Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
Medicare pricing data for 6,393 providers across 52 states
Prices vary significantly by location — from $37 in Vermont to $270 in California. 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
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS code 77280) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $216.51, but hospitals typically charge $491.28 — a 2.3x 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 $216.51, your out-of-pocket cost would be approximately $43.30. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $172.16 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $270 | $553 | 628 | 52,925 | +24.9% |
| Puerto Rico | $268 | $309 | 12 | 71 | +23.6% |
| Arizona | $248 | $497 | 157 | 18,447 | +14.4% |
| Minnesota | $245 | $546 | 134 | 7,069 | +13.3% |
| Texas | $244 | $521 | 406 | 41,273 | +12.7% |
| Alaska | $242 | $1,259 | 20 | 944 | +11.8% |
| Florida | $238 | $484 | 583 | 46,455 | +9.9% |
| New Mexico | $231 | $489 | 22 | 2,246 | +6.7% |
| Montana | $230 | $465 | 24 | 2,695 | +6.1% |
| Alabama | $227 | $479 | 85 | 15,890 | +5.1% |
| North Dakota | $227 | $818 | 17 | 1,437 | +4.9% |
| Illinois | $225 | $548 | 234 | 22,197 | +4.0% |
| South Carolina | $224 | $410 | 92 | 14,629 | +3.3% |
| South Dakota | $223 | $713 | 17 | 2,950 | +3.1% |
| Indiana | $221 | $529 | 146 | 20,119 | +1.9% |
| North Carolina | $219 | $470 | 216 | 20,237 | +1.2% |
| Oregon | $218 | $603 | 89 | 5,001 | +0.5% |
| Louisiana | $216 | $536 | 78 | 5,844 | -0.2% |
| Georgia | $214 | $425 | 206 | 15,725 | -1.3% |
| Iowa | $208 | $647 | 58 | 11,240 | -4.1% |
| Oklahoma | $205 | $565 | 61 | 7,379 | -5.4% |
| Idaho | $204 | $427 | 29 | 2,089 | -5.7% |
| Tennessee | $204 | $465 | 135 | 13,372 | -5.9% |
| Arkansas | $201 | $480 | 42 | 2,154 | -7.2% |
| Kentucky | $201 | $343 | 91 | 7,422 | -7.4% |
| Delaware | $197 | $310 | 21 | 2,042 | -9.1% |
| Utah | $196 | $430 | 59 | 2,566 | -9.4% |
| Connecticut | $194 | $419 | 89 | 4,779 | -10.2% |
| New York | $193 | $643 | 403 | 10,248 | -11.0% |
| Mississippi | $189 | $358 | 45 | 5,907 | -12.6% |
| Nevada | $188 | $420 | 31 | 1,711 | -13.3% |
| New Jersey | $187 | $363 | 138 | 9,340 | -13.6% |
| Missouri | $179 | $371 | 127 | 10,327 | -17.2% |
| Washington | $176 | $377 | 168 | 5,772 | -18.6% |
| Virginia | $173 | $477 | 122 | 7,712 | -20.1% |
| Michigan | $166 | $447 | 179 | 9,670 | -23.2% |
| Pennsylvania | $165 | $423 | 354 | 15,916 | -23.6% |
| Colorado | $161 | $324 | 106 | 2,913 | -25.6% |
| Rhode Island | $151 | $666 | 25 | 418 | -30.3% |
| Wisconsin | $150 | $1,013 | 138 | 3,644 | -30.5% |
| Ohio | $133 | $357 | 283 | 6,503 | -38.7% |
| Maryland | $130 | $367 | 114 | 3,918 | -39.7% |
| Hawaii | $125 | $413 | 23 | 543 | -42.2% |
| New Hampshire | $112 | $324 | 32 | 1,055 | -48.2% |
| West Virginia | $111 | $385 | 26 | 799 | -48.9% |
| Nebraska | $108 | $352 | 36 | 962 | -50.3% |
| Wyoming | $100 | $394 | 7 | 204 | -53.7% |
| Kansas | $81 | $323 | 45 | 1,243 | -62.5% |
| Massachusetts | $59 | $213 | 190 | 4,563 | -72.9% |
| Maine | $56 | $169 | 25 | 382 | -74.1% |
| District of Columbia | $56 | $251 | 15 | 336 | -74.1% |
| Vermont | $37 | $227 | 9 | 277 | -82.9% |
⚠️ 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