Nebraska · 77770

High Dose Radiation Therapy, 1 Channel in Nebraska

Nebraska Medicare Avg
$77.22
33% below national avg
National Medicare Avg
$116.11
All states combined
Billed Charge (NE)
$453.14
What providers submit
Est. Commercial (NE)
$199.45
National avg: $327.01
Est. Cash / Self-Pay (NE)
$197.59
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

105
Services in NE
10
Providers
N/A
Min Payment
N/A
Max Payment

Nebraska Pricing in Context

In Nebraska, CPT code 77770 (High Dose Radiation Therapy, 1 Channel) carries an average Medicare payment of $77.22 — 33% below the national benchmark of $116.11. 10 providers across the state submitted claims for this procedure in 2023, performing 105 total services. Individual payments in NE ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Nebraska is $453.14, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Nebraska sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Radiation Therapy procedures, the estimated commercial insurance price in Nebraska lands near $199.45, with self-pay cash prices typically around $197.59. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does High Dose Radiation Therapy, 1 Channel cost in Nebraska?

The average Medicare payment for High Dose Radiation Therapy, 1 Channel in Nebraska is $77.22, which is 33% below the national average of $116.11. Providers in NE typically bill $453.14 for this procedure.

What does High Dose Radiation Therapy, 1 Channel cost with insurance in Nebraska?

With commercial insurance in Nebraska, High Dose Radiation Therapy, 1 Channel costs an estimated $199.45. Without insurance, the estimated cash price is $197.59. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform High Dose Radiation Therapy, 1 Channel in Nebraska?

10 providers in Nebraska billed Medicare for High Dose Radiation Therapy, 1 Channel in 2023, performing 105 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is High Dose Radiation Therapy, 1 Channel cheaper in Nebraska than the national average?

Yes — High Dose Radiation Therapy, 1 Channel costs 33% below the national average in Nebraska. The state average Medicare payment is $77.22 compared to $116.11 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial