How much does Medicare pay for CPT 77470?

Medicare allowed an average of $112.71 per service and paid $89.43 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $710.89, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77470?

Special radiation treatment. It was billed 71,088 times to 66,081 Medicare beneficiaries by 2,282 providers in 2024.

Does 77470 pay differently in an office than a hospital?

Yes. The allowed amount averaged $123.37 in an office setting and $105.46 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 77470 most?

Radiation Oncology, with 69,338 services from 2,244 clinicians. Next are Radiation Therapy Center, Diagnostic Radiology, Pediatric Medicine.

CPT 77470

Special radiation treatment

$112.71Medicare-allowed amount per service, averaged across 71,088 services

Providers submitted

$710.89

Asking price, not received

Medicare allowed

$112.71

The fee schedule figure

Medicare paid

$89.43

Balance is patient coinsurance

Providers submitted an average of $710.89 for this code and Medicare allowed $112.71 — 6.3× 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 $89.43 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $123.37
Hospital / facility: $105.46

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. 28,762 services were billed in an office setting and 42,326 in a facility.

Services: 71,088
Beneficiaries: 66,081
Providers billing it: 2,282
Total allowed: $8,012,328

What Medicare pays for CPT 77470

Across 71,088 services billed by 2,282 providers to 66,081 beneficiaries, Medicare allowed an average of $112.71 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 77470

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	69,338	64,503	$113.77	2,244
Radiation Therapy Center	1,188	1,071	$47.91	13
Diagnostic Radiology	296	268	$128.67	14
Pediatric Medicine	76	70	$116.17	1
Hematology-Oncology	54	50	$116.26	3
Internal Medicine	34	33	$115.12	2
Ambulatory Surgical Center	33	33	$67.96	2
Interventional Radiology	33	18	$113.49	1
Nuclear Medicine	23	22	$102.40	1
Urology	13	13	$107.14	1

77470 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	9,414	$124.74	$89.61	254
Texas	5,705	$116.12	$92.73	167
Florida	5,682	$122.14	$95.76	170
Ohio	3,094	$115.07	$89.85	100
Pennsylvania	2,998	$107.09	$84.52	124
Illinois	2,536	$109.56	$84.51	94
Virginia	2,462	$111.70	$86.93	63
Massachusetts	2,329	$112.65	$83.72	81
New York	2,312	$119.11	$86.61	84
Arizona	2,258	$128.14	$103.66	67
Tennessee	2,222	$102.83	$86.59	64
Arkansas	2,026	$75.40	$63.55	27
Maryland	1,946	$114.52	$86.47	48
Washington	1,766	$117.28	$88.92	69
Georgia	1,706	$108.07	$87.02	73
North Carolina	1,636	$106.23	$85.91	72
Michigan	1,573	$109.88	$87.66	74
Indiana	1,563	$104.62	$87.18	50
Colorado	1,393	$107.70	$83.47	35
Missouri	1,317	$101.77	$82.44	44
New Jersey	1,224	$116.05	$85.42	42
South Carolina	1,202	$111.83	$90.49	36
Kansas	927	$90.75	$75.20	19
Wisconsin	919	$102.15	$82.76	42
Alabama	902	$115.90	$95.09	26
Mississippi	787	$98.14	$82.40	19
Louisiana	764	$116.13	$96.59	28
Oklahoma	738	$106.54	$87.67	23
Kentucky	688	$100.91	$82.47	26
Iowa	581	$99.98	$82.40	19
Oregon	575	$109.61	$85.72	30
Nevada	518	$118.78	$93.76	16
Delaware	513	$108.76	$86.28	11
Alaska	445	$114.96	$75.41	9
Minnesota	432	$106.65	$85.36	20
Connecticut	426	$102.57	$76.84	24
New Hampshire	414	$106.89	$86.12	16
Idaho	377	$112.01	$93.03	13
West Virginia	317	$107.54	$89.39	12
South Dakota	313	$102.09	$82.32	10
North Dakota	273	$123.72	$95.91	8
Maine	270	$108.96	$89.30	12
Nebraska	266	$115.62	$97.45	12
New Mexico	247	$122.75	$101.90	7
Wyoming	225	$77.49	$59.08	2
Utah	208	$109.31	$86.09	10
Hawaii	197	$93.74	$73.75	9
District of Columbia	139	$121.40	$86.61	6
Montana	127	$104.90	$82.81	7
Vermont	69	$125.86	$90.60	4
Rhode Island	56	$115.16	$87.39	3
Puerto Rico	11	$139.24	$105.38	1

Related codes

77427Radiation treatment management$188.33
77401Superficial and/or low voltage radiation treatment delivery$40.31
77435Management of cranial lesion surgery$640.39
77417X-ray during radiation therapy$15.06
77432Management of complete single session course of cranial lesion surgery$426.09

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.