77370

Special medical radiation therapy consultation

Medicare pricing data for 907 providers across 42 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

Special medical radiation therapy consultation (HCPCS code 77370) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $141.19, but hospitals typically charge $465.72 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $141.19, your out-of-pocket cost would be approximately $28.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$141.19
Average Hospital Charge
$465.72
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$465.72
Medicare Allowed$141.19
Medicare Payment$112.23

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $112.23 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$172$5421272,165+21.6%
New York$163$50462523+15.5%
New Jersey$157$3941599+11.5%
Virginia$151$49013103+6.8%
Alaska$151$1,559891+6.8%
Maryland$150$28421311+6.5%
Hawaii$149$529753+5.7%
Oregon$145$377720+2.8%
Massachusetts$144$48610203+2.2%
New Hampshire$143$339117+1.1%
Colorado$143$392874+1.1%
Illinois$142$57621211+0.9%
Delaware$142$524484+0.5%
Washington$141$40123253+0.1%
Puerto Rico$139$228721-1.3%
North Dakota$138$5303115-1.9%
Nevada$138$44318210-2.1%
Minnesota$137$52519127-3.0%
Florida$136$3871442,392-3.4%
Texas$135$40369766-4.3%
Rhode Island$135$389311-4.5%
Michigan$135$43020100-4.5%
Arizona$133$28043875-5.6%
Pennsylvania$133$39325182-5.7%
Utah$131$66511240-7.5%
New Mexico$128$470350-9.4%
Georgia$128$39621227-9.5%
North Carolina$128$78620179-9.5%
Indiana$128$4298274-9.6%
Ohio$126$64418328-10.5%
Nebraska$125$471655-11.3%
South Carolina$124$48210158-11.8%
Oklahoma$123$4439112-13.0%
West Virginia$122$314477-13.4%
Tennessee$122$94922310-13.5%
Kansas$122$3306114-13.7%
Louisiana$122$40625420-13.8%
Alabama$122$32426233-13.9%
Mississippi$121$542374-14.5%
Idaho$120$3814104-15.2%
Kentucky$118$3411168-16.5%
Arkansas$117$42613322-17.5%

⚠️ 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