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 |
|---|---|---|---|---|
| Saginaw, MI | $90.49 | $25.09 – $112.54 | 1,097 | 5 |
| Atlanta, GA | $58.62 | $14.07 – $133.56 | 1,096 | 5 |
| Reno, NV | $158.27 | $88.92 – $181.72 | 1,079 | 3 |
| Jeffersonville, IN | $53.22 | $51.94 – $54.70 | 1,070 | 2 |
| Mansfield, OH | $2,162 | $2,162 – $2,162 | 1,057 | 1 |
| Natchez, MS | $25.72 | $25.72 – $25.72 | 1,053 | 1 |
| Bowling Green, KY | $220.43 | $77.68 – $471.37 | 1,047 | 3 |
| Boardman, OH | $85.34 | $73.77 – $86.08 | 1,046 | 3 |
| Englewood, OH | $130.98 | $99.78 – $143.91 | 1,039 | 4 |
| Springfield, MA | $237.30 | $71.86 – $376.43 | 1,031 | 3 |
| Rochester, NY | $185.92 | $43.19 – $189.58 | 1,002 | 2 |
| Centralia, WA | $481.33 | $481.33 – $481.33 | 997 | 1 |
| Springfield, MO | $232.03 | $36.38 – $263.15 | 978 | 4 |
| Ashland, KY | $77.75 | $73.51 – $98.32 | 973 | 3 |
| Bridgeport, CT | $194.29 | $194.29 – $194.29 | 967 | 1 |
| Oak Ridge, TN | $45.75 | $45.75 – $45.75 | 934 | 1 |
| Macon, GA | $60.62 | $57.70 – $62.48 | 927 | 3 |
| Winchester, VA | $288.10 | $98.69 – $337.87 | 912 | 3 |
| Marrero, LA | $66.27 | $66.27 – $66.27 | 908 | 1 |
| Long Beach, CA | $92.88 | $56.59 – $115.05 | 891 | 5 |
| Pikeville, KY | $146.10 | $64.47 – $181.08 | 874 | 3 |
| Munster, IN | $64.24 | $62.89 – $115.13 | 855 | 2 |
| Greenville, SC | $24.23 | $21.55 – $59.17 | 855 | 2 |
| Ozone Park, NY | $72.03 | $72.03 – $72.03 | 850 | 1 |
| Lynchburg, VA | $207.19 | $74.38 – $282.64 | 843 | 4 |
| Lumberton, NC | $52.56 | $52.56 – $52.56 | 838 | 1 |
| Visalia, CA | $43.30 | $31.20 – $95.61 | 832 | 3 |
| El Centro, CA | $59.44 | $53.16 – $61.68 | 813 | 2 |
| Huntington, WV | $120.05 | $39.87 – $136.47 | 795 | 4 |
| Bridgeport, WV | $98.30 | $98.30 – $98.30 | 763 | 1 |
| Sumter, SC | $71.82 | $12.66 – $106.35 | 757 | 4 |
| Dallas, TX | $224.74 | $9.40 – $562.40 | 755 | 2 |
| Jersey City, NJ | $310.65 | $91.59 – $607.12 | 746 | 2 |
| Carterville, IL | $44.91 | $44.91 – $44.91 | 728 | 1 |
| Teaneck, NJ | $89.36 | $43.56 – $125.83 | 727 | 3 |
| Minneapolis, MN | $195.80 | $162.99 – $222.84 | 726 | 2 |
| Morristown, TN | $53.16 | $33.86 – $55.03 | 724 | 2 |
| Middletown, OH | $142.17 | $113.72 – $162.98 | 722 | 2 |
| Bristol, TN | $84.21 | $83.70 – $95.90 | 719 | 2 |
| Athens, GA | $76.67 | $66.87 – $86.80 | 710 | 4 |
| Ypsilanti, MI | $133.46 | $95.54 – $290.09 | 708 | 2 |
| New Britain, CT | $131.16 | $131.16 – $131.16 | 705 | 1 |
| Upland, CA | $96.46 | $27.34 – $113.96 | 693 | 2 |
| Decatur, GA | $65.40 | $65.40 – $65.40 | 669 | 1 |
| Ardmore, OK | $6.59 | $1.42 – $7.34 | 667 | 2 |
| Beckley, WV | $122.85 | $62.66 – $127.25 | 664 | 3 |
| Silverdale, WA | $309.81 | $70.51 – $358.62 | 661 | 2 |
| Edinburg, TX | $67.97 | $67.97 – $67.97 | 646 | 1 |
| Flagstaff, AZ | $64.83 | $0.00 – $120.05 | 642 | 3 |
| Lynwood, CA | $47.09 | $20.88 – $92.88 | 631 | 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.