How much does Medicare pay for CPT 77332?

Medicare allowed an average of $30.27 per service and paid $24.01 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $152.07, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77332?

Design and construction of simple radiation treatment device. It was billed 56,998 times to 38,982 Medicare beneficiaries by 1,425 providers in 2024.

Does 77332 pay differently in an office than a hospital?

Yes. The allowed amount averaged $35.04 in an office setting and $23.86 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 77332 most?

Radiation Oncology, with 47,623 services from 1,238 clinicians. Next are Dermatology, Radiation Therapy Center, Micrographic Dermatologic Surgery.

CPT 77332

Design and construction of simple radiation treatment device

$30.27Medicare-allowed amount per service, averaged across 56,998 services

Providers submitted

$152.07

Asking price, not received

Medicare allowed

$30.27

The fee schedule figure

Medicare paid

$24.01

Balance is patient coinsurance

Providers submitted an average of $152.07 for this code and Medicare allowed $30.27 — 5.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $24.01 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $35.04
Hospital / facility: $23.86

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 32,701 services were billed in an office setting and 24,297 in a facility.

Services: 56,998
Beneficiaries: 38,982
Providers billing it: 1,425
Total allowed: $1,725,329

What Medicare pays for CPT 77332

Across 56,998 services billed by 1,425 providers to 38,982 beneficiaries, Medicare allowed an average of $30.27 per service. That is 1.5 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 77332

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	47,623	32,489	$28.96	1,238
Dermatology	7,034	4,705	$38.48	143
Radiation Therapy Center	439	416	$22.45	9
Micrographic Dermatologic Surgery	439	214	$38.55	4
Family Practice	309	208	$36.96	4
Ambulatory Surgical Center	231	230	$27.27	8
Otolaryngology	223	163	$36.02	3
Pathology	174	123	$36.38	2
Interventional Pain Management	163	122	$36.21	1
Diagnostic Radiology	126	107	$29.78	5
Hematology-Oncology	116	114	$23.96	3
Physician Assistant	53	44	$27.13	2
Osteopathic Manipulative Medicine	41	21	$43.31	1
Urology	15	15	$43.41	1
Internal Medicine	12	11	$35.67	1

77332 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	10,689	$35.69	$28.86	101
California	6,206	$33.01	$23.46	158
Texas	3,091	$31.70	$25.52	92
Arizona	2,889	$33.26	$26.63	59
New York	2,715	$28.46	$20.05	86
Pennsylvania	2,625	$26.63	$20.96	74
Massachusetts	2,359	$26.77	$19.70	70
Tennessee	2,033	$25.70	$21.42	28
Illinois	1,895	$27.69	$21.30	64
New Jersey	1,850	$31.41	$22.58	47
Michigan	1,470	$28.63	$23.02	55
Ohio	1,346	$26.04	$20.05	43
Colorado	1,191	$25.36	$19.77	34
Washington	1,187	$29.83	$22.90	39
South Carolina	1,110	$28.66	$23.77	29
North Carolina	1,018	$30.26	$24.70	38
Indiana	890	$31.93	$26.12	22
Louisiana	854	$24.57	$20.04	13
Georgia	793	$28.62	$22.82	34
Delaware	771	$27.90	$23.49	15
Iowa	765	$26.06	$21.69	16
Virginia	707	$24.67	$19.35	28
Alabama	642	$35.64	$29.76	14
Kentucky	640	$25.23	$20.74	22
Missouri	598	$24.57	$20.81	19
Oklahoma	577	$28.03	$23.59	12
Minnesota	524	$28.00	$22.12	21
Kansas	487	$22.85	$18.26	15
Mississippi	456	$26.62	$22.39	11
Maryland	424	$28.04	$20.89	20
Connecticut	422	$28.04	$20.81	16
New Hampshire	419	$21.05	$16.85	13
Wisconsin	311	$25.57	$20.95	14
South Dakota	308	$28.64	$23.05	8
North Dakota	305	$38.57	$29.31	6
Alaska	292	$29.75	$19.74	9
Arkansas	282	$27.73	$24.06	8
Oregon	252	$29.54	$23.27	12
West Virginia	228	$29.91	$23.81	6
Maine	210	$22.88	$18.40	10
Nebraska	206	$23.41	$19.50	7
Utah	193	$23.68	$18.56	6
New Mexico	143	$27.09	$21.23	4
Montana	128	$30.50	$23.93	3
Idaho	114	$29.19	$24.08	5
Hawaii	107	$22.79	$18.39	6
Nevada	88	$39.05	$30.63	5
Rhode Island	78	$24.99	$19.64	3
District of Columbia	72	$25.83	$18.55	4
Wyoming	38	$20.59	$15.50	1

Related codes

77300Calculation of radiation therapy dose$41.81
77334Design and construction of complex radiation treatment device$75.55
77336Continuing radiation therapy consultation per week$87.27
77338Design and construction of radiation treatment device for high precisi$294.26
77301High precision radiation therapy planning$830.13
77373Cranial lesion surgery$965.17
77331Special radiation therapy planning$51.76
77370Special medical radiation therapy consultation$146.53
77307Complex radiation therapy planning for delivery of external radiation$178.50
77333Design and construction of intermediate radiation treatment device$73.71
77321Special radiation therapy planning for delivery of external radiation$66.64
77318Complex radiation therapy planning for delivery of internal radiation$389.02

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.