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 Dlvr<=150 Kv per Fraction
Low
$92
Average
$105
Median
$107
High
$115
Each hospital's average Clover rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 1.2× 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.
Filter by billing methodology
Filter by billing class
9 hospital rates
iThe hospitals that file a Clover 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 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 2 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 3 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 4 | MUSC Medical Center Charleston, SC facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Phoebe Putney Memorial Hospital & North Campus Albany, GA fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Phoebe Sumter Medical Center Americus, GA fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 7 | Tanner Medical Center - Carrollton Carrollton, GA facility · other · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 8 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · other · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 9 | Willowbrooke at Tanner Villa Rica, GA facility · other · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
← Payers reporting CPT 77437 · Snapshot 20261113T090226Z-3ce6c0b8