Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR CT Guidance for Placement of Radiation Therapy Fields|PROFESSIONAL COMPONENT
Low
$98
Average
$276
Median
$177
High
$970
Each hospital's average Premera rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 3.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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38 hospital rates
iThe hospitals that file a Premera rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $794 | $794 | $20 | 3% | — | $774 – $814 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $845 | $845 | $22 | 3% | — | $823 – $867 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $159 | $159 | $71 | 45% | — | $87 – $230 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $159 | $159 | $71 | 45% | — | $87 – $230 |
| 5 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 6 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · percent of total billed charges · inpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 10 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $94 | $94 | $45 | 48% | — | $49 – $139 |
| 12 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $94 | $94 | $45 | 48% | — | $49 – $139 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 16 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 17 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $159 | $159 | $71 | 45% | — | $87 – $230 |
| 19 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $159 | $159 | $71 | 45% | — | $87 – $230 |
| 20 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · inpatient | 1 | $159 | $159 | $71 | 45% | — | $87 – $230 |
| 21 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · outpatient | 1 | $159 | $159 | $71 | 45% | — | $87 – $230 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $539 | $539 | — | — | — | $539 – $539 |
| 23 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $539 | $539 | — | — | — | $539 – $539 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting CPT 77014 · Snapshot 20261111T120946Z-9134e7f7