How much does Medicare pay for CPT 77432?

Medicare allowed an average of $426.09 per service and paid $338.37 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2481.20, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77432?

Management of complete single session course of cranial lesion surgery using radiation. It was billed 4,518 times to 4,131 Medicare beneficiaries by 187 providers in 2024.

Does 77432 pay differently in an office than a hospital?

Yes. The allowed amount averaged $424.64 in an office setting and $426.24 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 77432 most?

Radiation Oncology, with 4,392 services from 180 clinicians. Next are Diagnostic Radiology, Pediatric Medicine, Radiation Therapy Center.

CPT 77432

Management of complete single session course of cranial lesion surgery using radiation

$426.09Medicare-allowed amount per service, averaged across 4,518 services

Providers submitted

$2481.20

Asking price, not received

Medicare allowed

$426.09

The fee schedule figure

Medicare paid

$338.37

Balance is patient coinsurance

Providers submitted an average of $2481.20 for this code and Medicare allowed $426.09 — 5.8× 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 $338.37 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $424.64
Hospital / facility: $426.24

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 436 services were billed in an office setting and 4,082 in a facility.

Services: 4,518
Beneficiaries: 4,131
Providers billing it: 187
Total allowed: $1,925,075

What Medicare pays for CPT 77432

Across 4,518 services billed by 187 providers to 4,131 beneficiaries, Medicare allowed an average of $426.09 per service. 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 77432

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	4,392	4,024	$426.16	180
Diagnostic Radiology	50	42	$416.36	3
Pediatric Medicine	29	25	$456.75	1
Radiation Therapy Center	20	15	$421.71	1
Internal Medicine	15	13	$402.80	1
Gynecological Oncology	12	12	$403.44	1

77432 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
New York	532	$451.96	$326.16	15
California	481	$455.36	$327.69	20
Texas	385	$421.43	$327.01	14
Pennsylvania	352	$418.76	$328.24	15
Florida	334	$426.84	$327.84	15
Ohio	324	$402.51	$328.02	11
North Carolina	261	$403.61	$327.70	8
Minnesota	182	$419.47	$328.31	7
Illinois	175	$442.81	$329.72	9
Virginia	155	$407.20	$329.47	6
Massachusetts	133	$445.03	$323.10	5
New Jersey	121	$459.25	$331.47	5
Missouri	120	$404.64	$327.77	7
Connecticut	114	$445.96	$326.31	4
Washington	98	$444.48	$329.66	5
South Carolina	81	$400.86	$329.85	2
Georgia	80	$417.63	$325.77	3
Tennessee	69	$400.99	$329.71	3
Wisconsin	45	$399.63	$329.57	3
Alabama	44	$398.89	$326.62	3
Arizona	42	$395.93	$328.66	3
Louisiana	38	$397.46	$327.48	2
South Dakota	37	$396.09	$325.18	2
Mississippi	35	$390.14	$329.57	3
Kansas	34	$397.03	$329.38	2
Oklahoma	31	$393.60	$329.78	2
Nevada	29	$429.07	$329.53	2
Arkansas	29	$388.39	$332.52	2
Oregon	27	$427.31	$329.85	1
New Hampshire	20	$395.43	$329.95	1
Indiana	19	$377.63	$333.02	1
Idaho	19	$417.43	$330.08	1
Montana	17	$414.15	$330.33	1
Utah	16	$412.53	$329.64	1
Colorado	15	$422.59	$329.93	1
Michigan	13	$404.52	$328.99	1
Kentucky	11	$420.83	$329.18	1

Related codes

77427Radiation treatment management$188.33
77401Superficial and/or low voltage radiation treatment delivery$40.31
77470Special radiation treatment$112.71
77435Management of cranial lesion surgery$640.39
77417X-ray during radiation therapy$15.06

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.