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
Intensity Modulated Radiation Tx Dlvr Simple
Low
$64
Average
$1.6k
Median
$959
High
$8.2k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 53.1× 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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28 hospital rates
iThe hospitals that file a Excellus 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 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $668 | $1.5k | $1.3k | 92% | — | $364 – $3.4k |
| 2 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $64 | $64 | — | — | — | $64 – $64 |
| 3 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 5 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 6 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $921 | $921 | — | — | — | $921 – $921 |
| 7 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 12 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $64 | $64 | — | — | — | $64 – $64 |
| 13 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $948 | $948 | — | — | — | $948 – $948 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $948 | $948 | — | — | — | $948 – $948 |
| 16 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $1.7k | $1.5k | $364 | 25% | — | $944 – $1.7k |
| 18 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $459 | $459 | — | — | — | $459 – $459 |
| 19 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $857 | $857 | — | — | — | $857 – $857 |
| 20 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $860 | $860 | — | — | — | $860 – $860 |
| 21 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 23 | St Mary Medical Center Langhorne, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 24 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $653 | $653 | — | — | — | $653 – $653 |
| 25 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $3.7k | $3.3k | $720 | 22% | — | $2.0k – $3.7k |
← Payers reporting CPT 77385 · Snapshot 20261111T120946Z-9134e7f7