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 |
|---|---|---|---|---|
| Toledo, OH | $294.41 | $52.33 – $421.26 | 622 | 3 |
| Ukiah, CA | $75.76 | $75.76 – $75.76 | 620 | 1 |
| Fort Wayne, IN | $81.51 | $57.41 – $96.97 | 607 | 7 |
| Palm Springs, CA | $80.68 | $68.16 – $84.53 | 607 | 2 |
| Belpre, OH | $106.33 | $80.99 – $138.09 | 604 | 2 |
| Gulfport, MS | $93.79 | $15.23 – $110.40 | 596 | 2 |
| Ontario, CA | $162.05 | $107.26 – $632.18 | 594 | 2 |
| Tuscaloosa, AL | $19.94 | $19.94 – $19.94 | 593 | 1 |
| Oklahoma City, OK | $192.87 | $77.99 – $251.00 | 579 | 9 |
| Portland, OR | $353.50 | $75.18 – $423.24 | 565 | 7 |
| Terre Haute, IN | $64.84 | $63.67 – $65.75 | 565 | 2 |
| Pulaski, VA | $184.41 | $81.03 – $231.81 | 557 | 3 |
| Modesto, CA | $80.36 | $16.48 – $108.56 | 547 | 3 |
| Hazard, KY | $179.72 | $82.26 – $217.08 | 545 | 2 |
| Spokane, WA | $111.00 | $67.88 – $231.09 | 535 | 4 |
| Pittsfield, MA | $67.22 | $67.22 – $67.22 | 530 | 1 |
| Daphne, AL | $82.24 | $82.24 – $82.24 | 526 | 1 |
| El Paso, TX | $101.42 | $79.57 – $104.17 | 501 | 2 |
| Novi, MI | $102.47 | $102.47 – $102.47 | 495 | 1 |
| Middletown, NY | $357.67 | $125.54 – $421.98 | 484 | 2 |
| Boynton Beach, FL | $199.31 | $199.31 – $199.31 | 484 | 1 |
| Muskegon, MI | $91.35 | $91.35 – $91.35 | 483 | 1 |
| Sherman Oaks, CA | $20.16 | $10.09 – $20.92 | 483 | 2 |
| Kennewick, WA | $62.84 | $57.97 – $71.88 | 475 | 3 |
| Wayne, NJ | $35.11 | $35.11 – $35.11 | 471 | 1 |
| Valhalla, NY | $91.31 | $91.31 – $91.31 | 467 | 1 |
| Monterey Park, CA | $35.35 | $35.35 – $35.35 | 452 | 1 |
| Battle Creek, MI | $30.73 | $26.55 – $91.32 | 450 | 2 |
| Pomona, CA | $79.67 | $76.18 – $83.67 | 446 | 2 |
| Joplin, MO | $110.85 | $110.85 – $110.85 | 445 | 1 |
| Rancho Mirage, CA | $87.27 | $87.27 – $87.27 | 441 | 1 |
| Mccomb, MS | $52.11 | $26.70 – $132.70 | 438 | 2 |
| Santa Cruz, CA | $106.60 | $102.17 – $109.32 | 437 | 2 |
| Fairhaven, MA | $84.83 | $84.83 – $84.83 | 437 | 1 |
| Princeton, WV | $122.11 | $122.11 – $122.11 | 435 | 1 |
| Germantown, TN | $60.74 | $53.14 – $146.36 | 429 | 3 |
| Bloomington, IN | $187.46 | $64.34 – $191.68 | 422 | 2 |
| Bel Air, MD | $880.42 | $819.49 – $944.02 | 419 | 2 |
| Scottsdale, AZ | $206.28 | $101.38 – $303.78 | 419 | 4 |
| West Columbia, SC | $70.06 | $42.78 – $98.94 | 406 | 4 |
| Mishawaka, IN | $84.32 | $84.32 – $84.32 | 404 | 1 |
| Southaven, MS | $33.24 | $33.24 – $33.24 | 404 | 1 |
| Columbia, TN | $34.33 | $25.32 – $40.14 | 398 | 2 |
| Big Stone Gap, VA | $180.30 | $180.30 – $180.30 | 392 | 1 |
| Fall River, MA | $63.01 | $48.88 – $64.15 | 391 | 2 |
| West Covina, CA | $80.10 | $61.43 – $117.86 | 390 | 3 |
| Merced, CA | $130.08 | $102.99 – $219.81 | 388 | 2 |
| Emeryville, CA | $119.57 | $119.57 – $119.57 | 382 | 1 |
| Canton, OH | $195.01 | $69.63 – $352.83 | 376 | 6 |
| Columbia, MO | $251.26 | $79.07 – $286.03 | 369 | 2 |
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.