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
Dosimetry Calculation Basic
Low
$26
Average
$434
Median
$221
High
$22.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1617 hospitals; the 90th percentile is 10.0× 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.
Filter by billing methodology
Filter by billing class
2,897 hospital rates
iThe hospitals that file a Aetna 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 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $92 | $92 | $41 | 45% | 569 | $51 – $134 |
| 2 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $92 | $92 | $41 | 45% | 569 | $51 – $134 |
| 3 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $158 | $158 | — | — | 492 | $158 – $158 |
| 4 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $601 | $595 | $56 | 9% | 314–323 | $530 – $672 |
| 5 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 2 | $130 | $130 | $3 | 2% | 304–313 | $127 – $133 |
| 6 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $297 | $297 | — | — | 197 | $297 – $297 |
| 7 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 3 | $1.1k | $1.1k | $73 | 7% | 173–182 | $938 – $1.1k |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $127 | $127 | — | — | 161 | $127 – $127 |
| 9 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 11 | $805 | $951 | $294 | 31% | 147–201 | $579 – $1.5k |
| 10 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $840 | $680 | $362 | 53% | 140–149 | $178 – $1.0k |
| 11 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $840 | $680 | $362 | 53% | 140–149 | $178 – $1.0k |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $628 | $812 | $425 | 52% | 128 | $456 – $1.6k |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $595 | $769 | $403 | 52% | 128 | $433 – $1.6k |
| 14 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $464 | $434 | $42 | 10% | 122 | $376 – $464 |
| 15 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $464 | $434 | $42 | 10% | 122 | $376 – $464 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $584 | $584 | $377 | 65% | 116 | $207 – $961 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $136 | $123 | $31 | 25% | 114 | $47 – $136 |
| 18 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 2 | $124 | $124 | — | — | 110 | $124 – $124 |
| 19 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $840 | $670 | $377 | 56% | 105–114 | $147 – $1.0k |
| 20 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $342 | $339 | $51 | 15% | 104–113 | $255 – $391 |
| 21 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 4 | $482 | $584 | $219 | 38% | 103 | $459 – $1.0k |
| 22 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $128 | $128 | — | — | 100 | $128 – $128 |
| 23 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $128 | $128 | — | — | 100 | $128 – $128 |
| 24 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 2 | $128 | $128 | $0 | 0% | 97 | $128 – $128 |
| 25 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 2 | $128 | $128 | $0 | 0% | 97 | $128 – $128 |
← Payers reporting CPT 77300 · Snapshot 20261111T120946Z-9134e7f7