Health Economics
Impact Simulator
The Centers for Medicare and Medicaid Services (CMS) is re-evaluating how radiation therapy is reimbursed. In July 2025, CMS issued proposed rules on the Medicare physician fee schedule (MPFS) and the Medicare hospital outpatient prospective payment system (HOPPS) that, if finalized, would change the payment rates for radiation therapy beginning January 1, 2026. Use our Health Economics Impact Simulator to see how different proposed reimbursement changes for radiation therapy might impact Medicare payments. You can try different scenarios based on patient volume and treatment options and see how much Medicare payment would change under the proposed rules.
Getting Started
Total Number of Patients (0-300)
Treatment Options (Enter percentages, must total 100%)
- • Stereotactic Body Radiation Therapy (SBRT)
- • Intensity Modulated Radiation Therapy (IMRT)
- • 3D Conformal Radiation Therapy (3D)
- • Stereotactic Radiosurgery (SRS)
CPT Code 77412 was crosswalked to APC 5622 with a reimbursement amount of $275
These rates are based on National payment Rates
https://public-inspection.federalregister.gov/2025-13360.pdf
Intermediate
Complex
Start Here
1. Facility Type
2. Patient Volume and Treatment Selection
For any areas not applicable to your facility, leave blank and they will not be factored into your calculations.
Your Results
For a more detailed assessment or to get a better high-level understanding of your results, contact us.
Current State CMS CY 2025
Total Yearly Medicare payment (2025)
Select an affected area to add to your reimbursement calculation.
Health economic and reimbursement information provided by Accuray Incorporated or its affiliates is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This presentation and the information contained herein is presented for general information or illustrative purposes only and does not constitute any reimbursement or legal advice. All codes and/or units are displayed as examples and are not intended to be utilized as a source, reference or clinical direction. Each provider should determine the appropriate treatment reflecting medical necessity for treatment of the patient and report codes and units that most directly represent the treatment provided. Providers should consult local Medicare and commercial payer policies to ensure compliance with published coding guidance. CPT is a registered trademark of the American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. Neither Accuray nor the AMA directly or indirectly practices medicine or dispenses medical services. Neither Accuray nor the AMA assumes any liability for data contained or not contained herein.
