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 NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$2
Average
$1.1k
Median
$501
High
$4.5k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 172 hospitals; the 90th percentile is 10.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hartford Hospital HARTFORD, CT | $158 | $159 | $2 | 1% | 3–30 | $158 – $162 |
| 2 | University of Virginia Haymarket Medical Center Haymarket, VA | $1.1k | $1.0k | $133 | 13% | — | $782 – $1.1k |
| 3 | San Joaquin Community Hospital Bakersfield, CA | $496 | $496 | — | — | — | $496 – $496 |
| 4 | SwedishAmerican Hospital Rockford, IL | $418 | $418 | $16 | 4% | — | $402 – $433 |
| 5 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $256 | $358 | $145 | 40% | — | $256 – $563 |
| 6 | Henry Ford Health Novi, MI | $258 | $230 | $71 | 31% | — | $93 – $356 |
| 7 | The Queens Medical Center Ewa Beach, HI | $453 | $625 | $295 | 47% | — | $453 – $1.3k |
| 8 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $3.1k | $3.1k | $744 | 24% | — | $2.2k – $4.1k |
| 9 | Claiborne Medical Center Tazewell, TN | $627 | $540 | $278 | 52% | — | $216 – $902 |
| 10 | Valley Health Speciality Hospital Las Vegas, NV | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Ask Claude or any MCP client for CPT 77750 pricing at a specific hospital — see how to connect.