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
$25
Average
$747
Median
$192
High
$81.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1078 hospitals; the 90th percentile is 7.0× 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.
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1,728 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $850 | $12.9k | $16.7k | 129% | 2,979 | $298 – $50.4k |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $342 | $342 | $2 | 0% | 1,983 | $340 – $343 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $139 | $139 | — | — | 1,470 | $139 – $139 |
| 4 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $309 | $347 | $128 | 37% | 1,408 | $219 – $550 |
| 5 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $309 | $347 | $128 | 37% | 1,408 | $219 – $550 |
| 6 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $530 | $566 | $71 | 13% | 1,152–1,170 | $530 – $707 |
| 7 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 2 | $103 | $103 | $28 | 27% | 871 | $75 – $132 |
| 8 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · outpatient | 2 | $103 | $103 | $28 | 27% | 871 | $75 – $132 |
| 9 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $52 | $53 | $19 | 36% | 767–785 | $32 – $78 |
| 10 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $715 | $494 | $258 | 52% | 766–793 | $213 – $788 |
| 11 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 6 | $138 | $216 | $110 | 51% | 724 | $124 – $391 |
| 12 | Massachusetts General Hospital Boston, MA other · both | 1 | $158 | $158 | — | — | 535 | $158 – $158 |
| 13 | Brigham and Women's Hospital Boston, MA other · both | 1 | $158 | $158 | — | — | 493 | $158 – $158 |
| 14 | Wentworth Douglass Hospital Dover, NH other · both | 4 | $549 | $530 | $291 | 55% | 303 | $136 – $887 |
| 15 | Methodist Hospital St. Louis Park, MN facility · other · both | 1 | $134 | $134 | — | — | 295 | $134 – $134 |
| 16 | Mercy Health Saint Marys Rockford, MI facility · other · both | 2 | $103 | $103 | $28 | 27% | 283 | $75 – $131 |
| 17 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $231 | $231 | $0 | 0% | 261–270 | $231 – $231 |
| 18 | St Joseph Mercy Chelsea Chelsea, MI facility · other · both | 2 | $103 | $103 | $28 | 27% | 252–261 | $75 – $132 |
| 19 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 8 | $54 | $74 | $58 | 78% | 250–259 | $48 – $227 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 2 | $108 | $108 | $33 | 30% | 210 | $75 – $141 |
| 21 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $135 | $135 | — | — | 209 | $135 – $135 |
| 22 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | 208 | $1.2k – $1.2k |
| 23 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | 208 | $1.2k – $1.2k |
| 24 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 2 | $231 | $231 | $0 | 0% | 192 | $231 – $231 |
| 25 | St Mary Mercy Livonia Livonia, MI facility · other · both | 2 | $103 | $103 | $28 | 27% | 187–196 | $75 – $131 |
← Payers reporting CPT 77300 · Snapshot 20261111T120946Z-9134e7f7