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
$306
Average
$306
Median
$306
High
$306
Filter by billing methodology
Filter by billing class
3 hospital rates
iThe hospitals that file a Bcbs Ma 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 | Southcoast Hospitals Group, Inc. Bedford, MA fee schedule · outpatient | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 2 | Southcoast Hospitals Group, Inc. Wareham, MA fee schedule · outpatient | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 3 | Southcoast Hospitals Group, Inc. River, MA fee schedule · outpatient | 1 | $306 | $306 | — | — | — | $306 – $306 |
← Payers reporting CPT 77402 · Snapshot 20261111T120946Z-9134e7f7