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 |
|---|---|---|---|---|
| Dublin, CA | $112.81 | $74.20 – $147.43 | 220 | 2 |
| Columbus, GA | $55.76 | $55.76 – $55.76 | 219 | 1 |
| Pembroke Pines, FL | $31.34 | $25.45 – $51.66 | 218 | 2 |
| Corona, CA | $108.15 | $108.15 – $108.15 | 215 | 1 |
| Pennington, NJ | $182.78 | $69.87 – $243.10 | 212 | 4 |
| Wellington, FL | $137.64 | $86.11 – $157.52 | 212 | 2 |
| Texarkana, TX | $49.47 | $35.33 – $57.28 | 211 | 2 |
| Newburgh, IN | $68.02 | $38.31 – $75.01 | 210 | 2 |
| Petersburg, VA | $0.00 | $0.00 – $0.00 | 208 | 2 |
| Burlington, NC | $30.58 | $30.58 – $30.58 | 205 | 1 |
| Rolla, MO | $274.45 | $274.45 – $274.45 | 205 | 1 |
| Pleasant Hill, CA | $119.74 | $92.73 – $134.81 | 204 | 3 |
| Rahway, NJ | $57.46 | $57.46 – $57.46 | 201 | 1 |
| Roseburg, OR | $111.22 | $108.78 – $111.87 | 200 | 2 |
| Chandler, AZ | $121.44 | $97.23 – $151.90 | 198 | 3 |
| Saddle Brook, NJ | $60.73 | $60.73 – $60.73 | 191 | 1 |
| Elizabethtown, KY | $71.87 | $42.28 – $85.86 | 190 | 2 |
| Houma, LA | $104.52 | $104.52 – $104.52 | 186 | 1 |
| Downey, CA | $81.25 | $81.25 – $81.25 | 184 | 1 |
| Covington, LA | $176.53 | $92.02 – $186.84 | 184 | 2 |
| Puyallup, WA | $61.05 | $55.05 – $61.55 | 182 | 2 |
| Fort Myers, FL | $37.23 | $36.49 – $37.72 | 180 | 2 |
| Myrtle Beach, SC | $73.48 | $64.73 – $108.22 | 178 | 3 |
| Fairfax, VA | $119.42 | $119.42 – $119.42 | 174 | 1 |
| Jonesboro, AR | $56.77 | $32.92 – $70.56 | 172 | 2 |
| Dothan, AL | $47.67 | $47.67 – $47.67 | 172 | 1 |
| Eureka, CA | $90.68 | $89.12 – $98.70 | 171 | 2 |
| Lexington, NC | $49.92 | $49.92 – $49.92 | 171 | 1 |
| Bristol, CT | $53.99 | $48.62 – $96.60 | 170 | 2 |
| Mineola, NY | $255.83 | $178.84 – $298.21 | 169 | 2 |
| Chambersburg, PA | $84.46 | $84.46 – $84.46 | 169 | 1 |
| Columbia, SC | $94.69 | $84.75 – $97.22 | 167 | 2 |
| Lansing, MI | $98.17 | $98.17 – $98.17 | 167 | 1 |
| Glasgow, KY | $61.33 | $61.33 – $61.33 | 162 | 1 |
| Sylvania, OH | $87.04 | $71.38 – $128.86 | 161 | 3 |
| Boise, ID | $89.47 | $21.62 – $161.09 | 161 | 3 |
| Saint Joseph, MI | $104.08 | $104.08 – $104.08 | 160 | 1 |
| Fayetteville, NC | $66.99 | $38.62 – $75.90 | 159 | 2 |
| Porterville, CA | $45.29 | $45.29 – $45.29 | 159 | 1 |
| Daly City, CA | $61.35 | $61.35 – $61.35 | 158 | 1 |
| Jacksonville, FL | $386.27 | $59.77 – $657.74 | 156 | 4 |
| Chapel Hill, NC | $618.06 | $87.90 – $750.60 | 155 | 2 |
| Hickory, NC | $86.69 | $77.84 – $108.12 | 154 | 2 |
| Port Charlotte, FL | $38.57 | $38.57 – $38.57 | 152 | 1 |
| Petoskey, MI | $84.93 | $0.00 – $104.26 | 151 | 2 |
| Hartsdale, NY | $29.26 | $29.26 – $29.26 | 150 | 1 |
| Augusta, GA | $315.65 | $315.65 – $315.65 | 150 | 1 |
| Paris, TX | $62.26 | $62.26 – $62.26 | 149 | 1 |
| Huntsville, AL | $53.13 | $33.85 – $67.47 | 147 | 3 |
| Lompoc, CA | $91.39 | $91.39 – $91.39 | 144 | 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.