77373

Cranial lesion surgery using radiation over multiple sessions

Medicare pricing data for 1,115 providers across 46 states

🤖AI Overview

This procedure has a 5.6x markup — hospitals charge $5,507 but Medicare allows only $989.31. Uninsured patients may face bills 5.6 times higher than what insurance negotiates. 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

Cranial lesion surgery using radiation over multiple sessions (HCPCS code 77373) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $989.31, but hospitals typically charge $5,507 — a 5.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$197.86

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $989.31, your out-of-pocket cost would be approximately $197.86. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$989.31
Average Hospital Charge
$5,507
Markup Ratio
5.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,507.11
Medicare Allowed$989.31
Medicare Payment$788.34

Hospitals charge 5.6x more than what Medicare allows for this procedure. Medicare actually pays $788.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$1,155$3,84621443+16.8%
California$1,152$5,2501304,295+16.5%
Hawaii$1,144$5,4858146+15.6%
New York$1,132$9,11654863+14.4%
Connecticut$1,105$5,9562162+11.7%
Alaska$1,093$22,8486199+10.5%
Maryland$1,081$4,189351,049+9.2%
Massachusetts$1,060$5,91714427+7.2%
Colorado$1,046$6,66910343+5.8%
Oregon$1,036$7,18212227+4.8%
Virginia$1,021$5,542191,800+3.2%
Washington$1,020$5,860341,366+3.1%
Wyoming$1,020$7,108189+3.1%
Minnesota$1,018$7,495341,059+2.9%
North Dakota$1,017$5,9354385+2.8%
Rhode Island$1,010$5,05512169+2.1%
Puerto Rico$1,009$1,308760+2.0%
Utah$1,000$6,7309289+1.1%
Illinois$992$6,08624953+0.2%
Nevada$992$4,65516416+0.2%
District of Columbia$988$3,8524108-0.1%
Ohio$984$7,01422423-0.6%
Florida$977$4,6851628,106-1.2%
Pennsylvania$976$5,22531502-1.3%
Texas$971$7,3401115,101-1.9%
Arizona$971$4,316432,227-1.9%
Montana$964$7,971168-2.5%
Wisconsin$960$10,73920301-3.0%
Michigan$947$4,97932859-4.3%
Georgia$937$5,29144734-5.3%
Nebraska$927$2,8036426-6.3%
North Carolina$926$5,09326845-6.4%
Indiana$924$4,76314865-6.6%
South Carolina$912$4,780111,567-7.8%
Kansas$909$3,318101,150-8.1%
New Mexico$902$5,499359-8.8%
Tennessee$902$5,19026890-8.8%
Missouri$899$10,4536263-9.1%
Idaho$891$4,1747261-9.9%
Alabama$890$3,40323637-10.1%
Maine$888$3,0211166-10.3%
Oklahoma$886$3,29312411-10.5%
Louisiana$884$5,04419443-10.7%
Kentucky$872$4,00511480-11.8%
West Virginia$864$4,9164332-12.6%
Arkansas$850$5,47381,347-14.1%

⚠️ 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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