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
HC Surf Radj Ther Supfc/Orthvlt Treatment Planning
Low
$37
Average
$618
Median
$308
High
$5.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 21.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +19 other terms | 172 | $42 | $48 | $23 | 48% | — | $21 – $162 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 135 | $54 | $126 | $98 | 78% | — | $21 – $369 |
| 3 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 83 | $44 | $63 | $40 | 63% | — | $27 – $183 |
| 4 | Humana fee schedule · outpatient · +18 other terms | 68 | $40 | $49 | $30 | 61% | — | $33 – $170 |
| 5 | Anthem fee schedule · outpatient · +12 other terms | 57 | $161 | $202 | $100 | 49% | — | $37 – $462 |
| 6 | Molina fee schedule · outpatient · +12 other terms | 57 | $57 | $56 | $17 | 30% | — | $27 – $87 |
| 7 | Cigna fee schedule · outpatient · +16 other terms | 56 | $43 | $69 | $44 | 63% | — | $34 – $193 |
| 8 | Kaiser fee schedule · outpatient · +10 other terms | 43 | $73 | $81 | $53 | 65% | — | $37 – $300 |
| 9 | Devoted facility · fee schedule · outpatient · +5 other terms | 37 | $35 | $37 | $3 | 8% | — | $34 – $43 |
| 10 | Ambetter facility · fee schedule · outpatient · +8 other terms | 35 | $64 | $64 | $8 | 12% | — | $45 – $80 |
| 11 | WellCare facility · fee schedule · outpatient · +9 other terms | 31 | $37 | $37 | $3 | 7% | — | $35 – $48 |
| 12 | Caresource facility · fee schedule · outpatient · +4 other terms | 26 | $57 | $397 | $1.5k | 383% | — | $36 – $7.9k |
| 13 | Oscar fee schedule · outpatient · +7 other terms | 24 | $74 | $71 | $18 | 25% | — | $44 – $107 |
| 14 | Optum fee schedule · outpatient · +7 other terms | 20 | $37 | $60 | $31 | 51% | — | $36 – $138 |
| 15 | Medicare fee schedule · outpatient · +6 other terms | 18 | $37 | $37 | — | — | — | $37 – $37 |
| 16 | Medical Mutual facility · fee schedule · outpatient · +6 other terms | 16 | $36 | $313 | $1.2k | 394% | — | $19 – $6.0k |
| 17 | Regence facility · case rate · outpatient · +3 other terms | 15 | $39 | $39 | $1 | 3% | — | $38 – $42 |
| 18 | Clover facility · fee schedule · outpatient · +2 other terms | 13 | $37 | $38 | $2 | 5% | — | $35 – $40 |
| 19 | Medcost percent of total billed charges · bothfrom % of charges · +2 other terms | 12 | $75 | $75 | $4 | 6% | — | $70 – $79 |
| 20 | Tricare facility · fee schedule · outpatient · +1 other terms | 10 | $33 | $412 | $1.3k | 304% | — | $31 – $4.6k |
| 21 | Aetna Better Health facility · case rate · outpatient · +3 other terms | 6 | $90 | $90 | — | — | — | $90 – $90 |
| 22 | Amerihealth Caritas facility · case rate · outpatient · +4 other terms | 6 | $82 | $82 | — | — | — | $82 – $82 |
| 23 | Excellus fee schedule · outpatient · +4 other terms | 6 | $78 | $79 | $23 | 30% | — | $50 – $129 |
| 24 | Highmark fee schedule · outpatient · +5 other terms | 5 | $47 | $66 | $25 | 38% | — | $47 – $110 |
| 25 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $5.7k | $5.7k | $1.5k | 27% | — | $3.0k – $7.7k |
← Hospitals reporting CPT 77436 · Snapshot 20261113T090226Z-3ce6c0b8