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
$18
Average
$42
Median
$43
High
$121
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 3.1× 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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32 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $18 | $18 | $1 | 8% | — | $17 – $20 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $35 | $35 | $15 | 44% | — | $20 – $50 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $35 | $35 | $15 | 44% | — | $20 – $50 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $35 | $35 | $15 | 44% | — | $20 – $50 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $35 | $35 | $15 | 44% | — | $20 – $50 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $35 | $35 | $15 | 44% | — | $20 – $50 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $35 | $35 | $15 | 44% | — | $20 – $50 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $43 | $43 | $24 | 56% | — | $19 – $68 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $43 | $43 | $24 | 56% | — | $19 – $68 |
| 13 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 14 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 15 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 16 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $47 | $47 | $27 | 57% | — | $20 – $74 |
| 18 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $47 | $47 | $27 | 57% | — | $20 – $74 |
| 19 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $67 | $51 | $23 | 44% | — | $19 – $67 |
| 20 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $67 | $51 | $23 | 44% | — | $19 – $67 |
| 21 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $67 | $51 | $23 | 44% | — | $19 – $67 |
| 22 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $43 | $43 | $24 | 56% | — | $19 – $68 |
| 23 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $43 | $43 | $24 | 56% | — | $19 – $68 |
| 24 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · inpatient | 1 | $43 | $43 | $24 | 56% | — | $19 – $68 |
| 25 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · outpatient | 1 | $43 | $43 | $24 | 56% | — | $19 – $68 |
← Payers reporting HCPCS G6002 · Snapshot 20261111T120946Z-9134e7f7