77293

Obtaining respiratory data needed to develop the optimal radiation treatment

Medicare pricing data for 3,790 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $99 in Mississippi to $303 in Alaska. 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 respiratory data needed to develop the optimal radiation treatment (HCPCS code 77293) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $175.16, but hospitals typically charge $777.68 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$35.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $175.16, your out-of-pocket cost would be approximately $35.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$175.16
Average Hospital Charge
$777.68
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$777.68
Medicare Allowed$175.16
Medicare Payment$139.62

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $139.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$303$4,21710192+72.9%
Florida$258$9862792,671+47.5%
Rhode Island$249$1,26817136+42.0%
Nevada$234$96324311+33.6%
Idaho$229$80919183+30.8%
Louisiana$225$77749419+28.2%
California$219$9133342,873+25.1%
Alabama$209$77254536+19.1%
Texas$207$1,0332353,117+18.3%
Nebraska$200$96117171+14.1%
Arkansas$200$99436766+13.9%
Minnesota$198$97390698+13.0%
Maryland$195$80676681+11.1%
New York$194$7801961,367+10.6%
Virginia$193$71981972+10.4%
Arizona$188$1,23463494+7.5%
North Dakota$188$69912190+7.5%
South Carolina$183$69361787+4.3%
Washington$181$55189704+3.6%
Maine$172$49815127-1.7%
Hawaii$171$56617154-2.1%
Oregon$168$65357357-3.9%
West Virginia$168$55514171-4.1%
Wyoming$168$869336-4.4%
Georgia$165$685109834-5.8%
Michigan$157$7341341,219-10.6%
New Mexico$156$5171267-11.2%
New Jersey$153$82879636-12.5%
Kansas$152$44534481-13.4%
Indiana$149$48581953-15.1%
North Carolina$149$5751241,418-15.2%
Tennessee$147$506891,164-16.1%
Utah$146$63620179-16.4%
Massachusetts$146$5801091,060-16.6%
Illinois$144$1,0671491,457-17.5%
Montana$140$51415129-19.9%
Kentucky$139$60558611-20.4%
Colorado$137$60680586-21.5%
Oklahoma$137$44831380-22.0%
Connecticut$136$67763399-22.5%
Ohio$135$6052011,791-22.7%
Pennsylvania$131$5412171,805-25.1%
New Hampshire$130$65023266-25.7%
Wisconsin$126$1,016115925-28.3%
Missouri$114$4861001,105-35.0%
Iowa$106$37040456-39.4%
Delaware$105$32612125-40.1%
South Dakota$103$28213180-41.2%
Vermont$103$536998-41.4%
Mississippi$99$42016147-43.7%

⚠️ 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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