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 |
|---|---|---|---|---|
| Portsmouth, VA | $512.62 | $512.62 – $512.62 | 143 | 1 |
| San Luis Obispo, CA | $107.85 | $107.85 – $107.85 | 143 | 1 |
| Henderson, NV | $125.51 | $109.36 – $171.36 | 142 | 2 |
| Newport Beach, CA | $163.91 | $163.91 – $163.91 | 142 | 1 |
| Spokane Valley, WA | $79.54 | $67.31 – $107.68 | 140 | 3 |
| Danbury, CT | $124.91 | $30.85 – $149.30 | 136 | 2 |
| Farmington, CT | $283.52 | $283.52 – $283.52 | 135 | 1 |
| Asheville, NC | $13.29 | $13.29 – $13.29 | 131 | 1 |
| Walnut Creek, CA | $310.69 | $117.67 – $351.80 | 131 | 2 |
| Vancouver, WA | $64.08 | $63.52 – $64.24 | 131 | 2 |
| Manhattan Beach, CA | $15.92 | $15.92 – $15.92 | 130 | 1 |
| Monroeville, PA | $89.77 | $89.77 – $89.77 | 130 | 1 |
| Gastonia, NC | $76.70 | $66.84 – $102.79 | 128 | 3 |
| Albemarle, NC | $104.81 | $104.81 – $104.81 | 127 | 1 |
| Anchorage, AK | $175.84 | $142.15 – $212.36 | 126 | 3 |
| Auburn, WA | $76.57 | $76.57 – $76.57 | 124 | 1 |
| Elizabeth, NJ | $361.63 | $361.63 – $361.63 | 123 | 1 |
| Virginia Beach, VA | $58.61 | $58.61 – $58.61 | 122 | 1 |
| Paramus, NJ | $67.09 | $67.09 – $67.09 | 120 | 1 |
| Owensboro, KY | $98.94 | $98.94 – $98.94 | 118 | 1 |
| Twin Falls, ID | $110.46 | $110.46 – $110.46 | 117 | 1 |
| Rochester, MN | $189.36 | $100.93 – $273.28 | 116 | 3 |
| Wichita, KS | $79.63 | $79.63 – $79.63 | 116 | 1 |
| Voorhees, NJ | $204.50 | $204.50 – $204.50 | 114 | 1 |
| Victoria, TX | $53.23 | $53.23 – $53.23 | 114 | 1 |
| Wenatchee, WA | $69.42 | $65.71 – $72.21 | 113 | 3 |
| Federal Way, WA | $521.84 | $521.84 – $521.84 | 113 | 1 |
| Longview, WA | $79.12 | $79.12 – $79.12 | 113 | 1 |
| Warrenville, IL | $56.61 | $56.61 – $56.61 | 111 | 1 |
| Omaha, NE | $104.14 | $104.14 – $104.14 | 111 | 1 |
| Tustin, CA | $103.62 | $103.62 – $103.62 | 110 | 1 |
| Melbourne, FL | $73.87 | $73.87 – $73.87 | 110 | 1 |
| Brick, NJ | $97.13 | $97.13 – $97.13 | 109 | 1 |
| Vallejo, CA | $117.37 | $117.37 – $117.37 | 109 | 1 |
| Harlingen, TX | $190.45 | $57.31 – $224.51 | 108 | 2 |
| Oneida, NY | $15.26 | $15.26 – $15.26 | 107 | 1 |
| Tampa, FL | $99.88 | $91.57 – $111.17 | 106 | 4 |
| Johnson City, TN | $37.25 | $37.25 – $37.25 | 105 | 1 |
| Mount Pleasant, WI | $62.07 | $62.07 – $62.07 | 103 | 1 |
| Jackson, MI | $107.88 | $107.88 – $107.88 | 102 | 1 |
| Hialeah, FL | $9.63 | $9.63 – $9.63 | 97 | 1 |
| Martinsburg, WV | $119.84 | $119.84 – $119.84 | 96 | 1 |
| Union City, TN | $14.09 | $14.09 – $14.09 | 96 | 1 |
| Marion, OH | $65.51 | $65.51 – $65.51 | 95 | 1 |
| Nacogdoches, TX | $61.67 | $61.67 – $61.67 | 94 | 1 |
| Sequim, WA | $117.65 | $117.65 – $117.65 | 93 | 1 |
| Zanesville, OH | $193.91 | $193.91 – $193.91 | 91 | 1 |
| Saint Louis, MO | $73.39 | $70.63 – $81.57 | 91 | 2 |
| Kerrville, TX | $99.35 | $99.35 – $99.35 | 89 | 1 |
| Wilmington, NC | $71.08 | $29.12 – $99.61 | 87 | 4 |
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.