High dose rate electronic brachytherapy, external
Medicare pricing data for 156 providers across 14 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
High dose rate electronic brachytherapy, external (HCPCS code 0394T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $184.45, but hospitals typically charge $609.02 — a 3.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $184.45, your out-of-pocket cost would be approximately $36.89. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $147.07 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Pennsylvania | $257 | $1,716 | 2 | 2,160 | +39.2% |
| Florida | $240 | $310 | 13 | 4,215 | +30.3% |
| Texas | $222 | $677 | 22 | 5,144 | +20.2% |
| Louisiana | $222 | $608 | 2 | 308 | +20.2% |
| Michigan | $219 | $533 | 2 | 99 | +18.9% |
| Missouri | $208 | $400 | 1 | 510 | +13.0% |
| Oregon | $168 | $334 | 1 | 1,777 | -9.2% |
| Nevada | $166 | $396 | 2 | 479 | -10.0% |
| Georgia | $166 | $250 | 1 | 143 | -10.1% |
| California | $165 | $593 | 71 | 22,602 | -10.8% |
| Washington | $164 | $512 | 13 | 2,385 | -11.1% |
| Arizona | $159 | $520 | 7 | 1,925 | -13.6% |
| Illinois | $159 | $926 | 2 | 64 | -13.7% |
| Idaho | $153 | $480 | 1 | 132 | -17.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber