Special radiation therapy planning
Medicare pricing data for 1,830 providers across 47 states
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
Special radiation therapy planning (HCPCS code 77331) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.61, but hospitals typically charge $189.75 — 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 $51.61, your out-of-pocket cost would be approximately $10.32. 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 $40.99 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $65 | $553 | 2 | 92 | +25.6% |
| Rhode Island | $62 | $220 | 3 | 33 | +20.0% |
| Alaska | $61 | $719 | 3 | 30 | +18.8% |
| Florida | $61 | $211 | 160 | 2,625 | +18.8% |
| Arizona | $61 | $134 | 48 | 635 | +18.1% |
| Nevada | $60 | $273 | 8 | 64 | +16.5% |
| Alabama | $59 | $129 | 26 | 3,554 | +15.2% |
| Maryland | $56 | $183 | 43 | 431 | +8.6% |
| Arkansas | $55 | $243 | 10 | 162 | +6.5% |
| Oklahoma | $54 | $207 | 20 | 426 | +4.6% |
| Louisiana | $53 | $210 | 29 | 591 | +3.2% |
| Indiana | $53 | $226 | 33 | 165 | +2.7% |
| California | $52 | $289 | 182 | 2,809 | +1.5% |
| Texas | $52 | $231 | 69 | 342 | +1.1% |
| Minnesota | $52 | $234 | 16 | 95 | +0.3% |
| New York | $52 | $245 | 150 | 1,660 | +0.2% |
| West Virginia | $52 | $226 | 12 | 62 | -0.1% |
| Kansas | $51 | $209 | 16 | 180 | -1.5% |
| New Mexico | $51 | $204 | 7 | 49 | -1.9% |
| New Jersey | $51 | $127 | 44 | 838 | -2.0% |
| District of Columbia | $50 | $163 | 10 | 74 | -3.0% |
| Georgia | $50 | $198 | 66 | 489 | -3.7% |
| Washington | $49 | $209 | 75 | 968 | -4.2% |
| Kentucky | $49 | $179 | 28 | 150 | -5.0% |
| Tennessee | $49 | $193 | 34 | 1,192 | -5.6% |
| North Carolina | $49 | $234 | 59 | 415 | -5.7% |
| Pennsylvania | $48 | $186 | 107 | 1,362 | -6.5% |
| Massachusetts | $48 | $262 | 51 | 422 | -6.8% |
| South Carolina | $48 | $277 | 32 | 343 | -7.2% |
| Connecticut | $47 | $175 | 23 | 149 | -8.4% |
| Oregon | $47 | $146 | 9 | 63 | -8.4% |
| Illinois | $47 | $264 | 72 | 675 | -9.2% |
| Colorado | $47 | $155 | 30 | 215 | -9.6% |
| Virginia | $46 | $114 | 45 | 4,541 | -10.8% |
| Delaware | $46 | $255 | 7 | 79 | -11.0% |
| Ohio | $46 | $141 | 82 | 483 | -11.2% |
| Wisconsin | $46 | $407 | 48 | 199 | -11.5% |
| Utah | $45 | $150 | 8 | 16 | -13.0% |
| Idaho | $45 | $342 | 4 | 21 | -13.3% |
| Nebraska | $45 | $210 | 20 | 248 | -13.4% |
| Vermont | $45 | $248 | 6 | 24 | -13.4% |
| Missouri | $45 | $153 | 23 | 81 | -13.8% |
| South Dakota | $45 | $121 | 7 | 29 | -13.8% |
| Montana | $44 | $113 | 4 | 21 | -14.1% |
| Iowa | $44 | $170 | 10 | 73 | -14.9% |
| Mississippi | $43 | $161 | 12 | 408 | -17.3% |
| Michigan | $43 | $151 | 41 | 1,069 | -17.6% |
⚠️ 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