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
$41
Average
$72
Median
$75
High
$127
Each hospital's average Premera rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 2.1× 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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19 hospital rates
iThe hospitals that file a Premera 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $89 | $89 | $51 | 57% | — | $38 – $140 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $89 | $89 | $51 | 57% | — | $38 – $140 |
| 4 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $54 | $54 | $31 | 59% | — | $22 – $85 |
| 5 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $54 | $54 | $31 | 59% | — | $22 – $85 |
| 6 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $77 | $77 | $44 | 57% | — | $33 – $121 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $77 | $77 | $44 | 57% | — | $33 – $121 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $77 | $77 | $44 | 57% | — | $33 – $121 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $89 | $89 | $51 | 57% | — | $38 – $140 |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $89 | $89 | $51 | 57% | — | $38 – $140 |
| 11 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · inpatient | 1 | $89 | $89 | $51 | 57% | — | $38 – $140 |
| 12 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · outpatient | 1 | $89 | $89 | $51 | 57% | — | $38 – $140 |
| 13 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 14 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 15 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 16 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 17 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 18 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $127 | $127 | $38 | 30% | — | $89 – $165 |
← Payers reporting HCPCS G6002 · Snapshot 20261111T120946Z-9134e7f7