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
$1
Average
$1.2k
Median
$626
High
$25k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
346 hospitals; the 90th percentile is 7.0× 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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448 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 | Covenant Medical Center Inc Saginaw, MI facility · other · outpatient | 2 | $380 | $380 | $64 | 17% | 558–567 | $316 – $444 |
| 2 | Brigham and Women's Hospital Boston, MA other · both | 1 | $673 | $673 | — | — | 129 | $673 – $673 |
| 3 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $514 | $514 | $180 | 35% | 26–53 | $334 – $694 |
| 4 | St. John Medical Center Longview, WA facility · other · outpatient | 1 | $1.5k | $1.5k | — | — | 20 | $1.5k – $1.5k |
| 5 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 1 | $563 | $563 | — | — | 20 | $563 – $563 |
| 6 | Mercy Medical Center-Clinton Inc Clinton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $542 | $542 | — | — | 19 | $542 – $542 |
| 7 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $231 | $231 | — | — | 18 | $231 – $231 |
| 8 | Massachusetts General Hospital Boston, MA other · both | 1 | $673 | $673 | — | — | 18 | $673 – $673 |
| 9 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 1 | $350 | $350 | $0 | 0% | 17–26 | $350 – $350 |
| 10 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $231 | $231 | — | — | 14 | $231 – $231 |
| 11 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $231 | $231 | — | — | 11 | $231 – $231 |
| 12 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT fee schedule · outpatient | 2 | $1.5k | $1.5k | $58 | 4% | 2–20 | $1.4k – $1.5k |
| 13 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $1.0k | $950 | $259 | 27% | 2–20 | $606 – $1.2k |
| 14 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $231 | $231 | — | — | 1–10 | $231 – $231 |
| 15 | MIDSTATE MEDICAL CENTER MERIDEN, CT fee schedule · outpatient | 2 | $1.2k | $1.2k | $47 | 4% | 1–10 | $1.2k – $1.3k |
| 16 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $231 | $231 | — | — | 1–10 | $231 – $231 |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $837 | $818 | $166 | 20% | 1–10 | $606 – $1.0k |
| 18 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT fee schedule · outpatient | 2 | $1.0k | $1.0k | $41 | 4% | 1–10 | $1.0k – $1.1k |
| 19 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $262 | $262 | — | — | 1–10 | $262 – $262 |
| 20 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $231 | $231 | — | — | 1–10 | $231 – $231 |
| 21 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $702 | $702 | — | — | 1–10 | $702 – $702 |
| 22 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 23 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $550 | $550 | — | — | 1–10 | $550 – $550 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 25 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $607 | $607 | — | — | — | $607 – $607 |
← Payers reporting CPT 77385 · Snapshot 20261111T120946Z-9134e7f7