Intermediate proton beam radiation treatment
Medicare pricing data for 136 providers across 20 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
Intermediate proton beam radiation treatment (HCPCS code 77523) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,071, but hospitals typically charge $5,312 — 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 $1,071, your out-of-pocket cost would be approximately $214.14. 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 $853.05 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| North Carolina | $1,236 | $3,773 | 1 | 527 | +15.5% |
| Georgia | $1,228 | $3,786 | 20 | 5,216 | +14.7% |
| Massachusetts | $1,228 | $3,773 | 1 | 118 | +14.7% |
| New Jersey | $1,197 | $14,870 | 6 | 1,947 | +11.8% |
| Alabama | $1,151 | $5,926 | 13 | 1,394 | +7.5% |
| Ohio | $1,147 | $4,029 | 2 | 942 | +7.1% |
| California | $1,136 | $6,319 | 6 | 2,505 | +6.1% |
| Iowa | $1,115 | $4,080 | 1 | 145 | +4.1% |
| Wisconsin | $1,114 | $4,091 | 2 | 125 | +4.0% |
| Maryland | $1,111 | $4,496 | 13 | 6,269 | +3.8% |
| Pennsylvania | $1,081 | $10,072 | 5 | 859 | +1.0% |
| New York | $1,080 | $10,002 | 16 | 2,798 | +0.8% |
| Washington | $1,079 | $10,000 | 1 | 191 | +0.8% |
| Florida | $1,053 | $5,067 | 20 | 13,177 | -1.6% |
| Tennessee | $1,046 | $3,586 | 7 | 14,562 | -2.3% |
| Texas | $1,027 | $7,660 | 3 | 2,927 | -4.1% |
| Illinois | $950 | $5,916 | 1 | 1,634 | -11.3% |
| Virginia | $888 | $5,111 | 3 | 553 | -17.0% |
| Oklahoma | $872 | $4,389 | 5 | 2,760 | -18.6% |
| Arkansas | $863 | $4,357 | 6 | 1,232 | -19.4% |
⚠️ 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