CPT code 77285: Radiotherapy simulation, intermediate complexity2026 Medicare rate & RVUs in Madera, CA

In Madera, CA, Medicare pays $492.58 for 77285 in the office.

Check a contract rate as a % of Medicare · 77285 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 77285 covers

Radiotherapy simulation establishes a reproducible treatment position and helps determine the arrangement of radiation fields before treatment begins. A radiation oncologist directs the clinical work, with radiation therapists typically operating the simulation equipment and assisting with patient setup. The service is performed in a radiation oncology department or other setting equipped for treatment simulation; it is not the delivery of therapeutic radiation.

Select 77285 when the documented simulation meets intermediate rather than simple or complex criteria. The record should support the simulation work performed, including patient positioning and the imaging or field-definition work that establishes the treatment setup. CMS recognizes separate professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the equipment and staff, and reporting without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Madera, CA compares for 77285

Across 109 of 109 payment localities, the office rate for 77285 runs from $393.17 in Arkansas to $639.98 in San Benito County, CA. Madera, CA pays $492.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

77285 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 77285 in every payment locality

How the 77285 rate is calculated

Each of 77285’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 77285

The CMS indicators that decide how 77285 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 77285

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 77285 has changed in Madera, CA

Price 77285 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Madera
• Ahwahnee
• Bass Lake
• Bonadelle Ranchos
• Chowchilla
• Coarsegold
• Fairmead
• La Vina

Browse all communities in California

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates