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
$132
Average
$2.5k
Median
$1.1k
High
$23.2k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 19.4× 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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148 hospital rates
iThe hospitals that file a Medica 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 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $699 | $1.1k | $798 | 69% | 37 | $670 – $2.5k |
| 2 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · outpatient | 4 | $699 | $1.3k | $993 | 79% | 35 | $670 – $3.0k |
| 3 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $620 | $620 | — | — | 2–20 | $620 – $620 |
| 4 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 4 | $699 | $1.2k | $901 | 75% | 1–10 | $670 – $2.8k |
| 5 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $774 | $774 | — | — | 1–10 | $774 – $774 |
| 6 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 7 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 8 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 9 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $699 | $1.1k | $798 | 69% | — | $670 – $2.5k |
| 10 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 11 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 4 | $699 | $1.1k | $798 | 69% | — | $670 – $2.5k |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 13 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 4 | $699 | $1.1k | $798 | 69% | — | $670 – $2.5k |
| 14 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 15 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 16 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 17 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 4 | $699 | $1.1k | $798 | 69% | — | $670 – $2.5k |
| 18 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $160 | $193 | $91 | 47% | — | $114 – $336 |
| 19 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $160 | $193 | $91 | 47% | — | $114 – $336 |
| 20 | Astera Health Wadena, MN per diem · inpatient | 3 | $3.4k | $4.0k | $792 | 20% | — | $3.4k – $5.1k |
| 21 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 2 | $106.5k | $106.5k | $105.0k | 99% | — | $1.6k – $211.5k |
| 22 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 5 | $1.1k | $1.3k | $426 | 32% | — | $1.0k – $2.1k |
| 23 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 24 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $897 | $897 | $57 | 6% | — | $840 – $954 |
← Payers reporting CPT 77385 · Snapshot 20261111T120946Z-9134e7f7