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Procedure price report · Therapeutic radiology

Doctor management of radiation therapy, per 5 treatments

CPT 77427the billing code this page is about

The radiation oncologist's examination, dose review, and oversight during treatment; one unit covers a block of five treatment sessions.

Hospitals typically charge $364 cash for this outpatient procedure — the median across 269 hospitals that filed a usable cash price; the average of the middle 60% is $422. Most fall between $203 and $865 (20th–80th percentile).

Hospitals
269
States
45
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 269 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$147$234$364$681$1,215

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($147 vs $1,215).

How the prices are spread

$116 – $150: 18 hospitals$116$150 – $194: 21 hospitals$194 – $251: 20 hospitals$194$251 – $325: 26 hospitals$325 – $420: 50 hospitals$325$420 – $544: 32 hospitals$544 – $704: 24 hospitals$544$704 – $911: 14 hospitals$911 – $1,178: 22 hospitals$911$1,178 – $1,524: 20 hospitals$1,178median $364price bands are equal on a log scale
Hospitals per price band (247 of 269 — the bands cover the 5th to 95th percentile)
FromToHospitals
$116$15018
$150$19421
$194$25120
$251$32526
$325$42050
$420$54432
$544$70424
$704$91114
$911$1,17822
$1,178$1,52420

By state

The median cash price in each state, against the national median of $364.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $442 across 12 hospitalsMN$442Illinois: median $327 across 14 hospitalsIL$327Wisconsin: median $1,524 across 22 hospitalsWI$1,524Michigan: median $297 across 16 hospitalsMI$297New York: median $452 across 16 hospitalsNY$452Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $481 across 13 hospitalsOR$481Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $354 across 21 hospitalsIA$354Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $458 across 10 hospitalsOH$458Pennsylvania: median $141 across 18 hospitalsPA$141New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 8 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $326 across 22 hospitalsTX$326Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $364. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI22$1,524+319%$946 – $1,524
Oregon OR13$481+32%$353 – $506
Ohio OH10$458+26%$203 – $964
New York NY16$452+24%$189 – $648
Minnesota MN12$442+21%$430 – $1,201
Iowa IA21$354−3%$354 – $566
Illinois IL14$327−10%$184 – $982
Texas TX22$326−10%$234 – $326
Michigan MI16$297−18%$44 – $385
Pennsylvania PA18$141−61%$119 – $364
West Virginia WV9not enough hospitals filed a usable price
Oklahoma OK8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $364.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care208$353$184 – $703
Children’s10fewer than 20 hospitals
Critical access50$518$297 – $1,273
Ownership
For-profit21$326$184 – $506
Government34$382$193 – $578
Non-profit213$365$203 – $946
System affiliation
Part of a system226$354$189 – $931
Independent43$397$213 – $762

Cash price vs list price

Median list price (chargemaster)$600
Median cash price$364
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

179 hospitals filed a usable inpatient cash price for this code. The median is $364 and the average of the middle 60% is $488; most fall between $234 and $1,201.

Cash price percentiles, inpatient, across 179 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$184$297$364$909$1,524

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($184 vs $1,524).

Of the 241 hospitals that filed this code inpatient, 179 gave a usable cash price; 41 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

269 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 367 hospitals that filed this code at all gave us
Usable cash price — counted269
Cash price carrying a plausibility flag — shown on the compare tool, excluded here67
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded30
Hospitals that filed this code367

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Therapeutic radiology family.

Hospitals file this code under descriptions such as Radiation Treatment Management 5 Treatments.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Doctor management of radiation therapy, per 5 treatments (CPT 77427) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77427-doctor-management-of-radiation-therapy-per-5-treatments