Placement of device in prostate for radiation therapy
Medicare pricing data for 3,241 providers across 50 states
Prices vary significantly by location — from $51 in South Dakota to $273 in Maryland. 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
Placement of device in prostate for radiation therapy (HCPCS code 55876) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $128.69, but hospitals typically charge $641.17 — a 5.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $128.69, your out-of-pocket cost would be approximately $25.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $101.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $273 | $792 | 82 | 672 | +111.9% |
| Utah | $225 | $1,000 | 26 | 213 | +75.1% |
| Virginia | $200 | $785 | 80 | 971 | +55.1% |
| Mississippi | $199 | $533 | 24 | 155 | +54.6% |
| Nebraska | $197 | $745 | 45 | 271 | +53.2% |
| Pennsylvania | $188 | $613 | 155 | 1,144 | +46.4% |
| Kentucky | $166 | $442 | 51 | 331 | +28.7% |
| Tennessee | $158 | $642 | 61 | 675 | +22.9% |
| Florida | $151 | $799 | 288 | 2,055 | +17.1% |
| Washington | $131 | $532 | 84 | 571 | +2.1% |
| North Carolina | $131 | $650 | 134 | 695 | +2.0% |
| Nevada | $130 | $582 | 27 | 243 | +1.1% |
| Hawaii | $129 | $488 | 5 | 64 | +0.4% |
| Texas | $126 | $799 | 149 | 1,292 | -2.4% |
| New Mexico | $125 | $415 | 3 | 14 | -2.8% |
| California | $125 | $767 | 249 | 1,845 | -2.9% |
| Oregon | $122 | $509 | 33 | 155 | -5.3% |
| New York | $121 | $764 | 215 | 1,949 | -6.1% |
| Massachusetts | $120 | $506 | 132 | 800 | -6.5% |
| Alaska | $117 | $1,163 | 12 | 76 | -9.4% |
| Missouri | $116 | $533 | 92 | 643 | -9.8% |
| Arizona | $116 | $663 | 108 | 846 | -10.0% |
| New Jersey | $113 | $730 | 129 | 717 | -12.2% |
| Georgia | $112 | $545 | 80 | 457 | -13.3% |
| Illinois | $105 | $649 | 106 | 900 | -18.2% |
| Rhode Island | $103 | $297 | 22 | 123 | -19.7% |
| Oklahoma | $103 | $468 | 52 | 345 | -19.8% |
| South Carolina | $103 | $444 | 75 | 504 | -20.0% |
| Colorado | $103 | $466 | 54 | 433 | -20.2% |
| Alabama | $103 | $395 | 43 | 189 | -20.3% |
| Idaho | $102 | $353 | 9 | 64 | -20.6% |
| District of Columbia | $97 | $520 | 12 | 159 | -24.9% |
| Louisiana | $87 | $360 | 48 | 273 | -32.2% |
| Vermont | $86 | $610 | 4 | 21 | -33.1% |
| Wisconsin | $86 | $838 | 54 | 330 | -33.5% |
| Indiana | $85 | $594 | 61 | 318 | -33.9% |
| Arkansas | $80 | $412 | 34 | 243 | -37.7% |
| Delaware | $79 | $716 | 19 | 182 | -39.0% |
| Ohio | $75 | $421 | 86 | 532 | -42.0% |
| New Hampshire | $72 | $724 | 11 | 63 | -44.2% |
| Kansas | $65 | $305 | 35 | 435 | -49.2% |
| Minnesota | $65 | $444 | 41 | 368 | -49.7% |
| Montana | $64 | $269 | 18 | 103 | -50.3% |
| Michigan | $63 | $396 | 55 | 386 | -51.1% |
| North Dakota | $61 | $495 | 11 | 132 | -52.3% |
| Connecticut | $61 | $513 | 53 | 242 | -52.8% |
| Maine | $60 | $372 | 5 | 15 | -53.2% |
| West Virginia | $60 | $284 | 14 | 64 | -53.4% |
| Iowa | $51 | $391 | 20 | 112 | -60.1% |
| South Dakota | $51 | $336 | 15 | 81 | -60.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber