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CPT 77290

HB Radiation Therapy Simulation; Complex

Reported by 145 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$122

Average

$1.1k

Median

$529

High

$14.5k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$415$4.4k$2.9k$6.1k$1.9k
2Northwestern Memorial HospitalChicago, IL$786$4.3k$4.3k$6.2k—
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$694$1.5k$1.5k$3.8k$300
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$489$4.1k$4.1k$4.4k—
5Northwestern Medicine Delnor HospitalGeneva, IL$489$2.8k$2.3k$6.1k$1.4k
6Northwestern Lake Forest HospitalLake Forest, IL$489$4.0k$3.0k$4.4k$1.6k
7IOM Health System LPFort Wayne, IN$320$1.1k$955$7.3k$273
8Warsaw Health System LLCWarsaw, IN$320$1.1k$950$4.2k$250
9Lutheran Musculoskeletal Center LLCFort Wayne, IN$351$1.1k$902$8.5k$279
10St. Joseph Health System, LLCWayne, IN$320$1.1k$1.4k$8.1k$1.7k
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