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
HC THER RADIOLOGY PORT FILMS
Rochester, MN
See all hospitals reporting CPT 77417 →Price type
Mayo Clinic’s median price of $215 is 98% above the median hospital's median price ($108), higher than 67% of the 1,724 hospitals reporting CPT 77417. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 111 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 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 5 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 7 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 9 | Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 12 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 13 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 15 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 16 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 17 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 18 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 19 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 20 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 21 | Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 22 | Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 23 | Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 24 | Ucare ucare connect medicare advantage plan [944] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 25 | Ucare ucare medicare advantage plan [643] professional · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | 1–10 | $138 – $138 |
Last updated: Aug 14, 2026
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