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
$0
Average
$609
Median
$364
High
$45.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1321 hospitals; the 90th percentile is 9.7× 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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1,972 hospital rates
iThe hospitals that file a Cigna 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $873 | $873 | $172 | 20% | 364 | $701 – $1.0k |
| 2 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $509 | $509 | $21 | 4% | 332–341 | $488 – $530 |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $873 | $873 | $172 | 20% | 289 | $701 – $1.0k |
| 4 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $278 | $278 | $31 | 11% | 287 | $247 – $309 |
| 5 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $146 | $133 | $20 | 15% | 266 | $105 – $149 |
| 6 | St. Lukes Hospital of Kansas City City, KS fee schedule · both | 6 | $128 | $138 | $14 | 10% | 159–177 | $128 – $167 |
| 7 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $668 | $668 | — | — | 128 | $668 – $668 |
| 8 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $668 | $668 | — | — | 128 | $668 – $668 |
| 9 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $569 | $569 | — | — | 117 | $569 – $569 |
| 10 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $617 | $627 | $89 | 14% | 85 | $513 – $759 |
| 11 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $165 | $167 | $16 | 9% | 62 | $149 – $187 |
| 12 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $118 | $114 | $6 | 5% | 56 | $107 – $119 |
| 13 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 6 | $105 | $122 | $25 | 21% | 52–61 | $105 – $167 |
| 14 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 52 | $1.7k – $1.7k |
| 15 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 3 | $118 | $114 | $6 | 5% | 46 | $107 – $119 |
| 16 | John Muir Health Walnut Creek, CA percent of total billed charges · outpatientfrom % of charges | 3 | $919 | $954 | $142 | 15% | 46 | $821 – $1.2k |
| 17 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $283 | $318 | $86 | 27% | 44 | $235 – $437 |
| 18 | Memorial Hospital Shiloh, IL fee schedule · both | 3 | $118 | $114 | $6 | 5% | 44 | $107 – $119 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $376 | $376 | — | — | 43 | $376 – $376 |
| 20 | PARKWEST MEDICAL CENTER Knoxville, TN percent of total billed charges · outpatientfrom % of charges | 4 | $370 | $367 | $5 | 1% | 40–49 | $359 – $370 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $783 | $783 | — | — | 40 | $783 – $783 |
| 22 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 40 | $1.3k – $1.3k |
| 23 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $507 | $506 | $274 | 54% | 38 | $230 – $812 |
| 24 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $311 | $332 | $122 | 37% | 31–49 | $142 – $504 |
| 25 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $838 | $782 | $79 | 10% | 31 | $670 – $838 |
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