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
PR Stereoscopic X-Ray Guidance for Delivery of Radiation Therapy
Low
$34
Average
$59
Median
$53
High
$144
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 2.8× 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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22 hospital rates
iThe hospitals that file a Medicaid 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 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | 45 | $55 – $55 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $42 | $42 | $23 | 56% | — | $18 – $65 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $42 | $42 | $23 | 56% | — | $18 – $65 |
| 9 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $34 | $34 | $20 | 58% | — | $14 – $54 |
| 10 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 11 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $36 | $36 | $20 | 56% | — | $16 – $57 |
| 12 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $36 | $36 | $20 | 56% | — | $16 – $57 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $42 | $42 | $23 | 56% | — | $18 – $65 |
| 14 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $42 | $42 | $23 | 56% | — | $18 – $65 |
| 15 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · inpatient | 1 | $42 | $42 | $23 | 56% | — | $18 – $65 |
| 16 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · outpatient | 1 | $42 | $42 | $23 | 56% | — | $18 – $65 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 20 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 21 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 22 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
← Payers reporting HCPCS G6002 · Snapshot 20261111T120946Z-9134e7f7