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CPT 77280

HB Radiation Therapy Simulation; Simple

Reported by 84 hospitals in the network under the per diem methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated per diem rate paid per day of care.

National pricing summary

Low

$138

Average

$1.4k

Median

$1.2k

High

$5.4k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$516$516$27—$489$543
2Northwestern Medicine Delnor HospitalGeneva, IL$516$516$27—$489$751
3Northwestern Lake Forest HospitalLake Forest, IL$516$516$27—$489$543
4IOM Health System LPFort Wayne, IN$142$142——$126$584
5Warsaw Health System LLCWarsaw, IN$152$152——$135$584
6Lutheran Musculoskeletal Center LLCFort Wayne, IN$213$213$71—$126$584
7St. Joseph Health System, LLCWayne, IN$142$142——$126$584
8Jackson HMA LLCJackson, MS$150$150——$101$2.9k
9Porter Hospital LLCValparaiso, IN$591$482$245—$126$1.1k
10Victoria of Texas LPVictoria, TX$150$194$89—$115$2.3k
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