How much does Medicare pay for CPT 77370?

Medicare allowed an average of $146.53 per service and paid $116.54 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $462.16, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77370?

Special medical radiation therapy consultation. It was billed 9,740 times to 8,292 Medicare beneficiaries by 265 providers in 2024.

Does 77370 pay differently in an office than a hospital?

Yes. The allowed amount averaged $146.63 in an office setting and $60.80 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 77370 most?

Radiation Oncology, with 9,274 services from 253 clinicians. Next are Radiation Therapy Center, Dermatology, Osteopathic Manipulative Medicine.

CPT 77370

Special medical radiation therapy consultation

$146.53Medicare-allowed amount per service, averaged across 9,740 services

Providers submitted

$462.16

Asking price, not received

Medicare allowed

$146.53

The fee schedule figure

Medicare paid

$116.54

Balance is patient coinsurance

Providers submitted an average of $462.16 for this code and Medicare allowed $146.53 — 3.2× 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 $116.54 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $146.63
Hospital / facility: $60.80

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. 9,728 services were billed in an office setting and 12 in a facility.

Services: 9,740
Beneficiaries: 8,292
Providers billing it: 265
Total allowed: $1,427,202

What Medicare pays for CPT 77370

Across 9,740 services billed by 265 providers to 8,292 beneficiaries, Medicare allowed an average of $146.53 per service. That is 1.2 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 77370

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	9,274	7,851	$147.11	253
Radiation Therapy Center	380	360	$134.26	7
Dermatology	23	20	$138.88	1
Osteopathic Manipulative Medicine	21	21	$167.00	1
Diagnostic Radiology	17	17	$154.82	1
Hematology-Oncology	13	11	$135.88	1
Ambulatory Surgical Center	12	12	$60.80	1

77370 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	1,986	$143.98	$112.48	54
California	1,610	$172.14	$112.71	39
Arizona	934	$138.22	$112.82	26
Ohio	803	$169.02	$113.01	13
Texas	464	$139.45	$112.40	14
Louisiana	421	$124.20	$113.19	11
Maryland	252	$147.60	$112.47	6
New York	238	$163.57	$112.38	5
Tennessee	231	$124.27	$112.21	4
Arkansas	228	$120.90	$113.07	5
South Carolina	220	$130.31	$112.96	6
Alabama	191	$125.35	$112.08	5
Pennsylvania	190	$135.42	$112.28	5
Nevada	178	$141.95	$111.32	5
Indiana	172	$123.53	$111.85	4
North Dakota	164	$148.55	$112.30	3
Washington	156	$145.03	$112.34	8
Massachusetts	147	$148.18	$112.26	4
Illinois	136	$147.13	$112.09	6
Kansas	100	$119.62	$112.84	2
Idaho	91	$127.00	$112.98	2
Oklahoma	88	$122.17	$111.64	1
Delaware	80	$140.23	$112.81	2
Georgia	76	$141.76	$112.87	4
New Mexico	67	$130.48	$112.98	3
Michigan	61	$133.31	$113.36	4
Nebraska	56	$126.56	$112.87	2
North Carolina	52	$133.92	$110.35	3
Colorado	52	$147.90	$109.67	3
Kentucky	50	$134.79	$111.30	4
Virginia	45	$140.09	$97.87	3
Mississippi	38	$121.61	$105.44	1
New Hampshire	32	$146.10	$113.10	1
Hawaii	32	$153.57	$114.52	2
Alaska	31	$150.79	$112.90	2
West Virginia	30	$125.61	$114.72	1
Oregon	23	$138.88	$114.49	1
New Jersey	15	$165.38	$112.90	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
77332Design and construction of simple radiation treatment device$30.27
77373Cranial lesion surgery$965.17
77331Special radiation therapy planning$51.76
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.