Georgia · 77771

High Dose Radiation Therapy, 2-12 Channels in Georgia

Georgia Medicare Avg
$156.63
44% below national avg
National Medicare Avg
$280.98
All states combined
Billed Charge (GA)
$567.10
What providers submit
Est. Commercial (GA)
$442.64
National avg: $789.98
Est. Cash / Self-Pay (GA)
$303.50
Typical self-pay discount

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

149
Services in GA
21
Providers
N/A
Min Payment
N/A
Max Payment

Georgia Pricing in Context

In Georgia, CPT code 77771 (High Dose Radiation Therapy, 2-12 Channels) carries an average Medicare payment of $156.63 — 44% below the national benchmark of $280.98. 21 providers across the state submitted claims for this procedure in 2023, performing 149 total services. Individual payments in GA 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 Georgia is $567.10, 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 Georgia 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 Georgia lands near $442.64, with self-pay cash prices typically around $303.50. 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, 2-12 Channels cost in Georgia?

The average Medicare payment for High Dose Radiation Therapy, 2-12 Channels in Georgia is $156.63, which is 44% below the national average of $280.98. Providers in GA typically bill $567.10 for this procedure.

What does High Dose Radiation Therapy, 2-12 Channels cost with insurance in Georgia?

With commercial insurance in Georgia, High Dose Radiation Therapy, 2-12 Channels costs an estimated $442.64. Without insurance, the estimated cash price is $303.50. 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, 2-12 Channels in Georgia?

21 providers in Georgia billed Medicare for High Dose Radiation Therapy, 2-12 Channels in 2023, performing 149 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is High Dose Radiation Therapy, 2-12 Channels cheaper in Georgia than the national average?

Yes — High Dose Radiation Therapy, 2-12 Channels costs 44% below the national average in Georgia. The state average Medicare payment is $156.63 compared to $280.98 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