77427

Radiation treatment management, 5 treatment sessions

Medicare pricing data for 7,069 providers across 52 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 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

$38.25

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.

Average Allowed Cost
$191.26
Average Hospital Charge
$737.83
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$737.83
Medicare Allowed$191.26
Medicare Payment$151.70

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$249$3,233212,101+30.4%
New York$209$82649146,586+9.3%
District of Columbia$206$641242,674+7.7%
New Jersey$205$73615227,691+7.0%
California$204$82364977,875+6.7%
Connecticut$202$1,0011068,680+5.4%
Maryland$201$61014920,147+5.2%
Massachusetts$200$76122027,533+4.8%
Illinois$195$1,01426835,417+2.1%
Rhode Island$195$618272,253+2.0%
Washington$194$66118519,406+1.4%
Delaware$193$647244,229+0.9%
Hawaii$193$589252,586+0.7%
Florida$193$64054588,180+0.7%
Colorado$192$68611813,890+0.6%
New Hampshire$192$1,268315,422+0.2%
Pennsylvania$192$60839140,008+0.2%
Montana$191$643304,117+0.1%
Virginia$191$72513324,813+0.0%
Nevada$190$765405,394-0.6%
Puerto Rico$190$25617513-0.9%
Oregon$189$685958,920-1.1%
Michigan$189$64021323,106-1.2%
Wyoming$188$1,32291,083-1.5%
North Dakota$188$738182,699-1.8%
Texas$188$85546765,960-1.9%
Arizona$186$58315423,319-2.6%
Utah$186$897604,824-2.6%
Minnesota$186$92616912,760-2.7%
Vermont$186$1,024111,528-3.0%
Ohio$185$69633029,080-3.1%
New Mexico$185$607232,984-3.1%
Georgia$185$70321124,210-3.4%
Missouri$184$71015418,496-3.6%
South Dakota$184$454243,898-3.8%
Maine$184$534323,264-3.8%
North Carolina$184$68122430,221-4.0%
Louisiana$183$6249812,568-4.2%
Kentucky$183$665929,863-4.2%
Wisconsin$183$1,48617414,884-4.2%
West Virginia$183$747294,342-4.4%
South Carolina$182$72110019,596-4.6%
Kansas$182$5464710,754-4.9%
Oklahoma$181$608599,226-5.3%
Alabama$180$56711015,419-5.9%
Iowa$180$6846210,845-6.0%
Indiana$180$60614823,108-6.1%
Tennessee$179$53314624,458-6.3%
Idaho$179$598325,919-6.4%
Nebraska$179$611336,801-6.6%
Mississippi$178$600469,092-7.2%
Arkansas$177$587517,599-7.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber