Radiation treatment management, 5 treatment sessions
Medicare pricing data for 7,069 providers across 52 states
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 management, 5 treatment sessions (HCPCS code 77427) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $191.26, but hospitals typically charge $737.83 — a 3.9x 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 $191.26, your out-of-pocket cost would be approximately $38.25. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $151.70 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $249 | $3,233 | 21 | 2,101 | +30.4% |
| New York | $209 | $826 | 491 | 46,586 | +9.3% |
| District of Columbia | $206 | $641 | 24 | 2,674 | +7.7% |
| New Jersey | $205 | $736 | 152 | 27,691 | +7.0% |
| California | $204 | $823 | 649 | 77,875 | +6.7% |
| Connecticut | $202 | $1,001 | 106 | 8,680 | +5.4% |
| Maryland | $201 | $610 | 149 | 20,147 | +5.2% |
| Massachusetts | $200 | $761 | 220 | 27,533 | +4.8% |
| Illinois | $195 | $1,014 | 268 | 35,417 | +2.1% |
| Rhode Island | $195 | $618 | 27 | 2,253 | +2.0% |
| Washington | $194 | $661 | 185 | 19,406 | +1.4% |
| Delaware | $193 | $647 | 24 | 4,229 | +0.9% |
| Hawaii | $193 | $589 | 25 | 2,586 | +0.7% |
| Florida | $193 | $640 | 545 | 88,180 | +0.7% |
| Colorado | $192 | $686 | 118 | 13,890 | +0.6% |
| New Hampshire | $192 | $1,268 | 31 | 5,422 | +0.2% |
| Pennsylvania | $192 | $608 | 391 | 40,008 | +0.2% |
| Montana | $191 | $643 | 30 | 4,117 | +0.1% |
| Virginia | $191 | $725 | 133 | 24,813 | +0.0% |
| Nevada | $190 | $765 | 40 | 5,394 | -0.6% |
| Puerto Rico | $190 | $256 | 17 | 513 | -0.9% |
| Oregon | $189 | $685 | 95 | 8,920 | -1.1% |
| Michigan | $189 | $640 | 213 | 23,106 | -1.2% |
| Wyoming | $188 | $1,322 | 9 | 1,083 | -1.5% |
| North Dakota | $188 | $738 | 18 | 2,699 | -1.8% |
| Texas | $188 | $855 | 467 | 65,960 | -1.9% |
| Arizona | $186 | $583 | 154 | 23,319 | -2.6% |
| Utah | $186 | $897 | 60 | 4,824 | -2.6% |
| Minnesota | $186 | $926 | 169 | 12,760 | -2.7% |
| Vermont | $186 | $1,024 | 11 | 1,528 | -3.0% |
| Ohio | $185 | $696 | 330 | 29,080 | -3.1% |
| New Mexico | $185 | $607 | 23 | 2,984 | -3.1% |
| Georgia | $185 | $703 | 211 | 24,210 | -3.4% |
| Missouri | $184 | $710 | 154 | 18,496 | -3.6% |
| South Dakota | $184 | $454 | 24 | 3,898 | -3.8% |
| Maine | $184 | $534 | 32 | 3,264 | -3.8% |
| North Carolina | $184 | $681 | 224 | 30,221 | -4.0% |
| Louisiana | $183 | $624 | 98 | 12,568 | -4.2% |
| Kentucky | $183 | $665 | 92 | 9,863 | -4.2% |
| Wisconsin | $183 | $1,486 | 174 | 14,884 | -4.2% |
| West Virginia | $183 | $747 | 29 | 4,342 | -4.4% |
| South Carolina | $182 | $721 | 100 | 19,596 | -4.6% |
| Kansas | $182 | $546 | 47 | 10,754 | -4.9% |
| Oklahoma | $181 | $608 | 59 | 9,226 | -5.3% |
| Alabama | $180 | $567 | 110 | 15,419 | -5.9% |
| Iowa | $180 | $684 | 62 | 10,845 | -6.0% |
| Indiana | $180 | $606 | 148 | 23,108 | -6.1% |
| Tennessee | $179 | $533 | 146 | 24,458 | -6.3% |
| Idaho | $179 | $598 | 32 | 5,919 | -6.4% |
| Nebraska | $179 | $611 | 33 | 6,801 | -6.6% |
| Mississippi | $178 | $600 | 46 | 9,092 | -7.2% |
| Arkansas | $177 | $587 | 51 | 7,599 | -7.5% |
⚠️ 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