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
$628
Median
$139
High
$38.5k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
221 hospitals; the 90th percentile is 21.6× 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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319 hospital rates
iThe hospitals that file a Optum 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 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $310 | $310 | $81 | 26% | 43 | $229 – $391 |
| 2 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 3 | $156 | $243 | $133 | 55% | 29–38 | $142 – $431 |
| 3 | MVHS, Inc. Utica, NY other · outpatient | 1 | $168 | $168 | — | — | 27 | $168 – $168 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $125 | $125 | — | — | 13 | $125 – $125 |
| 5 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $108 | $108 | — | — | 11 | $108 – $108 |
| 6 | Prairie Lakes Health Care System Inc. Watertown, SD fee schedule · both | 6 | $147 | $147 | — | — | 6–60 | $147 – $147 |
| 7 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 8 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 9 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 10 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 1 | $478 | $478 | — | — | 1–10 | $478 – $478 |
| 11 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $354 | $354 | $114 | 32% | 1–10 | $240 – $468 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $518 | $518 | — | — | — | $518 – $518 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $51 | $49 | $13 | 27% | — | $32 – $63 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $426 | $426 | $267 | 63% | — | $159 – $693 |
| 17 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 18 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $27 | $27 | $4 | 17% | — | $22 – $31 |
| 19 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 20 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $134 | $134 | $1 | 1% | — | $133 – $135 |
| 22 | Appalachian Regional Healthcare, Inc. Hazard, KY fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | Appalachian Regional Healthcare, Inc. Hazard, KY fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $552 | $552 | — | — | — | $552 – $552 |
| 25 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $552 | $552 | — | — | — | $552 – $552 |
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