G6013

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev

Medicare pricing data for 1,409 providers across 48 states

🤖AI Overview

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

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS code G6013) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $230.90, but hospitals typically charge $803.76 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$46.18

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $230.90, your out-of-pocket cost would be approximately $46.18. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$230.90
Average Hospital Charge
$803.76
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$803.76
Medicare Allowed$230.90
Medicare Payment$183.58

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $183.58 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$274$1,00817110,374+18.7%
New Jersey$271$882232,539+17.4%
Hawaii$264$9927412+14.5%
Maryland$261$647322,371+13.0%
Connecticut$259$8493715+12.1%
Alaska$254$2,0598662+9.9%
Massachusetts$250$955152,515+8.1%
Colorado$247$613141,703+6.8%
New Hampshire$243$8051468+5.4%
Rhode Island$241$72312273+4.5%
Virginia$241$823183,290+4.2%
District of Columbia$241$722334+4.2%
New York$240$803743,934+4.1%
Minnesota$240$1,15118433+4.0%
North Dakota$239$8584249+3.5%
Wyoming$239$9113295+3.5%
Washington$239$799313,414+3.3%
Nevada$236$692192,821+2.4%
Oregon$231$66191,208+0.2%
Arizona$227$626564,200-1.6%
Utah$226$6888728-2.0%
Illinois$226$1,268283,696-2.1%
Montana$225$617170-2.4%
Texas$225$72129022,540-2.4%
Wisconsin$223$1,00217465-3.3%
Pennsylvania$223$651422,498-3.4%
Michigan$222$679221,743-4.1%
Florida$221$70914810,100-4.1%
South Carolina$218$50391,618-5.4%
North Carolina$218$827343,071-5.5%
Nebraska$218$66481,484-5.6%
Indiana$216$797142,134-6.3%
Kansas$216$69981,236-6.3%
New Mexico$216$8008171-6.6%
Ohio$215$847473,346-7.0%
Georgia$214$849201,288-7.5%
Iowa$214$68211288-7.5%
Kentucky$214$1,175191,542-7.5%
Tennessee$212$903262,602-8.3%
Missouri$211$9896980-8.4%
Idaho$210$7695341-8.9%
Maine$208$580162-9.8%
Oklahoma$208$68512486-10.1%
Alabama$207$571453,165-10.3%
Louisiana$206$621232,457-10.9%
West Virginia$205$8522107-11.1%
Arkansas$200$1,077192,734-13.2%
Mississippi$199$7623867-13.6%

⚠️ 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