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
$1
Average
$206
Median
$132
High
$9.9k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
170 hospitals; the 90th percentile is 4.2× 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
202 hospital rates
iThe hospitals that file a Medicare 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 | Brigham and Women's Hospital Boston, MA other · both | 1 | $158 | $158 | — | — | 5,223 | $158 – $158 |
| 2 | Massachusetts General Hospital Boston, MA other · both | 1 | $158 | $158 | — | — | 3,623 | $158 – $158 |
| 3 | St. Charles Bend Bend, OR other · both | 1 | $160 | $160 | — | — | 2,055 | $160 – $160 |
| 4 | St. Charles Redmond Redmond, OR other · both | 1 | $160 | $160 | — | — | 2,055 | $160 – $160 |
| 5 | John Muir Health Walnut Creek, CA other · outpatient | 3 | $190 | $190 | — | — | 1,880–1,907 | $190 – $190 |
| 6 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $124 | $124 | — | — | 1,429 | $124 – $124 |
| 7 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $89 | $89 | $38 | 43% | 1,409 | $51 – $127 |
| 8 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $89 | $89 | $38 | 43% | 1,409 | $51 – $127 |
| 9 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $128 | $128 | — | — | 693 | $128 – $128 |
| 10 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $128 | $128 | — | — | 693 | $128 – $128 |
| 11 | Lowell General Hospital Lowell, MA other · both | 1 | $508 | $508 | — | — | 645 | $508 – $508 |
| 12 | Cooley Dickinson Hospital Northampton, MA other · both | 1 | $158 | $158 | — | — | 518 | $158 – $158 |
| 13 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $139 | $139 | — | — | 507 | $139 – $139 |
| 14 | Boston Medical Center Boston, MA other · both | 1 | $156 | $156 | — | — | 494 | $156 – $156 |
| 15 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $137 | $137 | — | — | 294 | $137 – $137 |
| 16 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $121 | $121 | — | — | 286 | $121 – $121 |
| 17 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $126 | $126 | — | — | 285 | $126 – $126 |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN other · both | 1 | $143 | $143 | $1 | 1% | 281 | $142 – $144 |
| 19 | Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient | 1 | $136 | $136 | — | — | 248 | $136 – $136 |
| 20 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN other · both | 1 | $142 | $142 | — | — | 238 | $142 – $142 |
| 21 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $129 | $129 | — | — | 196 | $129 – $129 |
| 22 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $129 | $129 | — | — | 196 | $129 – $129 |
| 23 | Mercy Hospital Ada Inc Ada, OK facility · other · outpatient | 1 | $133 | $133 | — | — | 166 | $133 – $133 |
| 24 | Tufts Medical Center BOSTON, MA other · both | 1 | $936 | $936 | — | — | 161 | $936 – $936 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $31 | $31 | — | — | 86 | $31 – $31 |
← Payers reporting CPT 77300 · Snapshot 20261111T120946Z-9134e7f7