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CPT 77417

HB Radiology Port Images(S)

Reported by 50 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 1,185 billing samples across every hospital reporting.

Low

$0

Average

$1.5k

Median

$291

High

$6.2k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Northwestern Medicine Central DuPage HospitalWinfield, IL$5.4k$5.4k—1,185$17$560
2Northwestern Memorial HospitalChicago, IL$6.2k$6.2k——$81$3.5k
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$2.2k$2.7k$685—$63$346
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$4.7k$4.7k——$100$543
5Northwestern Medicine Delnor HospitalGeneva, IL$5.6k$4.9k$1.2k—$83$560
6Northwestern Lake Forest HospitalLake Forest, IL$5.9k$5.9k——$86$543
7IOM Health System LPFort Wayne, IN$102$102——$0$320
8Warsaw Health System LLCWarsaw, IN$102$100$6—$0$418
9Lutheran Musculoskeletal Center LLCFort Wayne, IN$102$100$6—$1$374
10St. Joseph Health System, LLCWayne, IN$102$123$70—$1$355
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