How much does Medicare pay for CPT 77334?

Medicare allowed an average of $75.55 per service and paid $60.01 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $359.67, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77334?

Design and construction of complex radiation treatment device. It was billed 639,021 times to 253,231 Medicare beneficiaries by 4,540 providers in 2024.

Does 77334 pay differently in an office than a hospital?

Yes. The allowed amount averaged $100.75 in an office setting and $59.66 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 77334 most?

Radiation Oncology, with 618,900 services from 4,337 clinicians. Next are Radiation Therapy Center, Dermatology, Diagnostic Radiology.

CPT 77334

Design and construction of complex radiation treatment device

$75.55Medicare-allowed amount per service, averaged across 639,021 services

Providers submitted

$359.67

Asking price, not received

Medicare allowed

$75.55

The fee schedule figure

Medicare paid

$60.01

Balance is patient coinsurance

Providers submitted an average of $359.67 for this code and Medicare allowed $75.55 — 4.8× 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 $60.01 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $100.75
Hospital / facility: $59.66

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. 247,177 services were billed in an office setting and 391,844 in a facility.

Services: 639,021
Beneficiaries: 253,231
Providers billing it: 4,540
Total allowed: $48,278,037

What Medicare pays for CPT 77334

Across 639,021 services billed by 4,540 providers to 253,231 beneficiaries, Medicare allowed an average of $75.55 per service. That is 2.5 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 77334

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	618,900	244,054	$75.08	4,337
Radiation Therapy Center	6,953	2,520	$68.36	22
Dermatology	6,112	4,151	$119.83	130
Diagnostic Radiology	2,875	1,181	$77.94	26
Family Practice	1,059	128	$119.31	1
Hematology-Oncology	989	323	$68.56	7
Pediatric Medicine	789	168	$65.57	2
Internal Medicine	478	187	$95.70	3
Micrographic Dermatologic Surgery	185	123	$121.69	2
Oral Surgery (Dentist only)	174	93	$130.93	2
Gynecological Oncology	170	56	$66.04	1
Otolaryngology	139	116	$114.88	1
Urology	54	40	$95.21	2
Pathology	48	38	$115.36	1
Nurse Practitioner	36	22	$101.53	1

77334 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
California	67,166	$85.10	$60.40	436
Florida	58,344	$97.42	$77.23	363
Texas	40,712	$89.06	$71.91	289
New York	32,686	$77.48	$55.94	290
Pennsylvania	28,780	$65.84	$51.98	260
Illinois	26,703	$68.49	$53.15	183
Ohio	23,278	$66.18	$53.80	197
Massachusetts	20,587	$65.95	$49.33	142
North Carolina	20,418	$67.08	$54.85	151
New Jersey	18,161	$74.04	$53.59	105
Virginia	16,798	$70.74	$55.56	91
Tennessee	16,704	$68.59	$58.08	103
Georgia	16,520	$69.74	$56.74	124
Michigan	14,928	$67.17	$53.71	149
Indiana	14,591	$65.01	$54.37	90
Maryland	14,528	$77.28	$58.42	88
Washington	14,329	$76.74	$58.70	116
Missouri	14,034	$61.26	$50.18	91
Arizona	13,791	$92.64	$74.95	107
Alabama	11,890	$80.85	$68.27	68
Wisconsin	11,051	$64.52	$52.01	107
South Carolina	10,183	$73.74	$60.30	60
Minnesota	10,075	$75.93	$59.54	100
Arkansas	9,345	$68.67	$59.95	36
Colorado	8,469	$67.49	$52.56	75
Oklahoma	7,626	$67.68	$56.86	35
Kentucky	7,371	$62.62	$51.50	59
Louisiana	7,234	$81.03	$67.82	51
Iowa	7,090	$57.93	$47.98	39
Connecticut	6,951	$63.83	$47.60	62
Kansas	6,936	$68.82	$56.70	38
Oregon	5,925	$71.36	$55.65	65
Mississippi	5,132	$59.11	$50.19	30
Nebraska	4,424	$76.45	$64.45	24
New Hampshire	4,245	$58.42	$47.01	27
Nevada	4,078	$88.53	$69.71	27
Idaho	3,752	$65.28	$54.42	21
Utah	3,728	$64.24	$51.95	35
West Virginia	3,344	$66.28	$54.12	24
Montana	3,118	$64.17	$50.78	19
South Dakota	2,930	$58.27	$47.15	16
Rhode Island	2,679	$80.26	$61.46	20
Delaware	2,627	$58.90	$46.57	13
Alaska	2,516	$85.69	$57.05	13
District of Columbia	2,513	$73.83	$53.14	18
Hawaii	2,230	$70.23	$52.70	17
North Dakota	2,003	$82.33	$63.45	15
New Mexico	1,961	$79.79	$65.93	15
Maine	1,944	$61.02	$49.96	17
Vermont	1,673	$63.97	$50.20	11
Wyoming	783	$60.95	$47.90	4
Guam	79	$133.74	$98.42	1
Puerto Rico	58	$123.52	$96.36	3

Related codes

77300Calculation of radiation therapy dose$41.81
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
77332Design and construction of simple radiation treatment device$30.27
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.