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
$543
Median
$154
High
$12.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
626 hospitals; the 90th percentile is 11.7× 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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949 hospital rates
iThe hospitals that file a Molina 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $128 | $128 | — | — | 112 | $128 – $128 |
| 2 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | — | — | 88 | $120 – $120 |
| 3 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $149 | $149 | $18 | 12% | 60 | $131 – $168 |
| 4 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $131 | $127 | $40 | 31% | 53–71 | $77 – $174 |
| 5 | Brigham and Women's Hospital Boston, MA other · both | 1 | $155 | $155 | — | — | 52 | $155 – $155 |
| 6 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $123 | $123 | — | — | 37 | $123 – $123 |
| 7 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $123 | $123 | — | — | 37 | $123 – $123 |
| 8 | Massachusetts General Hospital Boston, MA other · both | 1 | $155 | $155 | — | — | 36 | $155 – $155 |
| 9 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $138 | $117 | $45 | 39% | 36 | $60 – $159 |
| 10 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | 34 | $3.0k – $3.0k |
| 11 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | 34 | $3.0k – $3.0k |
| 12 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.8k | $12.8k | — | — | 32 | $12.8k – $12.8k |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 3 | $141 | $135 | $45 | 34% | 28–37 | $77 – $186 |
| 14 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $134 | $108 | $41 | 38% | 28 | $51 – $140 |
| 15 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $134 | $108 | $41 | 38% | 28 | $51 – $140 |
| 16 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $135 | $135 | — | — | 27 | $135 – $135 |
| 17 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $135 | $135 | — | — | 27 | $135 – $135 |
| 18 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $133 | $133 | — | — | 20 | $133 – $133 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $284 | $284 | — | — | 19 | $284 – $284 |
| 20 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $163 | $163 | $59 | 36% | 17 | $104 – $223 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | — | — | 16 | $233 – $233 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $245 | $245 | $98 | 40% | 15 | $146 – $343 |
| 23 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $324 | $315 | $24 | 8% | 15 | $251 – $324 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 14 | $207 – $207 |
| 25 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | 12 | $72 – $72 |
← Payers reporting CPT 77300 · Snapshot 20261111T120946Z-9134e7f7