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
APPLY SURF LDR RADIONUCLIDE
Low
$48
Average
$163
Median
$104
High
$2.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
89 hospitals; the 90th percentile is 1.5× 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.
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107 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $87 | $87 | $34 | 39% | — | $49 – $125 |
| 2 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $96 | $93 | $31 | 34% | — | $58 – $125 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $96 | $93 | $31 | 34% | — | $58 – $125 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $96 | $93 | $31 | 34% | — | $58 – $125 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $96 | $93 | $31 | 34% | — | $58 – $125 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $96 | $93 | $31 | 34% | — | $58 – $125 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $96 | $93 | $31 | 34% | — | $58 – $125 |
| 9 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | $2.2k | 95% | — | $106 – $4.6k |
| 10 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 11 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 12 | Ascension Providence Waco, TX other · inpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 13 | Ascension Providence Waco, TX other · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 14 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Ascension Seton Austin, TX other · inpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 16 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 17 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 18 | Ascension Seton Austin, TX other · inpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 19 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 20 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 21 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 22 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 23 | Ascension Seton Bastrop, TX other · inpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 24 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 25 | Ascension Seton Austin, TX other · inpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
← Payers reporting CPT 77789 · Snapshot 20261112T181611Z-3fa9fb76