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 |
|---|---|---|---|---|
| Albany, GA | $81.98 | $70.08 – $96.64 | 7,105 | 3 |
| Grand Rapids, MI | $144.62 | $96.67 – $250.34 | 7,025 | 2 |
| Syracuse, NY | $93.26 | $92.50 – $178.56 | 6,377 | 5 |
| Rio Piedras, PR | $272.95 | $269.09 – $275.96 | 6,001 | 2 |
| Royal Oak, MI | $106.92 | $0.00 – $107.70 | 5,888 | 5 |
| Shreveport, LA | $199.00 | $52.00 – $204.77 | 5,886 | 7 |
| Charleston, WV | $227.00 | $89.53 – $269.00 | 5,737 | 4 |
| Ponce, PR | $221.99 | $215.14 – $223.40 | 5,716 | 2 |
| Tupelo, MS | $97.07 | $20.87 – $113.44 | 5,476 | 3 |
| Flint, MI | $94.22 | $87.52 – $95.07 | 5,146 | 3 |
| Flushing, NY | $276.17 | $40.87 – $308.99 | 5,130 | 6 |
| Lafayette, LA | $112.11 | $38.99 – $134.29 | 4,610 | 6 |
| Englewood, NJ | $89.47 | $83.71 – $90.09 | 4,559 | 2 |
| Norwich, CT | $132.35 | $132.35 – $132.35 | 4,443 | 1 |
| San Antonio, TX | $308.70 | $190.15 – $309.16 | 4,431 | 2 |
| Roanoke, VA | $468.44 | $96.45 – $515.43 | 4,291 | 3 |
| Fresno, CA | $15.22 | $4.94 – $162.31 | 4,258 | 8 |
| Kingsport, TN | $53.33 | $53.33 – $53.33 | 4,230 | 1 |
| Lewiston, ME | $115.35 | $61.80 – $127.14 | 4,181 | 3 |
| Yuma, AZ | $140.30 | $118.08 – $147.29 | 4,177 | 2 |
| Charlottesville, VA | $544.48 | $80.80 – $565.46 | 4,169 | 5 |
| Baltimore, MD | $489.09 | $0.00 – $2,121 | 4,138 | 11 |
| Salt Lake City, UT | $164.16 | $119.15 – $590.18 | 4,098 | 4 |
| Kettering, OH | $180.01 | $46.45 – $264.74 | 4,014 | 6 |
| Lima, OH | $91.10 | $73.06 – $124.40 | 3,929 | 4 |
| San Bernardino, CA | $124.30 | $96.55 – $761.46 | 3,869 | 3 |
| Indianapolis, IN | $386.98 | $36.60 – $736.62 | 3,665 | 15 |
| Berkeley, CA | $542.66 | $95.18 – $572.17 | 3,617 | 3 |
| Spartanburg, SC | $10.41 | $10.02 – $78.33 | 3,565 | 2 |
| Edgewood, KY | $282.21 | $82.10 – $302.26 | 3,539 | 4 |
| Gainesville, GA | $94.81 | $94.81 – $94.81 | 3,498 | 1 |
| Bakersfield, CA | $106.80 | $13.85 – $130.46 | 3,401 | 7 |
| Stockton, CA | $253.34 | $166.72 – $396.92 | 3,261 | 2 |
| Chicago, IL | $135.80 | $46.46 – $401.91 | 3,135 | 17 |
| Greenville, MS | $35.89 | $35.89 – $35.89 | 3,074 | 1 |
| Lawndale, CA | $62.10 | $10.24 – $100.01 | 3,074 | 4 |
| Morgantown, WV | $267.50 | $25.84 – $340.80 | 3,000 | 4 |
| Miami, FL | $451.27 | $25.27 – $1,970 | 2,884 | 11 |
| Cookeville, TN | $54.48 | $41.02 – $56.44 | 2,852 | 3 |
| Pomona, NJ | $75.47 | $75.47 – $75.47 | 2,680 | 1 |
| Brewer, ME | $67.97 | $63.87 – $69.01 | 2,664 | 2 |
| Alexandria, LA | $54.70 | $54.70 – $54.70 | 2,629 | 1 |
| Salinas, CA | $70.03 | $33.14 – $130.24 | 2,568 | 3 |
| Honolulu, HI | $362.82 | $85.70 – $371.26 | 2,564 | 3 |
| Mesa, AZ | $26.34 | $12.23 – $148.09 | 2,494 | 3 |
| Colton, CA | $52.17 | $52.17 – $52.17 | 2,494 | 1 |
| Muncie, IN | $69.37 | $57.30 – $73.14 | 2,455 | 3 |
| Paducah, KY | $98.21 | $72.15 – $195.12 | 2,321 | 2 |
| Akron, OH | $305.93 | $199.71 – $344.40 | 2,283 | 2 |
| Buffalo, NY | $255.31 | $154.07 – $257.45 | 2,239 | 3 |
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.