77770

High dose radiation therapy, 1 channel

Medicare pricing data for 1,391 providers across 46 states

🤖AI Overview

Prices vary significantly by location — from $96 in Mississippi to $327 in Nevada. 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

High dose radiation therapy, 1 channel (HCPCS code 77770) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $145.99, but hospitals typically charge $626.18 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$29.20

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $145.99, your out-of-pocket cost would be approximately $29.20. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$145.99
Average Hospital Charge
$626.18
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$626.18
Medicare Allowed$145.99
Medicare Payment$116.11

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $116.11 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$327$1,124874+124.2%
Arizona$294$1,48129339+101.7%
Arkansas$241$7449111+64.9%
Texas$218$91574762+49.5%
Minnesota$210$85215137+44.0%
Florida$198$671109960+35.9%
Alabama$198$1,3631465+35.7%
Maine$198$482440+35.4%
California$185$8941081,267+26.7%
Oregon$184$57214134+25.9%
South Carolina$174$53919137+19.4%
Louisiana$174$85723163+19.4%
Maryland$169$49233333+16.0%
Washington$168$52741286+14.7%
Colorado$148$52624211+1.3%
Georgia$133$43257392-8.6%
New York$133$77377919-8.9%
New Mexico$131$454636-10.0%
Illinois$130$76256655-11.3%
Michigan$127$56857488-12.9%
Tennessee$127$43238582-13.3%
Virginia$122$46536444-16.6%
Indiana$122$45342470-16.7%
Ohio$115$42860596-21.0%
New Jersey$114$50738751-22.0%
Connecticut$114$57223286-22.2%
District of Columbia$112$2728121-23.1%
Massachusetts$110$42435569-24.5%
Pennsylvania$106$45186998-27.2%
New Hampshire$103$5917123-29.3%
Montana$103$296578-29.4%
Delaware$103$7214108-29.5%
North Dakota$102$316643-30.4%
Missouri$100$40126280-31.3%
South Dakota$100$178681-31.6%
North Carolina$99$41134437-32.0%
Utah$99$2971256-32.3%
Iowa$99$31114163-32.3%
West Virginia$98$274770-32.6%
Oklahoma$98$314599-32.7%
Kansas$98$26510171-32.8%
Wisconsin$98$1,09228284-32.8%
Idaho$98$341536-32.9%
Kentucky$98$40517145-33.0%
Nebraska$97$45310105-33.4%
Mississippi$96$348943-34.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber