77417

X-ray during radiation therapy

Medicare pricing data for 1,014 providers across 44 states

🤖AI Overview

This procedure has a 6.4x markup — hospitals charge $89.27 but Medicare allows only $13.91. Uninsured patients may face bills 6.4 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

X-ray during radiation therapy (HCPCS code 77417) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.91, but hospitals typically charge $89.27 — a 6.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.91, your out-of-pocket cost would be approximately $2.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.91
Average Hospital Charge
$89.27
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$89.27
Medicare Allowed$13.91
Medicare Payment$11.07

Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $11.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$16$84871,740+14.7%
New Jersey$16$7423483+13.3%
California$16$691453,656+13.2%
Hawaii$16$149886+11.9%
Maryland$15$45321,100+9.4%
Connecticut$15$666157+8.3%
Delaware$15$355424+6.8%
Alaska$15$150287+6.8%
Massachusetts$15$9012436+4.7%
Virginia$14$15418643+2.9%
Colorado$14$10112223+2.7%
Rhode Island$14$42961+2.2%
New Hampshire$14$81144+1.5%
Washington$14$6727699+0.1%
Nevada$14$11221504-0.6%
Minnesota$14$6015257-1.5%
Oregon$14$9318238-1.9%
Illinois$13$16826975-3.1%
Michigan$13$11526653-3.3%
Puerto Rico$13$421179-4.2%
Florida$13$70821,431-5.1%
Arizona$13$5641659-5.1%
Texas$13$1081063,388-6.0%
South Carolina$13$588265-6.8%
Pennsylvania$13$74391,044-7.1%
Wisconsin$13$60440-7.5%
Indiana$13$13511275-7.8%
North Carolina$13$7914244-7.9%
Utah$13$617174-8.9%
West Virginia$13$62232-9.3%
Ohio$13$14828528-9.8%
Nebraska$13$365167-10.1%
Kansas$12$488207-10.9%
Iowa$12$63652-11.6%
Missouri$12$3347135-11.8%
Tennessee$12$12718317-12.1%
Kentucky$12$7012285-12.2%
Georgia$12$5922330-13.0%
Louisiana$12$8417345-13.0%
Oklahoma$12$36858-13.1%
Alabama$12$5531525-13.8%
Idaho$12$88866-14.1%
Mississippi$12$484267-16.3%
Arkansas$12$11912238-16.5%

⚠️ 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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