G6001

Ultrasonic guidance for placement of radiation therapy fields

Medicare pricing data for 466 providers across 40 states

🤖AI Overview

Prices vary significantly by location — from $34 in Massachusetts to $211 in New York. 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

Ultrasonic guidance for placement of radiation therapy fields (HCPCS code G6001) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $173.04, but hospitals typically charge $325.66 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$34.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $173.04, your out-of-pocket cost would be approximately $34.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$173.04
Average Hospital Charge
$325.66
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$325.66
Medicare Allowed$173.04
Medicare Payment$137.47

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $137.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$211$57654,202+22.1%
New Jersey$205$306611,274+18.5%
Alaska$202$7255650+16.9%
California$201$3593919,049+16.3%
Maryland$196$5586372+13.3%
Connecticut$188$27642,657+8.6%
Delaware$184$18421,384+6.5%
Virginia$183$33063,639+5.7%
Colorado$183$3046710+5.6%
Minnesota$182$266165,884+4.9%
Montana$180$26852,132+4.3%
North Dakota$179$48711,019+3.6%
Pennsylvania$178$27945,767+2.9%
Oregon$176$47321,890+1.6%
Arizona$174$326178,727+0.6%
Florida$174$3212917,821+0.4%
Texas$173$3133627,591+0.2%
South Dakota$173$40022,613+0.1%
Illinois$172$3253617,528-0.8%
Utah$170$29741,380-1.6%
North Carolina$170$3512616,568-1.7%
Georgia$170$357118,158-2.0%
Wisconsin$169$36931,735-2.5%
New Mexico$167$32221,935-3.6%
Indiana$166$3132414,905-4.0%
Ohio$166$34352,496-4.1%
South Carolina$165$2731313,217-4.5%
Iowa$165$50469,548-4.8%
Louisiana$164$219124,161-5.3%
Tennessee$162$289179,951-6.5%
Missouri$161$295177,003-7.2%
Oklahoma$160$26573,509-7.3%
New Hampshire$160$242122-7.5%
Kentucky$159$24311,245-7.9%
Alabama$159$281169,316-8.4%
Idaho$158$29941,314-8.4%
Mississippi$158$27264,662-8.9%
Arkansas$154$17921,525-11.0%
Michigan$139$311267,764-20.0%
Massachusetts$34$131224-80.1%

⚠️ 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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