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  5. /Percent of billed charges
CPT 77439

SURF RAD THR IMG US PLMT

Reported by 18 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$39

Average

$130

Median

$152

High

$231

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.
1Tristar Horizon Medical CenterDICKSON, TN$77$105$64—$39$240
2Victoria of Texas LPVictoria, TX$34$43$22—$6$102
3Victoria of Texas LPVictoria, TX$34$43$22—$6$102
4Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$212$231$57—$89$2.2k
5Memorial Hospital of Laramie CountyCheyenne, WY$38$39$1—$16$42
6Prisma Health Greenville Memorial HospitalGREENVILLE, SC$181$152$72—$40$243
7Prisma Health Baptist Easley HospitalEASLEY, SC$181$152$73—$40$243
8Prisma Health Richland HospitalCOLUMBIA, SC$182$156$72—$40$402
9Prisma Health Baptist Parkridge HospitalCOLUMBIA, SC$182$156$72—$40$402
10Prisma Health Oconee Memorial HospitalSENECA, SC$167$139$78—$31$243
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