G0340

Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme

Medicare pricing data for 229 providers across 22 states

🤖AI Overview

Prices vary significantly by location — from $1,056 in Illinois to $3,768 in New York. 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

Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme (HCPCS code G0340) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,127, but hospitals typically charge $8,711 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$425.30

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2,127, your out-of-pocket cost would be approximately $425.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2,127
Average Hospital Charge
$8,711
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$8,710.94
Medicare Allowed$2,126.52
Medicare Payment$1,695.83

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $1,696 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$3,768$10,47329872+77.2%
Pennsylvania$2,927$8,1876188+37.7%
New Hampshire$2,879$5,209189+35.4%
Massachusetts$2,525$6,844282+18.7%
California$2,519$8,967442,441+18.4%
Ohio$2,366$8,063201,144+11.3%
West Virginia$2,354$2,867337+10.7%
Michigan$2,347$9,539122+10.4%
Georgia$2,209$9,1993167+3.9%
Alabama$2,191$5,4357104+3.1%
Nevada$2,106$8,2049551-1.0%
Colorado$2,072$6,9382306-2.6%
Texas$2,003$8,746271,120-5.8%
Kentucky$1,998$14,786249-6.1%
New Mexico$1,919$3,0001141-9.7%
Arkansas$1,815$9,4047858-14.7%
Louisiana$1,780$4,5793299-16.3%
Alaska$1,638$18,0155415-23.0%
Washington$1,479$7,0544166-30.4%
Florida$1,418$19,22322567-33.3%
Arizona$1,417$4,887242,166-33.4%
Illinois$1,056$10,2796107-50.3%

⚠️ 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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