Management of cranial lesion surgery using radiation over multiple sessions
Medicare pricing data for 4,588 providers across 51 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
Management of cranial lesion surgery using radiation over multiple sessions (HCPCS code 77435) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $647.81, but hospitals typically charge $2,631 — a 4.1x 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 $647.81, your out-of-pocket cost would be approximately $129.56. 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 4.1x more than what Medicare allows for this procedure. Medicare actually pays $515.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $850 | $9,820 | 15 | 186 | +31.1% |
| District of Columbia | $716 | $2,084 | 19 | 463 | +10.5% |
| New York | $713 | $3,345 | 319 | 3,418 | +10.0% |
| California | $692 | $2,996 | 440 | 5,321 | +6.8% |
| New Jersey | $691 | $2,795 | 97 | 1,199 | +6.7% |
| Massachusetts | $678 | $2,538 | 151 | 1,451 | +4.7% |
| Maryland | $676 | $1,884 | 91 | 863 | +4.4% |
| Connecticut | $675 | $3,030 | 66 | 397 | +4.2% |
| Illinois | $659 | $3,337 | 172 | 1,555 | +1.7% |
| Washington | $659 | $2,519 | 108 | 1,085 | +1.7% |
| Hawaii | $658 | $1,793 | 20 | 120 | +1.5% |
| Florida | $652 | $2,397 | 364 | 3,410 | +0.7% |
| Rhode Island | $651 | $2,202 | 16 | 109 | +0.5% |
| Delaware | $647 | $2,144 | 14 | 148 | -0.2% |
| Colorado | $646 | $2,185 | 88 | 993 | -0.3% |
| Pennsylvania | $645 | $2,143 | 241 | 1,937 | -0.4% |
| Montana | $645 | $1,988 | 17 | 230 | -0.5% |
| Virginia | $644 | $2,384 | 86 | 1,439 | -0.6% |
| New Hampshire | $643 | $4,564 | 25 | 211 | -0.8% |
| Nevada | $642 | $2,696 | 28 | 356 | -0.9% |
| Michigan | $638 | $2,300 | 151 | 1,404 | -1.5% |
| Oregon | $636 | $2,301 | 67 | 374 | -1.8% |
| Texas | $634 | $3,165 | 276 | 3,261 | -2.2% |
| Wyoming | $631 | $2,225 | 5 | 36 | -2.6% |
| North Dakota | $630 | $2,047 | 14 | 259 | -2.7% |
| Utah | $628 | $1,893 | 31 | 223 | -3.1% |
| Arizona | $627 | $2,293 | 101 | 1,529 | -3.3% |
| Minnesota | $626 | $3,712 | 112 | 1,087 | -3.4% |
| Georgia | $626 | $2,902 | 133 | 1,156 | -3.4% |
| Missouri | $625 | $2,335 | 101 | 1,137 | -3.5% |
| Vermont | $622 | $3,087 | 9 | 88 | -4.0% |
| New Mexico | $621 | $2,153 | 15 | 140 | -4.1% |
| South Dakota | $620 | $1,527 | 14 | 141 | -4.3% |
| Ohio | $619 | $2,446 | 225 | 2,021 | -4.4% |
| West Virginia | $617 | $2,122 | 17 | 240 | -4.7% |
| Maine | $617 | $1,854 | 20 | 163 | -4.8% |
| Louisiana | $616 | $1,722 | 50 | 431 | -4.9% |
| Wisconsin | $616 | $4,765 | 115 | 828 | -4.9% |
| South Carolina | $614 | $2,175 | 65 | 852 | -5.3% |
| North Carolina | $613 | $2,515 | 137 | 1,355 | -5.3% |
| Oklahoma | $611 | $2,202 | 35 | 483 | -5.7% |
| Alabama | $608 | $1,891 | 63 | 634 | -6.1% |
| Kentucky | $607 | $1,633 | 59 | 846 | -6.3% |
| Kansas | $607 | $1,570 | 38 | 770 | -6.4% |
| Iowa | $606 | $2,104 | 36 | 408 | -6.5% |
| Indiana | $604 | $2,101 | 97 | 972 | -6.8% |
| Mississippi | $599 | $2,069 | 29 | 346 | -7.5% |
| Nebraska | $599 | $1,701 | 28 | 307 | -7.5% |
| Tennessee | $598 | $1,841 | 98 | 1,247 | -7.6% |
| Idaho | $598 | $1,745 | 23 | 202 | -7.7% |
| Arkansas | $592 | $2,098 | 38 | 600 | -8.7% |
⚠️ 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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