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 |
|---|---|---|---|---|
| Webster, TX | $65.74 | $65.74 – $65.74 | 19 | 1 |
| Lancaster, CA | $75.09 | $75.09 – $75.09 | 18 | 1 |
| Williamsburg, VA | $86.40 | $86.40 – $86.40 | 17 | 1 |
| Round Rock, TX | $91.95 | $91.95 – $91.95 | 17 | 1 |
| Bethlehem, PA | $101.13 | $101.13 – $101.13 | 17 | 1 |
| Bowling Green, OH | $108.33 | $108.33 – $108.33 | 17 | 1 |
| Gloucester, VA | $144.21 | $144.21 – $144.21 | 17 | 1 |
| Rock Hill, SC | $68.06 | $68.06 – $68.06 | 17 | 1 |
| Mobile, AL | $92.49 | $92.49 – $92.49 | 17 | 1 |
| Northampton, MA | $81.96 | $81.96 – $81.96 | 16 | 1 |
| Mansfield, MA | $96.00 | $96.00 – $96.00 | 16 | 1 |
| Green Bay, WI | $93.38 | $93.38 – $93.38 | 15 | 1 |
| Altoona, PA | $69.07 | $69.07 – $69.07 | 15 | 1 |
| Kenosha, WI | $103.68 | $103.68 – $103.68 | 15 | 1 |
| Evergreen Park, IL | $139.97 | $139.97 – $139.97 | 14 | 1 |
| Coeur D Alene, ID | $95.94 | $95.94 – $95.94 | 13 | 1 |
| Kokomo, IN | $89.47 | $89.47 – $89.47 | 13 | 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.