Radiation therapy portal imaging

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

Original text from hospital filings

HB Radiology Port Images(S)

Payers reporting CPT 77417

Payer pricing summary

Low

Average

$308

Median

$163

High

$2.3k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +23 other terms	88	$38	$234	$469	201%	54–72	$11 – $2.3k
2	UnitedHealthcare fee schedule · outpatient · +32 other terms	244	$43	$400	$864	216%	23–41	$1 – $6.8k
3	Bcbs Mt percent of total billed charges · outpatientfrom % of charges	1	$138	$138	$6	4%	4–40	$134 – $147
4	Medica fee schedule · outpatient · +19 other terms	21	$56	$72	$90	125%	3–30	$22 – $518
5	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	275	$44	$85	$454	534%	2–20	$1 – $13.7k
6	Aetna fee schedule · outpatient · +29 other terms	351	$36	$172	$558	324%	1–10	$1 – $8.4k
7	Cigna fee schedule · outpatient · +27 other terms	116	$60	$737	$2.5k	342%	1–10	$1 – $15.6k
8	Humana fee schedule · outpatient · +25 other terms	174	$26	$74	$109	147%	—	$1 – $514
9	Molina fee schedule · outpatient · +25 other terms	69	$35	$72	$239	333%	—	$1 – $2.1k
10	MultiPlan fee schedule · outpatient · +19 other terms	65	$458	$338	$625	185%	—	$15 – $5.6k
11	Kaiser fee schedule · outpatient · +20 other terms	41	$17	$165	$677	411%	—	$5 – $5.3k
12	Highmark facility · fee schedule · outpatient · +17 other terms	37	$16	$47	$45	96%	—	$11 – $171
13	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	34	$16	$27	$29	105%	—	$14 – $120
14	Ambetter fee schedule · outpatient · +15 other terms	31	$37	$60	$78	131%	—	$2 – $335
15	WellCare fee schedule · both · +16 other terms	31	$13	$16	$7	45%	—	$11 – $38
16	Aetna Better Health fee schedule · outpatient · +16 other terms	26	$20	$25	$17	65%	—	$12 – $71
17	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$206	$126	$76	61%	—	$23 – $223
18	Caresource fee schedule · outpatient · +16 other terms	26	$102	$98	$38	38%	—	$1 – $264
19	Medicaid facility · fee schedule · outpatient · +12 other terms	26	$77	$215	$421	196%	—	$12 – $1.2k
20	Optum fee schedule · outpatient · +16 other terms	26	$16	$572	$1.7k	292%	—	$13 – $7.7k
21	Bcbs Tx fee schedule · outpatient · +5 other terms	23	$51	$55	$17	31%	—	$19 – $90
22	Regence professional · fee schedule · outpatient · +15 other terms	22	$13	$14	$5	39%	—	$1 – $34
23	Tricare facility · fee schedule · outpatient · +14 other terms	22	$460	$2.3k	$9.2k	400%	—	$14 – $50k
24	Devoted fee schedule · outpatient · +9 other terms	21	$17	$16	$0	2%	—	$15 – $17
25	First Health fee schedule · outpatient · +18 other terms	21	$375	$307	$227	74%	—	$28 – $950

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