Cost analysis for CPT G6012 — Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev
Average Medicare Payment
$187.18
2023 data
Total Payments (2023)
$45.5M
Services (2023)
243.5K
Price Change (2015–2023)
+6.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2015 | $176.34 | $71.3M | 405.2K | — |
| 2016 | $203.51 | $83.9M | 411.0K | +15.4% |
| 2017 | $205.74 | $78.2M | 380.3K | +1.1% |
| 2018 | $211.94 | $75.4M | 354.4K | +3.0% |
| 2019 | $209.16 | $69.0M | 330.0K | -1.3% |
| 2020 | $208.00 | $59.5M | 286.0K | -0.6% |
| 2021 | $211.23 | $59.4M | 281.6K | +1.6% |
| 2022 | $194.63 | $50.5M | 260.9K | -7.9% |
| 2023 | $187.18 | $45.5M | 243.5K | -3.8% |
The most expensive state pays 1.4x more than the cheapest for this procedure. CA averages $218.70 vs MS at $157.51.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $218.70 | $6.3M | 28.8K | 105 |
| NJ | $214.93 | $1.1M | 5.2K | 14 |
| NY | $213.20 | $2.4M | 11.5K | 47 |
| HI | $207.87 | $281.4K | 1.4K | 7 |
| MD | $206.25 | $1.5M | 7.1K | 27 |
| CT | $205.27 | $349.8K | 1.7K | 2 |
| AK | $205.18 | $112.6K | 549 | 3 |
| DE | $202.40 | $132.4K | 654 | 3 |
| MA | $198.71 | $288.9K | 1.5K | 6 |
| CO | $196.28 | $131.3K | 669 | 6 |
| UT | $195.85 | $87.5K | 447 | 3 |
| VA | $193.99 | $593.8K | 3.1K | 11 |
| NH | $192.98 | $82.6K | 428 | 1 |
| ND | $190.83 | $97.1K | 509 | 3 |
| RI | $190.75 | $223.4K | 1.2K | 11 |
| WA | $190.63 | $844.3K | 4.4K | 24 |
| WY | $189.81 | $44.8K | 236 | 2 |
| OR | $189.59 | $339.2K | 1.8K | 11 |
| MN | $189.39 | $1.1M | 5.6K | 28 |
| IL | $187.03 | $522.0K | 2.8K | 17 |
| NV | $186.31 | $549.6K | 3.0K | 16 |
| FL | $180.63 | $14.5M | 80.4K | 142 |
| TX | $180.50 | $3.1M | 17.2K | 110 |
| MT | $179.95 | $19.4K | 108 | 1 |
| AZ | $179.45 | $2.1M | 11.4K | 42 |
| WI | $178.87 | $276.5K | 1.5K | 10 |
| PA | $176.93 | $662.1K | 3.7K | 18 |
| IN | $173.87 | $466.8K | 2.7K | 11 |
| NC | $173.67 | $695.7K | 4.0K | 24 |
| NE | $173.20 | $205.9K | 1.2K | 6 |
| SC | $172.38 | $505.9K | 2.9K | 10 |
| KS | $171.69 | $464.1K | 2.7K | 7 |
| NM | $170.83 | $82.5K | 483 | 5 |
| OH | $170.32 | $377.9K | 2.2K | 20 |
| MI | $170.18 | $258.5K | 1.5K | 8 |
| MO | $169.16 | $286.4K | 1.7K | 6 |
| GA | $168.95 | $1.0M | 6.1K | 23 |
| TN | $167.67 | $524.8K | 3.1K | 9 |
| ID | $165.96 | $189.7K | 1.1K | 6 |
| LA | $164.61 | $392.6K | 2.4K | 14 |
| AL | $164.25 | $976.2K | 5.9K | 17 |
| WV | $164.15 | $239.3K | 1.5K | 4 |
| ME | $164.00 | $48.4K | 295 | 1 |
| KY | $163.75 | $247.6K | 1.5K | 6 |
| OK | $163.42 | $270.1K | 1.7K | 9 |
| AR | $159.21 | $451.5K | 2.8K | 8 |
| MS | $157.51 | $126.6K | 804 | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| David Herold | Radiation Oncology | FL | $1.2M | 6.5K | $189.53 |
| April Mendoza | Radiation Oncology | FL | $983.9K | 5.6K | $176.99 |
| Jeffrey Kanski | Radiation Oncology | FL | $825.5K | 4.5K | $182.28 |
| Timothy Kerwin | Radiation Oncology | FL | $389.2K | 2.1K | $186.50 |
| Bryan Eggert | Radiation Oncology | NJ | $311.5K | 1.5K | $208.92 |
| Daniel Dosoretz | Radiation Oncology | FL | $300.3K | 1.7K | $180.47 |
| Jerome Spunberg | Radiation Oncology | FL | $299.7K | 1.6K | $185.13 |
| Central Arkansas Radiation Therapy Institute Inc | Radiation Therapy Center | AR | $292.7K | 1.8K | $158.63 |
| Michael Hanus | Radiation Oncology | FL | $279.3K | 1.5K | $186.45 |
| Nrron Llc | Radiation Therapy Center | CT | $271.4K | 1.3K | $205.12 |
| Alan Brown | Radiation Oncology | FL | $266.3K | 1.4K | $187.69 |
| Jeffrey Brabham | Radiation Oncology | FL | $261.6K | 1.5K | $171.09 |
| Sachin Kamath | Radiation Oncology | FL | $258.4K | 1.5K | $175.80 |
| William Crook | Radiation Oncology | FL | $244.0K | 1.3K | $190.44 |
| David Rice | Radiation Oncology | FL | $242.1K | 1.4K | $174.92 |
| Charles Bennett | Radiation Oncology | FL | $240.2K | 1.4K | $174.94 |
| Timothy Brant | Radiation Oncology | FL | $235.6K | 1.3K | $175.20 |
| Dwight Fitch | Radiation Oncology | FL | $221.0K | 1.2K | $177.62 |
| Eugene Shieh | Radiation Oncology | FL | $216.9K | 1.1K | $190.59 |
| Hejal Patel | Radiation Oncology | AL | $212.3K | 1.3K | $163.28 |
Based on the data, CPT G6012 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 6.1% since 2015. 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.