Cost analysis for CPT 77338 — Design and construction of radiation treatment device for high precision radiation therapy
Average Medicare Payment
$227.44
2023 data
Total Payments (2023)
$45.3M
Services (2023)
190.1K
Price Change (2014–2023)
-9.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $249.89 | $31.8M | 116.7K | — |
| 2015 | $247.04 | $33.1M | 123.4K | -1.1% |
| 2016 | $245.08 | $34.6M | 131.8K | -0.8% |
| 2017 | $242.86 | $35.8M | 137.4K | -0.9% |
| 2018 | $243.71 | $38.8M | 148.8K | +0.3% |
| 2019 | $243.61 | $42.0M | 162.8K | -0.0% |
| 2020 | $243.72 | $40.5M | 157.0K | +0.0% |
| 2021 | $237.98 | $41.6M | 167.2K | -2.4% |
| 2022 | $230.94 | $43.1M | 179.0K | -3.0% |
| 2023 | $227.44 | $45.3M | 190.1K | -1.5% |
The most expensive state pays 1.9x more than the cheapest for this procedure. NV averages $338.53 vs VT at $175.64.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NV | $338.53 | $358.5K | 1.1K | 23 |
| AZ | $297.99 | $1.6M | 5.5K | 95 |
| FL | $286.21 | $5.0M | 17.5K | 289 |
| AK | $286.10 | $217.1K | 759 | 9 |
| RI | $282.42 | $115.8K | 410 | 12 |
| TX | $273.12 | $3.9M | 14.3K | 254 |
| CA | $272.52 | $5.0M | 18.4K | 351 |
| MD | $263.11 | $1.0M | 3.9K | 73 |
| NY | $258.06 | $3.1M | 12.0K | 246 |
| LA | $255.10 | $497.7K | 2.0K | 45 |
| NJ | $255.05 | $1.2M | 4.8K | 85 |
| WA | $252.88 | $920.7K | 3.6K | 91 |
| ND | $252.07 | $200.6K | 796 | 12 |
| AL | $248.27 | $688.7K | 2.8K | 59 |
| MN | $232.99 | $795.2K | 3.4K | 84 |
| SC | $232.98 | $817.5K | 3.5K | 54 |
| DC | $227.61 | $119.3K | 524 | 13 |
| WV | $226.60 | $196.2K | 866 | 17 |
| KS | $225.85 | $732.0K | 3.2K | 37 |
| GA | $223.66 | $1.1M | 5.0K | 112 |
| VA | $221.31 | $1.1M | 4.8K | 77 |
| IL | $219.73 | $1.5M | 6.9K | 151 |
| ID | $219.45 | $245.8K | 1.1K | 18 |
| NE | $218.51 | $291.3K | 1.3K | 26 |
| MI | $217.86 | $1.2M | 5.4K | 128 |
| IN | $214.64 | $965.3K | 4.5K | 83 |
| CO | $213.06 | $683.7K | 3.2K | 59 |
| OK | $212.13 | $365.9K | 1.7K | 32 |
| OH | $212.03 | $1.3M | 6.2K | 156 |
| MA | $208.64 | $1.2M | 5.6K | 121 |
| OR | $208.16 | $395.9K | 1.9K | 55 |
| HI | $207.28 | $139.7K | 674 | 14 |
| KY | $205.36 | $501.9K | 2.4K | 58 |
| NC | $205.17 | $1.2M | 5.7K | 131 |
| UT | $205.14 | $243.7K | 1.2K | 28 |
| AR | $201.13 | $583.7K | 2.9K | 30 |
| TN | $200.12 | $828.3K | 4.1K | 78 |
| PA | $199.57 | $1.7M | 8.4K | 204 |
| NM | $198.10 | $116.1K | 586 | 13 |
| ME | $196.42 | $125.3K | 638 | 17 |
| MT | $194.33 | $158.6K | 816 | 16 |
| CT | $191.35 | $276.9K | 1.4K | 43 |
| MO | $189.56 | $764.1K | 4.0K | 85 |
| WI | $187.97 | $621.8K | 3.3K | 91 |
| WY | $185.50 | $80.3K | 433 | 3 |
| MS | $182.48 | $304.9K | 1.7K | 27 |
| DE | $182.05 | $124.9K | 686 | 12 |
| NH | $180.85 | $212.3K | 1.2K | 26 |
| IA | $178.54 | $337.6K | 1.9K | 38 |
| SD | $176.01 | $120.4K | 684 | 15 |
| VT | $175.64 | $49.5K | 282 | 8 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Central Arkansas Radiation Therapy Institute Inc | Radiation Therapy Center | AR | $147.7K | 922 | $160.24 |
| Mark Thompson | Radiation Oncology | KS | $114.4K | 317 | $360.83 |
| Parthiv Mehta | Radiation Oncology | IL | $114.2K | 293 | $389.79 |
| Kenon Qamar | Radiation Oncology | KS | $108.4K | 312 | $347.33 |
| Daniel Dosoretz | Radiation Oncology | FL | $104.6K | 288 | $363.09 |
| Richard Garza | Radiation Oncology | TX | $102.5K | 267 | $383.96 |
| Eduard Kagan | Radiation Oncology | NY | $101.1K | 230 | $439.75 |
| Hemangini Shah | Radiation Oncology | NJ | $99.7K | 247 | $403.79 |
| Artour Torossian | Radiation Oncology | CA | $99.2K | 258 | $384.67 |
| James Russo | Radiation Oncology | LA | $96.4K | 286 | $337.20 |
| Patrick Francke | Radiation Oncology | SC | $92.5K | 269 | $343.78 |
| Sonal Sura | Radiation Oncology | FL | $89.7K | 241 | $372.06 |
| Glen Gejerman | Radiation Oncology | NJ | $87.3K | 218 | $400.44 |
| Michael Chancellor | Radiation Oncology | FL | $87.1K | 240 | $362.95 |
| Nicolas Zouain | Radiation Oncology | FL | $87.1K | 243 | $358.27 |
| Timothy Williams | Radiation Oncology | FL | $85.8K | 457 | $187.75 |
| Constantine Mantz | Radiation Oncology | FL | $84.2K | 222 | $379.17 |
| Timothy Kerwin | Radiation Oncology | FL | $84.1K | 225 | $373.61 |
| Thanh Van | Radiation Oncology | TX | $83.9K | 224 | $374.43 |
| Brigham And Women's Physicians Organization Inc | Radiation Therapy Center | MA | $80.4K | 210 | $382.74 |
Based on the data, CPT 77338 shows a 1.9x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 9% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.