77470

Special radiation treatment

Medicare pricing data for 5,057 providers across 52 states

🤖AI Overview

This procedure has a 6.1x markup — hospitals charge $690.61 but Medicare allows only $113.79. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $73 in Arkansas to $154 in Alaska. Where you get this procedure matters more than almost any other factor. 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 treatment (HCPCS code 77470) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $113.79, but hospitals typically charge $690.61 — a 6.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $113.79, your out-of-pocket cost would be approximately $22.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$113.79
Average Hospital Charge
$690.61
Markup Ratio
6.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$690.61
Medicare Allowed$113.79
Medicare Payment$90.37

Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $90.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$154$3,63813203+35.2%
Puerto Rico$138$142618+21.5%
California$128$7105159,995+12.7%
Arizona$127$7591142,583+11.6%
New York$123$6523023,314+8.1%
North Dakota$121$81315359+6.6%
Rhode Island$121$58421164+6.0%
Florida$121$6383736,502+6.0%
New Jersey$120$5841161,646+5.4%
District of Columbia$119$46418227+4.8%
New Mexico$119$1,27013181+4.4%
Texas$118$1,1063416,631+3.3%
Washington$117$5181472,218+3.0%
Maryland$117$4651032,134+2.5%
Massachusetts$116$5681612,557+1.7%
Louisiana$115$69367978+1.4%
Nevada$114$71434688+0.1%
Alabama$113$543671,039-0.5%
Virginia$113$7841092,666-0.7%
Nebraska$113$40127374-0.8%
Montana$112$61514135-1.2%
Illinois$111$9661822,878-2.2%
New Hampshire$111$66026353-2.4%
Oregon$111$58376734-2.5%
Delaware$111$59920525-2.8%
West Virginia$111$67123402-2.8%
Colorado$110$4781001,779-2.9%
Michigan$110$5931632,383-3.0%
Idaho$110$58026530-3.1%
Georgia$110$6421592,145-3.3%
Pennsylvania$110$4532733,328-3.3%
Maine$109$37824335-4.1%
South Carolina$109$751701,578-4.3%
Minnesota$108$68963610-4.7%
North Carolina$108$6021712,344-5.3%
Connecticut$108$57179697-5.5%
Oklahoma$107$43539815-5.7%
Indiana$107$5761091,834-6.1%
Ohio$107$7342423,212-6.1%
South Dakota$105$40415310-7.9%
Missouri$105$4481121,754-7.9%
Vermont$104$590990-8.2%
Wisconsin$104$8381181,295-8.3%
Tennessee$104$4991052,267-8.4%
Iowa$103$55147783-9.9%
Utah$102$61335565-10.0%
Kentucky$101$57654925-11.0%
Mississippi$99$42835778-12.8%
Kansas$96$47242997-15.9%
Hawaii$95$52220177-16.7%
Wyoming$76$4485256-33.6%
Arkansas$73$1,255381,889-35.5%

⚠️ 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