CPT 77385 Radiation Oncology

How Much Does Intensity Modulated Radiation Treatment (imrt) Cost?

Also known as: Intensity modulated radiation treatment (IMRT) (CPT 77385)

A radiation therapy treatment session for cancer, delivering targeted radiation to a specific area.

Intensity Modulated Radiation Treatment (imrt) (CPT 77385) costs vary by location and insurance at Medicare rates.

Patient Guide: Intensity Modulated Radiation Treatment (imrt)

What you need to know before your appointment

What to Expect

You lie on a treatment table in the same position each session. A machine delivers radiation beams to the targeted area. You do not feel the radiation. Each session is quick.

How Long Does It Take?

10-30 minutes per session (treatments typically given daily for several weeks)

Common Reasons Doctors Order This

Cancer treatment, breast cancer after lumpectomy, prostate cancer, lung cancer, head and neck cancer

How to Prepare

Wear comfortable clothing. Do not apply lotions to the treatment area. Keep the skin markings in place. Report any skin changes or side effects to your radiation oncologist.

Procedures Commonly Done Together

These procedures are frequently performed alongside Intensity modulated radiation treatment (IMRT)

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How to Reduce Your Cost for Intensity modulated radiation treatment (IMRT)

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does Intensity modulated radiation treatment (IMRT) cost?

The Medicare facility rate for Intensity modulated radiation treatment (IMRT) is variable. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Intensity modulated radiation treatment (IMRT) cost without insurance?

Without insurance, the cost of Intensity modulated radiation treatment (IMRT) can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Intensity modulated radiation treatment (IMRT)?

Most commercial health insurance plans and Medicare cover Intensity modulated radiation treatment (IMRT) when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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