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
$0
Average
$717
Median
$347
High
$24.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1265 hospitals; the 90th percentile is 16.8× 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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2,337 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 2 | $97 | $97 | — | — | 82 | $97 – $97 |
| 2 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 2 | $97 | $97 | — | — | 82 | $97 – $97 |
| 3 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $94 | $94 | — | — | 56 | $94 – $94 |
| 4 | Mayo Clinic Rochester, MN facility · other · both | 1 | $127 | $127 | — | — | 25 | $127 – $127 |
| 5 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 7 | $859 | $1.0k | $384 | 37% | 22 | $808 – $2.0k |
| 6 | John Muir Health Walnut Creek, CA percent of total billed charges · outpatientfrom % of charges | 7 | $4.2k | $5.0k | $1.7k | 35% | 22 | $3.9k – $9.5k |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 2 | $162 | $162 | $67 | 41% | 20 | $95 – $228 |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 2 | $703 | $703 | — | — | 19 | $703 – $703 |
| 9 | Piedmont Henry Stockbridge, GA per diem · both | 2 | $2.2k | $2.2k | — | — | 14 | $2.2k – $2.2k |
| 10 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 12 | $76 – $76 |
| 11 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $1.2k | $3.8k | $4.8k | 126% | 4–40 | $539 – $11.8k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $793 | $1.8k | $2.1k | 115% | 3–30 | $103 – $6.1k |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $951 | $2.4k | $2.4k | 100% | 3–30 | $115 – $7.5k |
| 14 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.4k | $1.2k | 85% | 3–30 | $141 – $3.6k |
| 15 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $2.1k | $2.7k | $2.1k | 77% | 3–30 | $579 – $6.3k |
| 16 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $4.7k | $6.5k | $6.5k | 100% | 3–30 | $358 – $17.4k |
| 17 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $102 | $102 | — | — | 2–20 | $102 – $102 |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · per diem · outpatient | 1 | $423 | $423 | — | — | 2–20 | $423 – $423 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · per diem · outpatient | 1 | $423 | $423 | — | — | 2–20 | $423 – $423 |
| 20 | Piedmont Columbus Regional - Midtown Columbus, GA per diem · both | 2 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 21 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $995 | $995 | — | — | 1–10 | $995 – $995 |
| 22 | Barnes Jewish St. Peters Hospital St. Peters, MO other · both | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 23 | Barnes Jewish St. Peters Hospital St. Peters, MO per diem · both | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 25 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
← Payers reporting CPT 77402 · Snapshot 20261112T124536Z-e251e855