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CPT 77290

HB Radiation Therapy Simulation; Complex

Reported by 87 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

$150

Average

$1.7k

Median

$1.8k

High

$5.4k

Hospitals reporting this code

#HospitalLocation
1Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$489$516$516$880$27
2Northwestern Medicine Delnor HospitalGeneva, IL$489$516$516$1.3k$27
3Northwestern Lake Forest HospitalLake Forest, IL$489$516$516$1.3k$27
4Hca Healthone Mountain RidgeThornton, CO$350$350$350$2.9k—
5Hca Healthone Northeast ErTHORNTON, CO$350$350$350$2.9k—
6IOM Health System LPFort Wayne, IN$351$396$396$1.6k—
7Warsaw Health System LLCWarsaw, IN$376$424$424$1.6k—
8Lutheran Musculoskeletal Center LLCFort Wayne, IN$351$594$594$1.6k$198
9St. Joseph Health System, LLCWayne, IN$351$396$396$1.6k—
10Jackson HMA LLCJackson, MS$150$150$150$7.2k—
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