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 Therapeutic Radiology Treatment Planning Complex
Low
$183
Average
$555
Median
$318
High
$1.1k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 4.6× 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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32 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 5 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 8 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 10 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 15 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 17 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · inpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 19 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges | 4 | $657 | $657 | — | — | — | $657 – $657 |
| 21 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA percent of total billed charges · outpatientfrom % of charges | 3 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 25 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $434 | $434 | — | — | — | $434 – $434 |
← Payers reporting CPT 77263 · Snapshot 20261112T124536Z-e251e855