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
Rad Tx Lvl1 Incl Imag Guide When Perf
Low
$39
Average
$565
Median
$315
High
$11.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1381 hospitals; the 90th percentile is 13.5× 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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2,274 hospital rates
iThe hospitals that file a Aetna 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 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $97 | $97 | — | — | 32 | $97 – $97 |
| 2 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $97 | $97 | — | — | 32 | $97 – $97 |
| 3 | The Mercy Hospital Inc Springfield, MA facility · other · both | 1 | $120 | $120 | — | — | 24 | $120 – $120 |
| 4 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $1.6k | $1.6k | — | — | 20 | $1.6k – $1.6k |
| 5 | Barnes Jewish St. Peters Hospital St. Peters, MO other · both | 2 | $102 | $102 | — | — | 19–28 | $102 – $102 |
| 6 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 2 | $99 | $99 | $2 | 2% | 17 | $96 – $101 |
| 7 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ case rate · outpatient | 2 | $391 | $391 | $270 | 69% | 13 | $121 – $661 |
| 8 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ case rate · outpatient | 2 | $391 | $391 | $270 | 69% | 13 | $121 – $661 |
| 9 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 4 | $400 | $414 | $29 | 7% | 12 | $387 – $454 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $917 | $2.3k | $2.8k | 120% | 6–60 | $103 – $8.1k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $643 | $1.2k | $1.3k | 104% | 6–60 | $103 – $3.8k |
| 12 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $780 | $1.3k | $1.1k | 83% | 6–60 | $165 – $3.5k |
| 13 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 6 | $1.9k | $4.8k | $5.3k | 112% | 6–60 | $131 – $14.9k |
| 14 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $332 | $2.1k | $3.6k | 170% | 4–40 | $179 – $11.8k |
| 15 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | 4–40 | $5.2k – $5.2k |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $911 | $1.0k | $877 | 84% | 3–30 | $115 – $2.9k |
| 17 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.5k | $1.4k | 89% | 3–30 | $141 – $4.4k |
| 18 | Barnes Jewish Hospital St. Louis, MO other · both | 2 | $102 | $102 | — | — | 2–20 | $102 – $102 |
| 19 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $402 | $402 | — | — | 2–20 | $402 – $402 |
| 20 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $402 | $402 | — | — | 2–20 | $402 – $402 |
| 21 | Piedmont Henry Stockbridge, GA percent of total billed charges · bothfrom % of charges | 2 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 22 | Alton Memorial Hospital Alton, IL other · both | 2 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 24 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 2 | $103 | $103 | $3 | 3% | 1–10 | $100 – $106 |
| 25 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 2 | $103 | $103 | $3 | 3% | 1–10 | $100 – $106 |
← Payers reporting CPT 77402 · Snapshot 20261111T120946Z-9134e7f7