Simple radiation therapy planning
Medicare pricing data for 524 providers across 42 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
Simple radiation therapy planning (HCPCS code 77261) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $69.60, but hospitals typically charge $164.69 — a 2.4x 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 $69.60, your out-of-pocket cost would be approximately $13.92. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $54.50 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $93 | $300 | 2 | 21 | +33.7% |
| New York | $79 | $286 | 16 | 171 | +13.9% |
| New Jersey | $78 | $209 | 8 | 81 | +11.7% |
| Massachusetts | $76 | $254 | 5 | 15 | +9.9% |
| Maryland | $74 | $225 | 3 | 13 | +6.8% |
| California | $74 | $146 | 46 | 1,102 | +5.9% |
| Connecticut | $73 | $146 | 3 | 98 | +5.3% |
| Washington | $73 | $315 | 10 | 16 | +4.8% |
| New Hampshire | $72 | $103 | 2 | 90 | +3.4% |
| Delaware | $72 | $104 | 4 | 82 | +3.2% |
| Colorado | $72 | $172 | 12 | 73 | +3.2% |
| Illinois | $72 | $177 | 31 | 579 | +3.1% |
| Montana | $71 | $130 | 3 | 88 | +1.9% |
| Florida | $71 | $125 | 54 | 1,265 | +1.6% |
| Pennsylvania | $70 | $179 | 18 | 229 | +0.3% |
| Arizona | $69 | $140 | 21 | 394 | -0.4% |
| Michigan | $69 | $188 | 23 | 255 | -0.8% |
| Louisiana | $69 | $179 | 11 | 155 | -0.8% |
| Oregon | $69 | $223 | 5 | 81 | -1.0% |
| Utah | $69 | $138 | 6 | 61 | -1.2% |
| Texas | $69 | $167 | 42 | 1,080 | -1.3% |
| Georgia | $69 | $167 | 21 | 324 | -1.3% |
| Minnesota | $69 | $180 | 14 | 219 | -1.3% |
| Virginia | $69 | $227 | 6 | 94 | -1.3% |
| North Dakota | $69 | $193 | 1 | 28 | -1.4% |
| New Mexico | $68 | $165 | 3 | 81 | -1.6% |
| North Carolina | $68 | $167 | 28 | 636 | -1.9% |
| Ohio | $68 | $165 | 13 | 116 | -2.8% |
| Wisconsin | $68 | $406 | 5 | 49 | -2.8% |
| South Carolina | $68 | $157 | 13 | 480 | -2.9% |
| Kansas | $68 | $156 | 4 | 12 | -2.9% |
| Oklahoma | $67 | $144 | 6 | 41 | -3.6% |
| Missouri | $67 | $148 | 14 | 226 | -3.6% |
| Indiana | $67 | $180 | 17 | 564 | -3.9% |
| South Dakota | $67 | $216 | 2 | 74 | -4.0% |
| Mississippi | $67 | $136 | 4 | 134 | -4.1% |
| Kentucky | $67 | $103 | 2 | 46 | -4.3% |
| Tennessee | $67 | $175 | 19 | 396 | -4.3% |
| Iowa | $66 | $199 | 5 | 362 | -4.6% |
| Alabama | $66 | $161 | 14 | 386 | -4.9% |
| Arkansas | $66 | $210 | 2 | 49 | -5.4% |
| Idaho | $64 | $133 | 4 | 41 | -7.5% |
⚠️ 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