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 |
|---|---|---|---|---|
| Marietta, OH | $133.53 | $133.53 – $133.53 | 84 | 1 |
| Opelika, AL | $62.41 | $62.41 – $62.41 | 83 | 1 |
| Campbellsville, KY | $45.97 | $45.97 – $45.97 | 82 | 1 |
| Santa Fe, NM | $102.97 | $81.17 – $132.25 | 82 | 2 |
| Fitchburg, MA | $110.08 | $90.34 – $118.74 | 82 | 2 |
| Madison, IN | $67.80 | $67.80 – $67.80 | 81 | 1 |
| Springfield, IL | $66.27 | $51.31 – $74.79 | 80 | 2 |
| Ringgold, GA | $3.63 | $3.63 – $3.63 | 80 | 1 |
| Wheeling, WV | $79.10 | $59.23 – $122.03 | 79 | 2 |
| Waterbury, CT | $53.28 | $53.28 – $53.28 | 77 | 1 |
| Thibodaux, LA | $51.00 | $51.00 – $51.00 | 77 | 1 |
| Fountain Valley, CA | $102.98 | $58.82 – $122.96 | 76 | 3 |
| Lowell, MA | $71.95 | $71.95 – $71.95 | 76 | 1 |
| Cedar Rapids, IA | $68.87 | $27.12 – $85.88 | 76 | 2 |
| White Plains, NY | $83.13 | $83.13 – $83.13 | 76 | 1 |
| Sun City Center, FL | $36.69 | $33.53 – $43.69 | 74 | 2 |
| Parkersburg, WV | $115.58 | $115.58 – $115.58 | 73 | 1 |
| Hamilton, OH | $105.28 | $105.28 – $105.28 | 72 | 1 |
| Venice, FL | $70.73 | $70.73 – $70.73 | 72 | 1 |
| Staten Island, NY | $431.57 | $431.57 – $431.57 | 71 | 1 |
| Murfreesboro, TN | $52.63 | $40.80 – $67.51 | 70 | 2 |
| Franklin, WI | $95.26 | $95.26 – $95.26 | 70 | 1 |
| Poplar Bluff, MO | $14.31 | $14.31 – $14.31 | 70 | 1 |
| Chico, CA | $52.40 | $30.50 – $60.44 | 67 | 2 |
| Seymour, IN | $95.87 | $95.87 – $95.87 | 66 | 1 |
| Monroe, MI | $62.82 | $62.82 – $62.82 | 66 | 1 |
| Hollywood, FL | $38.27 | $38.27 – $38.27 | 66 | 1 |
| West Hills, CA | $9.83 | $9.83 – $9.83 | 66 | 1 |
| Racine, WI | $79.27 | $61.02 – $86.26 | 65 | 2 |
| Rehoboth Beach, DE | $104.90 | $104.90 – $104.90 | 65 | 1 |
| Columbus, MS | $17.10 | $17.10 – $17.10 | 65 | 1 |
| Irving, TX | $147.66 | $147.66 – $147.66 | 64 | 1 |
| Forest Hills, NY | $52.84 | $52.84 – $52.84 | 64 | 1 |
| Cape Girardeau, MO | $58.98 | $58.98 – $58.98 | 63 | 1 |
| Mountain Home, AR | $111.44 | $111.44 – $111.44 | 63 | 1 |
| Daytona Beach, FL | $30.50 | $30.50 – $30.50 | 63 | 1 |
| Durango, CO | $49.16 | $49.16 – $49.16 | 62 | 1 |
| Meriden, CT | $64.43 | $64.43 – $64.43 | 62 | 1 |
| Riverside, CA | $71.44 | $66.00 – $78.28 | 61 | 2 |
| Encinitas, CA | $97.76 | $97.76 – $97.76 | 60 | 1 |
| Summit, WI | $89.12 | $89.12 – $89.12 | 60 | 1 |
| Effingham, IL | $46.77 | $46.77 – $46.77 | 59 | 1 |
| Waterloo, IA | $100.19 | $95.82 – $105.36 | 59 | 2 |
| Allentown, PA | $91.82 | $60.30 – $109.70 | 58 | 2 |
| Richmond, IN | $80.33 | $80.33 – $80.33 | 58 | 1 |
| Tinley Park, IL | $46.58 | $46.58 – $46.58 | 57 | 1 |
| Plano, TX | $77.25 | $77.25 – $77.25 | 56 | 1 |
| Santa Monica, CA | $53.24 | $53.24 – $53.24 | 55 | 1 |
| Salem, OR | $122.82 | $122.82 – $122.82 | 55 | 1 |
| Pittsburgh, PA | $94.24 | $94.24 – $94.24 | 55 | 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.