Unscheduled superficial radiation therapy session

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

(Ia) HC Radiation Tx Delivery Superficial&/Ortho V

Payers reporting CPT 77401

Payer pricing summary

Low

$28

Average

$260

Median

$155

High

$2.9k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +20 other terms	309	$110	$245	$688	281%	—	$1 – $8.4k
2	UnitedHealthcare fee schedule · outpatient · +24 other terms	249	$110	$262	$473	181%	—	$1 – $4.0k
3	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	219	$111	$176	$189	108%	—	$1 – $2.4k
4	Humana fee schedule · outpatient · +20 other terms	212	$106	$134	$139	104%	—	$13 – $1.8k
5	Cigna fee schedule · outpatient · +17 other terms	192	$131	$212	$186	88%	—	$5 – $743
6	WellCare fee schedule · outpatient · +13 other terms	95	$107	$111	$56	50%	—	$42 – $257
7	Anthem fee schedule · outpatient · +14 other terms	87	$105	$228	$342	150%	—	$27 – $1.7k
8	Molina fee schedule · outpatient · +20 other terms	75	$108	$126	$152	120%	—	$13 – $1.1k
9	Ambetter fee schedule · outpatient · +16 other terms	50	$79	$113	$108	96%	—	$21 – $623
10	Kaiser fee schedule · outpatient · +9 other terms	42	$110	$190	$286	151%	—	$1 – $1.6k
11	Devoted fee schedule · outpatient · +7 other terms	40	$110	$98	$31	31%	—	$41 – $121
12	Bcbs Tx fee schedule · outpatient · +2 other terms	32	$111	$118	$36	30%	—	$41 – $198
13	MultiPlan fee schedule · outpatient · +12 other terms	30	$192	$214	$315	147%	—	$33 – $1.7k
14	Caresource fee schedule · outpatient · +11 other terms	27	$48	$59	$21	36%	—	$48 – $112
15	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$117	$158	$54	34%	—	$64 – $252
16	Clover fee schedule · outpatient · +7 other terms	25	$120	$118	$7	6%	—	$106 – $129
17	Medicare fee schedule · outpatient · +6 other terms	24	$41	$53	$27	52%	—	$35 – $119
18	Optum facility · fee schedule · outpatient · +12 other terms	21	$102	$128	$130	102%	—	$100 – $864
19	Regence professional · fee schedule · outpatient · +5 other terms	20	$39	$41	$11	27%	—	$39 – $102
20	Aetna Better Health fee schedule · outpatient · +8 other terms	18	$103	$78	$35	44%	—	$35 – $108
21	Highmark fee schedule · outpatient · +9 other terms	18	$79	$82	$72	88%	—	$30 – $991
22	Tricare fee schedule · outpatient · +12 other terms	18	$107	$479	$678	141%	—	$107 – $1.7k
23	Oscar facility · fee schedule · outpatient · +14 other terms	17	$126	$126	$51	40%	—	$78 – $209
24	Ucare case rate · outpatient · +6 other terms	15	$115	$113	$2	2%	—	$110 – $115
25	Medica fee schedule · outpatient · +9 other terms	14	$139	$142	$53	37%	—	$60 – $304

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