Image guidance for targeting radiation treatment

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC GUIDANCE FOR LOC RAD TX

Payers reporting CPT 77387

Payer pricing summary

Low

Average

$612

Median

$472

High

$3.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +24 other terms	72	$154	$336	$609	181%	494	$15 – $6.3k
2	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	262	$358	$369	$355	96%	170	$1 – $6.3k
3	Ambetter other · outpatient · +16 other terms	15	$12.2k	$10.8k	$7.0k	65%	159	$287 – $16.5k
4	Cigna fee schedule · outpatient · +28 other terms	287	$240	$363	$1.0k	287%	109–127	$27 – $15.6k
5	Aetna fee schedule · outpatient · +27 other terms	294	$218	$492	$757	154%	30–138	$1 – $11.3k
6	UnitedHealthcare fee schedule · outpatient · +34 other terms	221	$260	$481	$657	136%	29–56	$1 – $4.0k
7	Medica fee schedule · outpatient · +19 other terms	22	$217	$270	$209	78%	20	$26 – $980
8	Humana fee schedule · outpatient · +23 other terms	140	$161	$297	$218	73%	—	$1 – $1.3k
9	Molina case rate · outpatient · +26 other terms	71	$6k	$3.8k	$2.8k	73%	—	$36 – $6k
10	MultiPlan fee schedule · outpatient · +18 other terms	57	$749	$705	$571	81%	—	$49 – $3.3k
11	Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms	34	$98	$118	$53	45%	—	$70 – $298
12	Highmark facility · fee schedule · outpatient · +19 other terms	31	$91	$77	$47	61%	—	$13 – $321
13	Kaiser fee schedule · outpatient · +23 other terms	29	$46	$223	$358	160%	—	$37 – $2.1k
14	WellCare facility · other · outpatient · +17 other terms	27	$391	$466	$489	105%	—	$34 – $1.4k
15	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$555	$351	$196	56%	—	$61 – $600
16	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	25	$114	$121	$52	43%	—	$53 – $290
17	Aetna Better Health fee schedule · outpatient · +17 other terms	23	$110	$133	$65	49%	—	$33 – $270
18	Bcbs Tx fee schedule · outpatient · +4 other terms	23	$520	$563	$174	31%	—	$190 – $923
19	Medicaid facility · fee schedule · outpatient · +15 other terms	22	$259	$439	$454	103%	—	$1 – $1.2k
20	Tricare facility · fee schedule · outpatient · +13 other terms	22	$1.3k	$4.8k	$8.9k	184%	—	$32 – $50k
21	Optum fee schedule · outpatient · +17 other terms	21	$37	$719	$1.7k	230%	—	$35 – $7.7k
22	Caresource facility · fee schedule · outpatient · +17 other terms	20	$66	$114	$211	186%	—	$0 – $1.3k
23	First Health fee schedule · outpatient · +17 other terms	20	$595	$641	$532	83%	—	$45 – $2.8k
24	Medicare fee schedule · outpatient · +16 other terms	19	$37	$35	$7	20%	—	$2 – $37
25	Devoted facility · other · outpatient · +11 other terms	17	$565	$799	$783	98%	—	$36 – $2.2k

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