77307

Complex radiation therapy planning for delivery of external radiation

Medicare pricing data for 3,694 providers across 49 states

🤖AI Overview

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

Complex radiation therapy planning for delivery of external radiation (HCPCS code 77307) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $177.96, but hospitals typically charge $712.67 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$35.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $177.96, your out-of-pocket cost would be approximately $35.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$177.96
Average Hospital Charge
$712.67
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$712.67
Medicare Allowed$177.96
Medicare Payment$141.35

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $141.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
North Dakota$277$1,050414+55.9%
Alaska$254$3,6941070+42.9%
Nevada$251$9281878+41.1%
California$226$8352961,475+26.8%
Arizona$226$97443148+26.7%
District of Columbia$223$522927+25.3%
Texas$223$9001831,034+25.1%
Florida$207$8682441,019+16.1%
Maryland$201$63472649+13.0%
Minnesota$191$96282371+7.3%
New York$189$7702711,474+6.2%
New Jersey$189$6131231,216+5.9%
Alabama$186$44160381+4.3%
Rhode Island$185$7642097+3.9%
Illinois$176$8191561,390-1.1%
Georgia$174$69496458-2.0%
Massachusetts$174$636140992-2.4%
Oklahoma$173$60533255-3.0%
Arkansas$172$48522174-3.3%
Oregon$171$62547196-3.9%
Louisiana$171$61345256-4.1%
South Carolina$170$69454333-4.7%
Nebraska$169$60917104-5.2%
Washington$169$57581379-5.2%
Virginia$168$56180521-5.5%
Tennessee$167$57376670-6.2%
Hawaii$165$4371587-7.2%
Pennsylvania$165$6062571,901-7.3%
Ohio$163$720160786-8.6%
Wisconsin$162$1,13497482-9.1%
Colorado$162$53259242-9.1%
Michigan$160$7731431,317-9.9%
West Virginia$159$60918146-10.7%
Indiana$158$80375488-11.2%
Connecticut$158$57158436-11.3%
Kansas$156$48030173-12.1%
North Carolina$156$637130796-12.6%
Missouri$154$69589584-13.5%
Delaware$153$5001298-13.9%
Montana$153$4721295-13.9%
New Hampshire$152$1,00224145-14.6%
Kentucky$150$41446192-15.6%
Vermont$149$76111135-16.2%
South Dakota$149$26413116-16.5%
Maine$148$53026177-17.1%
Iowa$147$58146339-17.3%
Idaho$146$50421189-18.1%
Utah$145$6461782-18.4%
Mississippi$141$45328241-20.9%

⚠️ 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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