77280

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area

Medicare pricing data for 6,393 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $37 in Vermont to $270 in California. Where you get this procedure matters more than almost any other factor. 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

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS code 77280) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $216.51, but hospitals typically charge $491.28 — a 2.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$43.30

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $216.51, your out-of-pocket cost would be approximately $43.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$216.51
Average Hospital Charge
$491.28
Markup Ratio
2.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$491.28
Medicare Allowed$216.51
Medicare Payment$172.16

Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $172.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$270$55362852,925+24.9%
Puerto Rico$268$3091271+23.6%
Arizona$248$49715718,447+14.4%
Minnesota$245$5461347,069+13.3%
Texas$244$52140641,273+12.7%
Alaska$242$1,25920944+11.8%
Florida$238$48458346,455+9.9%
New Mexico$231$489222,246+6.7%
Montana$230$465242,695+6.1%
Alabama$227$4798515,890+5.1%
North Dakota$227$818171,437+4.9%
Illinois$225$54823422,197+4.0%
South Carolina$224$4109214,629+3.3%
South Dakota$223$713172,950+3.1%
Indiana$221$52914620,119+1.9%
North Carolina$219$47021620,237+1.2%
Oregon$218$603895,001+0.5%
Louisiana$216$536785,844-0.2%
Georgia$214$42520615,725-1.3%
Iowa$208$6475811,240-4.1%
Oklahoma$205$565617,379-5.4%
Idaho$204$427292,089-5.7%
Tennessee$204$46513513,372-5.9%
Arkansas$201$480422,154-7.2%
Kentucky$201$343917,422-7.4%
Delaware$197$310212,042-9.1%
Utah$196$430592,566-9.4%
Connecticut$194$419894,779-10.2%
New York$193$64340310,248-11.0%
Mississippi$189$358455,907-12.6%
Nevada$188$420311,711-13.3%
New Jersey$187$3631389,340-13.6%
Missouri$179$37112710,327-17.2%
Washington$176$3771685,772-18.6%
Virginia$173$4771227,712-20.1%
Michigan$166$4471799,670-23.2%
Pennsylvania$165$42335415,916-23.6%
Colorado$161$3241062,913-25.6%
Rhode Island$151$66625418-30.3%
Wisconsin$150$1,0131383,644-30.5%
Ohio$133$3572836,503-38.7%
Maryland$130$3671143,918-39.7%
Hawaii$125$41323543-42.2%
New Hampshire$112$324321,055-48.2%
West Virginia$111$38526799-48.9%
Nebraska$108$35236962-50.3%
Wyoming$100$3947204-53.7%
Kansas$81$323451,243-62.5%
Massachusetts$59$2131904,563-72.9%
Maine$56$16925382-74.1%
District of Columbia$56$25115336-74.1%
Vermont$37$2279277-82.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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