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
$53
Average
$136
Median
$118
High
$511
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
13 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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21 hospital rates
iThe hospitals that file a Medical Mutual 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 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 2 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $152 | $152 | $85 | 56% | — | $67 – $236 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $152 | $152 | $85 | 56% | — | $67 – $236 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $510 | $511 | $321 | 63% | — | $189 – $844 |
| 7 | Mercy Fitzgerald Hospital Darby, PA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $103 | $58 | 56% | — | $45 – $160 |
| 8 | Mercy Fitzgerald Hospital Darby, PA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | $96 | 68% | — | $45 – $236 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · percent of total billed charges · bothfrom % of charges | 2 | $78 | $92 | $60 | 66% | — | $28 – $184 |
| 10 | Mercy Health Saint Marys Rockford, MI professional · percent of total billed charges · inpatientfrom % of charges | 2 | $78 | $92 | $60 | 66% | — | $28 – $184 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $94 | $114 | $81 | 71% | — | $30 – $236 |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $152 | $152 | $85 | 56% | — | $67 – $236 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | $85 | 56% | — | $67 – $236 |
| 14 | Mercy Medical Center - Dubuque Dubuque, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $152 | $152 | $85 | 56% | — | $67 – $236 |
| 15 | Mercy Medical Center - Dubuque Dubuque, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | $92 | 64% | — | $52 – $236 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 20 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 21 | 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