3d radiation therapy planning
Medicare pricing data for 5,829 providers across 52 states
This procedure has a 5.5x markup — hospitals charge $1,521 but Medicare allows only $278.47. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $216 in Mississippi to $453 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
3d radiation therapy planning (HCPCS code 77295) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $278.47, but hospitals typically charge $1,521 — a 5.5x 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 $278.47, your out-of-pocket cost would be approximately $55.69. 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 5.5x more than what Medicare allows for this procedure. Medicare actually pays $220.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $453 | $1,122 | 13 | 39 | +62.8% |
| Arizona | $344 | $1,980 | 119 | 1,916 | +23.4% |
| Florida | $341 | $1,635 | 452 | 7,597 | +22.4% |
| North Dakota | $333 | $1,955 | 17 | 416 | +19.6% |
| Nevada | $333 | $2,305 | 36 | 969 | +19.4% |
| California | $332 | $1,851 | 548 | 10,661 | +19.3% |
| Texas | $324 | $2,369 | 381 | 6,096 | +16.5% |
| Rhode Island | $321 | $1,591 | 25 | 317 | +15.2% |
| Alaska | $315 | $6,723 | 15 | 317 | +13.2% |
| Maryland | $300 | $1,117 | 118 | 2,847 | +7.7% |
| Alabama | $294 | $1,588 | 81 | 1,299 | +5.5% |
| Minnesota | $293 | $2,231 | 118 | 1,550 | +5.1% |
| New York | $288 | $1,501 | 387 | 5,682 | +3.4% |
| Nebraska | $286 | $1,345 | 44 | 866 | +2.6% |
| Louisiana | $284 | $1,975 | 73 | 1,238 | +2.0% |
| Washington | $283 | $1,095 | 179 | 3,180 | +1.8% |
| New Mexico | $275 | $1,776 | 23 | 357 | -1.2% |
| Oregon | $271 | $1,332 | 87 | 1,136 | -2.6% |
| Virginia | $271 | $1,295 | 116 | 3,483 | -2.8% |
| Utah | $270 | $1,085 | 46 | 860 | -3.2% |
| New Jersey | $268 | $1,113 | 126 | 2,657 | -3.9% |
| West Virginia | $264 | $1,671 | 24 | 468 | -5.1% |
| Hawaii | $264 | $1,359 | 25 | 471 | -5.2% |
| South Carolina | $263 | $1,288 | 82 | 2,067 | -5.6% |
| Illinois | $261 | $1,800 | 207 | 3,905 | -6.4% |
| Idaho | $258 | $1,193 | 29 | 675 | -7.2% |
| Colorado | $257 | $1,075 | 100 | 1,553 | -7.6% |
| Georgia | $257 | $1,280 | 170 | 3,013 | -7.7% |
| North Carolina | $255 | $1,334 | 182 | 3,681 | -8.5% |
| Massachusetts | $254 | $1,213 | 190 | 3,929 | -8.7% |
| District of Columbia | $254 | $1,094 | 20 | 559 | -8.9% |
| Arkansas | $253 | $2,611 | 45 | 1,073 | -9.3% |
| Kansas | $249 | $898 | 45 | 1,128 | -10.5% |
| Michigan | $249 | $1,426 | 172 | 2,450 | -10.5% |
| Pennsylvania | $248 | $1,178 | 318 | 4,875 | -10.9% |
| Oklahoma | $247 | $1,170 | 47 | 1,207 | -11.3% |
| Tennessee | $247 | $1,006 | 118 | 2,921 | -11.4% |
| Indiana | $242 | $1,466 | 121 | 2,814 | -13.0% |
| Kentucky | $242 | $1,034 | 81 | 1,507 | -13.0% |
| Connecticut | $241 | $1,289 | 84 | 1,398 | -13.3% |
| Ohio | $240 | $1,309 | 281 | 4,027 | -14.0% |
| Wisconsin | $238 | $2,496 | 149 | 1,866 | -14.5% |
| Delaware | $235 | $1,607 | 20 | 580 | -15.7% |
| Missouri | $233 | $1,361 | 117 | 2,481 | -16.2% |
| Montana | $231 | $1,034 | 21 | 492 | -17.0% |
| New Hampshire | $228 | $1,465 | 30 | 736 | -18.0% |
| Wyoming | $227 | $1,064 | 5 | 136 | -18.6% |
| Maine | $224 | $661 | 26 | 389 | -19.5% |
| Vermont | $220 | $1,229 | 10 | 204 | -20.8% |
| South Dakota | $220 | $692 | 15 | 427 | -20.9% |
| Iowa | $218 | $905 | 51 | 1,335 | -21.7% |
| Mississippi | $216 | $897 | 37 | 936 | -22.6% |
⚠️ 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