77295

3d radiation therapy planning

Medicare pricing data for 5,829 providers across 52 states

🤖AI Overview

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

$55.69

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.

Average Allowed Cost
$278.47
Average Hospital Charge
$1,521
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,520.90
Medicare Allowed$278.47
Medicare Payment$220.93

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$453$1,1221339+62.8%
Arizona$344$1,9801191,916+23.4%
Florida$341$1,6354527,597+22.4%
North Dakota$333$1,95517416+19.6%
Nevada$333$2,30536969+19.4%
California$332$1,85154810,661+19.3%
Texas$324$2,3693816,096+16.5%
Rhode Island$321$1,59125317+15.2%
Alaska$315$6,72315317+13.2%
Maryland$300$1,1171182,847+7.7%
Alabama$294$1,588811,299+5.5%
Minnesota$293$2,2311181,550+5.1%
New York$288$1,5013875,682+3.4%
Nebraska$286$1,34544866+2.6%
Louisiana$284$1,975731,238+2.0%
Washington$283$1,0951793,180+1.8%
New Mexico$275$1,77623357-1.2%
Oregon$271$1,332871,136-2.6%
Virginia$271$1,2951163,483-2.8%
Utah$270$1,08546860-3.2%
New Jersey$268$1,1131262,657-3.9%
West Virginia$264$1,67124468-5.1%
Hawaii$264$1,35925471-5.2%
South Carolina$263$1,288822,067-5.6%
Illinois$261$1,8002073,905-6.4%
Idaho$258$1,19329675-7.2%
Colorado$257$1,0751001,553-7.6%
Georgia$257$1,2801703,013-7.7%
North Carolina$255$1,3341823,681-8.5%
Massachusetts$254$1,2131903,929-8.7%
District of Columbia$254$1,09420559-8.9%
Arkansas$253$2,611451,073-9.3%
Kansas$249$898451,128-10.5%
Michigan$249$1,4261722,450-10.5%
Pennsylvania$248$1,1783184,875-10.9%
Oklahoma$247$1,170471,207-11.3%
Tennessee$247$1,0061182,921-11.4%
Indiana$242$1,4661212,814-13.0%
Kentucky$242$1,034811,507-13.0%
Connecticut$241$1,289841,398-13.3%
Ohio$240$1,3092814,027-14.0%
Wisconsin$238$2,4961491,866-14.5%
Delaware$235$1,60720580-15.7%
Missouri$233$1,3611172,481-16.2%
Montana$231$1,03421492-17.0%
New Hampshire$228$1,46530736-18.0%
Wyoming$227$1,0645136-18.6%
Maine$224$66126389-19.5%
Vermont$220$1,22910204-20.8%
South Dakota$220$69215427-20.9%
Iowa$218$905511,335-21.7%
Mississippi$216$89737936-22.6%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber