Cost analysis for CPT 77523 — Intermediate proton beam radiation treatment
Average Medicare Payment
$875.75
2023 data
Total Payments (2023)
$50.5M
Services (2023)
59.2K
Price Change (2014–2023)
+7.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $811.78 | $25.3M | 32.5K | — |
| 2015 | $827.84 | $31.3M | 39.3K | +2.0% |
| 2016 | $831.31 | $36.8M | 46.0K | +0.4% |
| 2017 | $835.57 | $39.2M | 48.4K | +0.5% |
| 2018 | $840.89 | $38.2M | 46.9K | +0.6% |
| 2019 | $857.07 | $39.7M | 47.4K | +1.9% |
| 2020 | $868.52 | $51.6M | 61.7K | +1.3% |
| 2021 | $898.28 | $61.3M | 70.2K | +3.4% |
| 2022 | $883.59 | $55.9M | 65.2K | -1.6% |
| 2023 | $875.75 | $50.5M | 59.2K | -0.9% |
The most expensive state pays 1.4x more than the cheapest for this procedure. NC averages $984.83 vs AR at $686.73.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NC | $984.83 | $519.0K | 527 | 1 |
| GA | $978.27 | $4.9M | 5.0K | 13 |
| MA | $977.75 | $115.4K | 118 | 1 |
| NJ | $953.18 | $1.9M | 1.9K | 5 |
| OH | $916.91 | $863.7K | 942 | 2 |
| AL | $916.29 | $1.3M | 1.4K | 13 |
| CA | $904.89 | $2.3M | 2.5K | 6 |
| IA | $890.84 | $129.2K | 145 | 1 |
| MD | $888.38 | $5.6M | 6.3K | 11 |
| WI | $886.36 | $107.2K | 121 | 1 |
| PA | $860.05 | $727.6K | 846 | 3 |
| WA | $860.05 | $164.3K | 191 | 1 |
| NY | $859.41 | $2.4M | 2.8K | 15 |
| FL | $838.79 | $10.8M | 12.9K | 19 |
| TN | $833.29 | $12.1M | 14.6K | 7 |
| TX | $817.24 | $2.4M | 2.9K | 3 |
| IL | $756.32 | $1.2M | 1.6K | 1 |
| VA | $706.30 | $373.6K | 529 | 2 |
| OK | $694.29 | $1.9M | 2.8K | 5 |
| AR | $686.73 | $774.6K | 1.1K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| James Gray | Radiation Oncology | TN | $3.6M | 4.1K | $861.21 |
| Scott Gasiorek | Radiation Oncology | FL | $2.0M | 2.4K | $838.90 |
| Ryan Grover | Radiation Oncology | TN | $1.8M | 2.1K | $864.91 |
| Joshua Mondschein | Radiation Oncology | TN | $1.8M | 2.0K | $864.88 |
| Han-Chih Chang | Radiation Oncology | TN | $1.7M | 2.5K | $687.01 |
| James Snider | Radiation Oncology | FL | $1.7M | 2.0K | $839.92 |
| Mark Mclaughlin | Radiation Oncology | OK | $1.3M | 2.0K | $687.24 |
| Illinois Proton Center Llc | Radiation Therapy Center | IL | $1.2M | 1.6K | $756.32 |
| Brion Shin | Radiation Oncology | TN | $1.2M | 1.4K | $866.02 |
| Allen Meek | Radiation Oncology | TN | $1.2M | 1.4K | $866.17 |
| Phuoc Tran | Radiation Oncology | MD | $1.2M | 1.3K | $896.33 |
| Timothy Williams | Radiation Oncology | FL | $1.0M | 1.2K | $839.76 |
| Scot Ackerman | Radiation Oncology | FL | $952.3K | 1.1K | $839.02 |
| Mark Mishra | Radiation Oncology | MD | $929.6K | 1.0K | $890.44 |
| Chase Escott | Radiation Oncology | TN | $879.9K | 1.0K | $861.81 |
| Dan Kunaprayoon | Radiation Oncology | MD | $847.0K | 951 | $890.62 |
| Jared Sturgeon | Radiation Oncology | TX | $802.5K | 982 | $817.16 |
| Jaymeson Stroud | Radiation Oncology | FL | $799.8K | 960 | $833.11 |
| Andrew Lee | Radiation Oncology | TX | $799.5K | 978 | $817.45 |
| Victor Mangona | Radiation Oncology | TX | $790.2K | 967 | $817.12 |
Based on the data, CPT 77523 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 7.9% 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.