How much does Medicare pay for CPT 77772?

Medicare allowed an average of $372.54 per service and paid $295.96 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1850.22, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 77772?

High dose radiation therapy, more than 12 channels. It was billed 1,537 times to 938 Medicare beneficiaries by 43 providers in 2024.

Does 77772 pay differently in an office than a hospital?

Yes. The allowed amount averaged $720.26 in an office setting and $291.67 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 77772 most?

Radiation Oncology, with 1,403 services from 41 clinicians. Next are Osteopathic Manipulative Medicine, Diagnostic Radiology.

CPT 77772

High dose radiation therapy, more than 12 channels

$372.54Medicare-allowed amount per service, averaged across 1,537 services

Providers submitted

$1850.22

Asking price, not received

Medicare allowed

$372.54

The fee schedule figure

Medicare paid

$295.96

Balance is patient coinsurance

Providers submitted an average of $1850.22 for this code and Medicare allowed $372.54 — 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 $295.96 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $720.26
Hospital / facility: $291.67

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. 290 services were billed in an office setting and 1,247 in a facility.

Services: 1,537
Beneficiaries: 938
Providers billing it: 43
Total allowed: $572,594

What Medicare pays for CPT 77772

Across 1,537 services billed by 43 providers to 938 beneficiaries, Medicare allowed an average of $372.54 per service. That is 1.6 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 77772

Specialty	Services	Beneficiaries	Avg allowed	Providers
Radiation Oncology	1,403	902	$313.10	41
Osteopathic Manipulative Medicine	80	21	$1024.92	1
Diagnostic Radiology	54	15	$950.34	1

77772 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	572	$468.82	$332.05	9
New York	136	$307.02	$218.03	4
Utah	130	$285.81	$218.90	3
Virginia	116	$283.36	$216.88	4
Georgia	94	$273.83	$214.37	3
Pennsylvania	64	$285.16	$216.06	2
Texas	63	$279.18	$217.22	2
Indiana	59	$819.03	$705.28	2
Florida	53	$273.76	$217.39	2
Colorado	44	$269.95	$218.07	2
Illinois	37	$268.53	$217.99	1
Massachusetts	32	$297.39	$218.63	1
Wisconsin	28	$264.65	$217.94	2
Kansas	27	$266.13	$218.43	2
North Carolina	27	$264.80	$218.30	1
Michigan	25	$279.66	$217.67	1
Iowa	16	$261.86	$214.34	1
Minnesota	14	$284.24	$217.94	1

Related codes

77770High dose radiation therapy$136.87
77768High dose skin surface radiation therapy$270.24
77771High dose radiation therapy$416.59
77767High dose skin surface radiation therapy$155.76
77778Complex application of radiation source$465.45

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.