Complex radiation therapy planning
Medicare pricing data for 6,989 providers across 52 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
Complex radiation therapy planning (HCPCS code 77263) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $168.10, but hospitals typically charge $783.20 — a 4.7x 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 $168.10, your out-of-pocket cost would be approximately $33.62. 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 4.7x more than what Medicare allows for this procedure. Medicare actually pays $132.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $222 | $3,250 | 18 | 682 | +31.9% |
| New York | $185 | $904 | 464 | 16,892 | +10.0% |
| District of Columbia | $183 | $528 | 25 | 1,109 | +8.6% |
| California | $180 | $852 | 655 | 27,425 | +7.1% |
| New Jersey | $179 | $741 | 164 | 7,536 | +6.3% |
| Connecticut | $177 | $713 | 90 | 2,805 | +5.5% |
| Massachusetts | $177 | $655 | 211 | 9,304 | +5.2% |
| Maryland | $176 | $530 | 138 | 6,699 | +4.7% |
| Illinois | $173 | $1,208 | 243 | 10,711 | +2.8% |
| Washington | $172 | $600 | 197 | 6,660 | +2.3% |
| Rhode Island | $170 | $554 | 27 | 770 | +1.4% |
| Hawaii | $170 | $572 | 26 | 759 | +1.1% |
| Montana | $169 | $651 | 25 | 1,233 | +0.6% |
| Delaware | $169 | $760 | 22 | 1,283 | +0.4% |
| Virginia | $169 | $730 | 126 | 8,449 | +0.3% |
| Florida | $169 | $669 | 562 | 25,094 | +0.3% |
| New Hampshire | $168 | $1,136 | 31 | 1,718 | +0.2% |
| Nevada | $168 | $755 | 44 | 1,697 | -0.1% |
| Oregon | $167 | $631 | 95 | 2,914 | -0.6% |
| Puerto Rico | $167 | $275 | 18 | 117 | -0.7% |
| Pennsylvania | $166 | $698 | 376 | 13,665 | -1.4% |
| Wyoming | $166 | $809 | 5 | 306 | -1.4% |
| Colorado | $165 | $622 | 125 | 4,638 | -1.6% |
| North Dakota | $165 | $768 | 19 | 966 | -1.7% |
| Arizona | $165 | $624 | 152 | 7,767 | -1.7% |
| Michigan | $165 | $677 | 218 | 7,339 | -1.8% |
| Utah | $164 | $612 | 48 | 1,743 | -2.4% |
| Vermont | $164 | $922 | 15 | 596 | -2.6% |
| Minnesota | $163 | $976 | 166 | 5,172 | -2.8% |
| Maine | $163 | $495 | 29 | 862 | -2.8% |
| New Mexico | $163 | $551 | 28 | 852 | -3.0% |
| Missouri | $163 | $649 | 142 | 6,239 | -3.2% |
| South Dakota | $163 | $472 | 19 | 1,075 | -3.2% |
| Ohio | $162 | $942 | 321 | 10,551 | -3.6% |
| Texas | $162 | $1,173 | 451 | 18,910 | -3.6% |
| Georgia | $162 | $630 | 216 | 7,494 | -3.6% |
| Wisconsin | $161 | $2,004 | 175 | 5,303 | -4.2% |
| North Carolina | $161 | $647 | 222 | 9,494 | -4.5% |
| West Virginia | $161 | $670 | 30 | 1,358 | -4.5% |
| Louisiana | $160 | $526 | 100 | 3,281 | -4.6% |
| Kentucky | $160 | $564 | 91 | 3,545 | -5.1% |
| Oklahoma | $159 | $636 | 61 | 2,933 | -5.2% |
| Iowa | $159 | $592 | 62 | 2,814 | -5.7% |
| Idaho | $158 | $484 | 33 | 1,614 | -5.8% |
| Alabama | $158 | $588 | 105 | 4,035 | -5.8% |
| Kansas | $158 | $515 | 50 | 3,471 | -5.8% |
| South Carolina | $158 | $747 | 103 | 5,452 | -5.9% |
| Indiana | $158 | $599 | 149 | 6,417 | -6.1% |
| Tennessee | $158 | $522 | 156 | 7,301 | -6.3% |
| Nebraska | $156 | $595 | 38 | 2,144 | -6.9% |
| Mississippi | $155 | $554 | 46 | 2,365 | -8.0% |
| Arkansas | $154 | $556 | 55 | 2,578 | -8.2% |
⚠️ 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