Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas
Medicare pricing data for 357 providers across 33 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, 2 treatment areas (HCPCS code 77285) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $424.14, but hospitals typically charge $780.04 — a 1.8x 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 $424.14, your out-of-pocket cost would be approximately $84.83. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $336.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $531 | $1,255 | 3 | 52 | +25.1% |
| California | $524 | $694 | 38 | 846 | +23.6% |
| Washington | $500 | $1,042 | 6 | 59 | +18.0% |
| New Jersey | $490 | $753 | 4 | 14 | +15.5% |
| Connecticut | $484 | $838 | 3 | 19 | +14.1% |
| Delaware | $452 | $451 | 2 | 28 | +6.5% |
| Pennsylvania | $447 | $811 | 4 | 33 | +5.3% |
| Minnesota | $446 | $924 | 7 | 48 | +5.1% |
| Montana | $445 | $822 | 3 | 15 | +4.9% |
| Georgia | $426 | $1,004 | 15 | 201 | +0.4% |
| South Dakota | $422 | $1,050 | 2 | 31 | -0.6% |
| Illinois | $421 | $1,019 | 24 | 155 | -0.8% |
| Texas | $420 | $904 | 31 | 631 | -0.9% |
| Michigan | $417 | $891 | 14 | 44 | -1.7% |
| Utah | $415 | $996 | 6 | 40 | -2.1% |
| Oregon | $413 | $951 | 3 | 18 | -2.7% |
| Wisconsin | $410 | $2,430 | 2 | 19 | -3.3% |
| Florida | $407 | $705 | 35 | 1,942 | -4.1% |
| North Carolina | $407 | $824 | 24 | 120 | -4.1% |
| South Carolina | $405 | $683 | 8 | 106 | -4.5% |
| Indiana | $404 | $658 | 20 | 901 | -4.8% |
| Iowa | $402 | $1,287 | 3 | 80 | -5.1% |
| Louisiana | $394 | $1,358 | 15 | 78 | -7.2% |
| Oklahoma | $394 | $806 | 10 | 339 | -7.2% |
| Ohio | $388 | $748 | 5 | 18 | -8.6% |
| Alabama | $386 | $706 | 8 | 85 | -8.9% |
| Mississippi | $385 | $710 | 4 | 44 | -9.3% |
| Tennessee | $385 | $642 | 14 | 157 | -9.3% |
| Arkansas | $385 | $662 | 2 | 13 | -9.3% |
| Missouri | $384 | $683 | 11 | 85 | -9.4% |
| Kentucky | $371 | $729 | 3 | 19 | -12.5% |
| Arizona | $366 | $730 | 12 | 126 | -13.7% |
| Virginia | $343 | $1,169 | 5 | 16 | -19.2% |
⚠️ 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