Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved
Medicare pricing data for 6,907 providers across 52 states
Prices vary significantly by location — from $81 in Vermont to $445 in Puerto Rico. 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, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS code 77290) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $207.22, but hospitals typically charge $768.25 — a 3.7x 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 $207.22, your out-of-pocket cost would be approximately $41.44. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $163.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $445 | $533 | 16 | 70 | +114.7% |
| Arizona | $360 | $871 | 163 | 5,794 | +73.7% |
| Florida | $330 | $992 | 620 | 17,687 | +59.3% |
| California | $292 | $1,042 | 636 | 17,683 | +40.8% |
| Alabama | $274 | $828 | 104 | 2,529 | +32.1% |
| Texas | $270 | $1,085 | 446 | 9,241 | +30.1% |
| Nevada | $262 | $846 | 43 | 1,178 | +26.3% |
| North Dakota | $254 | $1,102 | 18 | 425 | +22.7% |
| Rhode Island | $246 | $1,321 | 26 | 426 | +18.9% |
| Maryland | $221 | $800 | 130 | 3,981 | +6.6% |
| Louisiana | $218 | $849 | 94 | 1,952 | +5.1% |
| Arkansas | $211 | $955 | 52 | 1,291 | +2.0% |
| Hawaii | $211 | $780 | 22 | 515 | +1.6% |
| Minnesota | $204 | $1,196 | 151 | 1,830 | -1.5% |
| Alaska | $203 | $3,154 | 18 | 358 | -1.9% |
| Washington | $203 | $606 | 199 | 4,126 | -2.1% |
| New Jersey | $201 | $551 | 149 | 5,680 | -3.0% |
| Georgia | $196 | $642 | 211 | 4,500 | -5.6% |
| Nebraska | $194 | $716 | 47 | 1,193 | -6.4% |
| New Mexico | $186 | $620 | 27 | 375 | -10.2% |
| Utah | $184 | $816 | 52 | 1,236 | -11.3% |
| Oklahoma | $180 | $639 | 58 | 2,460 | -13.0% |
| Wyoming | $175 | $1,022 | 6 | 284 | -15.4% |
| Kentucky | $169 | $534 | 93 | 2,317 | -18.3% |
| Tennessee | $167 | $463 | 145 | 4,700 | -19.4% |
| New York | $165 | $694 | 451 | 8,104 | -20.1% |
| South Carolina | $163 | $578 | 98 | 2,530 | -21.2% |
| Oregon | $163 | $632 | 101 | 1,479 | -21.3% |
| Virginia | $163 | $573 | 127 | 4,143 | -21.3% |
| Indiana | $160 | $602 | 144 | 3,602 | -22.6% |
| Delaware | $157 | $921 | 24 | 1,084 | -24.5% |
| Illinois | $155 | $857 | 278 | 6,175 | -25.3% |
| North Carolina | $150 | $617 | 220 | 4,601 | -27.6% |
| Montana | $148 | $639 | 26 | 695 | -28.7% |
| Idaho | $144 | $442 | 34 | 901 | -30.6% |
| Colorado | $144 | $420 | 131 | 2,031 | -30.7% |
| New Hampshire | $141 | $620 | 32 | 980 | -31.9% |
| West Virginia | $140 | $698 | 25 | 749 | -32.3% |
| Kansas | $136 | $502 | 45 | 1,487 | -34.2% |
| Pennsylvania | $130 | $513 | 351 | 7,703 | -37.3% |
| Michigan | $128 | $625 | 198 | 4,186 | -38.2% |
| Ohio | $121 | $494 | 318 | 4,869 | -41.8% |
| Mississippi | $120 | $479 | 47 | 1,370 | -42.2% |
| Massachusetts | $117 | $565 | 201 | 4,522 | -43.4% |
| Connecticut | $117 | $690 | 89 | 1,815 | -43.6% |
| Missouri | $111 | $448 | 133 | 3,301 | -46.3% |
| Wisconsin | $109 | $1,594 | 167 | 2,375 | -47.6% |
| Maine | $106 | $313 | 32 | 822 | -49.0% |
| District of Columbia | $100 | $407 | 23 | 668 | -51.6% |
| Iowa | $95 | $428 | 54 | 1,454 | -54.2% |
| South Dakota | $85 | $270 | 20 | 635 | -59.0% |
| Vermont | $81 | $455 | 11 | 348 | -61.1% |
⚠️ 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