G6012

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev

Medicare pricing data for 1,661 providers across 50 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 delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS code G6012) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $235.28, but hospitals typically charge $726.59 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$47.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $235.28, your out-of-pocket cost would be approximately $47.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$235.28
Average Hospital Charge
$726.59
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$726.59
Medicare Allowed$235.28
Medicare Payment$187.15

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $187.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$274$86020432,127+16.3%
New Jersey$270$604215,509+14.6%
New York$268$1,01412313,132+13.9%
Hawaii$261$98871,354+10.7%
Maryland$260$728407,541+10.4%
Connecticut$258$73961,831+9.5%
Alaska$256$1,6918692+8.8%
Delaware$254$8256739+8.0%
Massachusetts$250$889191,848+6.2%
Colorado$247$54513935+5.0%
District of Columbia$245$6244152+4.0%
Virginia$244$696193,141+3.6%
New Hampshire$243$5701428+3.2%
Washington$241$736355,010+2.3%
Rhode Island$241$763131,272+2.2%
Oregon$239$721201,919+1.5%
North Dakota$238$8534629+1.3%
Wyoming$238$8203254+1.2%
Minnesota$238$1,043385,676+1.1%
Utah$236$71312726+0.3%
Puerto Rico$235$24212242-0.1%
Illinois$234$922293,462-0.4%
Nevada$234$657273,389-0.6%
Texas$228$70528620,262-3.2%
Florida$227$62520482,832-3.4%
Arizona$226$5816511,823-4.1%
Montana$225$5291108-4.5%
Wisconsin$225$1,051261,790-4.5%
Pennsylvania$224$684504,733-4.6%
Michigan$219$639262,198-7.1%
Indiana$218$793152,825-7.3%
North Carolina$218$774394,544-7.4%
Nebraska$217$69981,194-7.9%
South Carolina$216$538113,071-8.2%
Kansas$215$68272,703-8.5%
Ohio$215$766442,785-8.8%
New Mexico$215$70912529-8.8%
Missouri$213$81181,734-9.4%
Iowa$213$64211142-9.4%
Georgia$212$803316,534-9.8%
Tennessee$210$768243,576-10.7%
Idaho$210$77071,252-11.0%
Maine$207$5791295-12.0%
West Virginia$207$69341,458-12.2%
Alabama$206$608436,814-12.3%
Oklahoma$206$722141,828-12.3%
Louisiana$206$648232,731-12.5%
Kentucky$205$680151,921-12.8%
Arkansas$200$810182,933-15.0%
Mississippi$198$7793804-15.8%

⚠️ 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