G6014

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater

Medicare pricing data for 143 providers across 17 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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; 20 mev or greater (HCPCS code G6014) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $232.09, but hospitals typically charge $797.94 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$46.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $232.09, your out-of-pocket cost would be approximately $46.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$232.09
Average Hospital Charge
$797.94
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$797.94
Medicare Allowed$232.09
Medicare Payment$184.62

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $184.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$280$90210605+20.5%
New Jersey$277$8469253+19.4%
Maryland$270$6299470+16.5%
South Carolina$259$6001254+11.6%
Massachusetts$249$1,0863249+7.3%
Illinois$242$8654325+4.3%
Washington$238$7435168+2.5%
Texas$234$6601048+0.8%
New York$227$7046119-2.3%
Florida$221$705261,817-4.6%
Pennsylvania$219$847111,113-5.8%
New Mexico$214$8037393-7.6%
Ohio$213$4044130-8.1%
Michigan$213$6873360-8.2%
Nebraska$213$1,4121288-8.2%
Georgia$210$8147551-9.6%
Alabama$201$7741103-13.2%

⚠️ 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