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
RAD TX SIMPLE >1 MEV
Northridge, CA
See all hospitals reporting CPT 77402 →Price type
Dignity Community Care’s median price of $139 is 40% below the median hospital's median price ($232), higher than 30% of the 1,740 hospitals reporting CPT 77402. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser medicaid|< 21 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 7 | Aetna medicare|all plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 8 | Anthem medicare|all plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 9 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 10 | First Health commercial|all plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 11 | Humana commercial|all plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 12 | Humana medicare|all plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 13 | Kaiser medicare|all plans fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 14 | Molina medicare|all plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 15 | UnitedHealthcare medicare|all plans case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 16 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 17 | Anthem commercial|vivity fee schedule · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 18 | Aetna commercial|all other plans fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 19 | Aetna commercial|hmo fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 20 | Aetna commercial|ppo fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 21 | Anthem commercial|all other plans fee schedule · outpatient | $714 | $714 | — | — | — | $714 – $714 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $818 | $818 | — | — | — | $818 – $818 |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $818 | $818 | — | — | — | $818 – $818 |
| 24 | Anthem commercial|mcs fee schedule · outpatient | $978 | $978 | — | — | — | $978 – $978 |
| 25 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · inpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Feb 28, 2026
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