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 |
|---|---|---|---|---|
| Macon, GA | $60.62 | $57.70 – $62.48 | 927 | 3 |
| Oak Ridge, TN | $45.75 | $45.75 – $45.75 | 934 | 1 |
| Bridgeport, CT | $194.29 | $194.29 – $194.29 | 967 | 1 |
| Ashland, KY | $77.75 | $73.51 – $98.32 | 973 | 3 |
| Springfield, MO | $232.03 | $36.38 – $263.15 | 978 | 4 |
| Centralia, WA | $481.33 | $481.33 – $481.33 | 997 | 1 |
| Rochester, NY | $185.92 | $43.19 – $189.58 | 1,002 | 2 |
| Springfield, MA | $237.30 | $71.86 – $376.43 | 1,031 | 3 |
| Englewood, OH | $130.98 | $99.78 – $143.91 | 1,039 | 4 |
| Boardman, OH | $85.34 | $73.77 – $86.08 | 1,046 | 3 |
| Bowling Green, KY | $220.43 | $77.68 – $471.37 | 1,047 | 3 |
| Natchez, MS | $25.72 | $25.72 – $25.72 | 1,053 | 1 |
| Mansfield, OH | $2,162 | $2,162 – $2,162 | 1,057 | 1 |
| Jeffersonville, IN | $53.22 | $51.94 – $54.70 | 1,070 | 2 |
| Reno, NV | $158.27 | $88.92 – $181.72 | 1,079 | 3 |
| Atlanta, GA | $58.62 | $14.07 – $133.56 | 1,096 | 5 |
| Saginaw, MI | $90.49 | $25.09 – $112.54 | 1,097 | 5 |
| Paris, TN | $36.64 | $36.64 – $36.64 | 1,097 | 1 |
| Mount Clemens, MI | $98.36 | $98.36 – $98.36 | 1,115 | 1 |
| Philadelphia, PA | $381.03 | $80.01 – $2,278 | 1,126 | 11 |
| Greendale, IN | $82.37 | $82.37 – $82.37 | 1,127 | 1 |
| Newark, DE | $109.00 | $109.00 – $109.00 | 1,132 | 1 |
| Las Cruces, NM | $196.15 | $144.25 – $217.46 | 1,151 | 2 |
| Pinehurst, NC | $39.33 | $15.00 – $51.97 | 1,169 | 3 |
| Birmingham, AL | $26.31 | $22.94 – $143.12 | 1,172 | 4 |
| Houston, TX | $272.77 | $51.01 – $895.54 | 1,178 | 7 |
| Danville, KY | $62.47 | $62.47 – $62.47 | 1,202 | 1 |
| Egg Harbor Township, NJ | $62.10 | $62.10 – $62.10 | 1,216 | 1 |
| Poughkeepsie, NY | $776.40 | $776.40 – $776.40 | 1,239 | 1 |
| Opp, AL | $41.55 | $41.55 – $41.55 | 1,268 | 1 |
| Glendale, CA | $28.95 | $0.00 – $55.29 | 1,285 | 4 |
| Kalamazoo, MI | $105.98 | $105.98 – $105.98 | 1,292 | 1 |
| Palmdale, CA | $97.06 | $97.06 – $97.06 | 1,307 | 1 |
| Greely, CO | $88.69 | $88.69 – $88.69 | 1,308 | 1 |
| Anderson, SC | $19.82 | $6.30 – $100.75 | 1,342 | 3 |
| Kansas City, MO | $135.75 | $99.72 – $146.18 | 1,365 | 3 |
| Lake Charles, LA | $52.04 | $52.04 – $52.04 | 1,367 | 1 |
| Las Vegas, NV | $89.43 | $64.74 – $129.22 | 1,369 | 6 |
| Dorado, PR | $308.11 | $308.11 – $308.11 | 1,410 | 1 |
| Renton, WA | $437.30 | $49.43 – $451.35 | 1,430 | 2 |
| Greenville, NC | $56.21 | $26.95 – $101.96 | 1,439 | 6 |
| Gilbert, AZ | $140.14 | $139.05 – $198.11 | 1,467 | 3 |
| Rocky Mount, NC | $68.37 | $68.37 – $68.37 | 1,502 | 1 |
| Knoxville, TN | $46.17 | $5.28 – $95.17 | 1,508 | 10 |
| San Mateo, CA | $33.13 | $33.13 – $33.13 | 1,523 | 1 |
| Newport News, VA | $422.53 | $97.76 – $480.21 | 1,564 | 6 |
| Norfolk, VA | $171.56 | $66.22 – $218.00 | 1,577 | 8 |
| Dalton, GA | $4.44 | $2.56 – $5.15 | 1,642 | 3 |
| Dearborn, MI | $196.20 | $123.92 – $198.81 | 1,666 | 2 |
| Worcester, MA | $250.72 | $81.64 – $266.84 | 1,667 | 4 |
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.