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HCPCS 77431

Radiation therapy management

Reported by 116 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$79

Average

$341

Median

$255

High

$1.9k

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.
1The Mount Sinai HospitalNew York, NY$76$220$243—$16$632
2Sonora Community HospitalSonora, CA$120$125$30—$79$482
3Glendale Adventist Medical CenterGlendale, CA$120$127$27—$79$392
4Mid Columbia Medical CenterDalles, OR$120$158$68—$105$342
5White Memorial Medical CenterAngeles, CA$115$118$25—$79$383
6St Helena HospitalHelena, CA$138$141$24—$79$437
7UPMC WashingtonWashington, PA$159$159$65—$94$5.6k
8UPMC GreeneWaynesburg, PA$224$224——$224$4.7k
9Crawford Long HospitalAtlanta, GA$224$241$54—$175$326
10Ehca John's Creek, LlcJohns Creek, GA$224$241$54—$175$326
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