | $57.04 – $57.04 | 297 | 1 |
| Tualatin, OR | $92.50 | $92.50 – $92.50 | 307 | 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.