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
3D RADIOTHER PLAN W DVH
Plano, TX
See all hospitals reporting CPT 77295 →Price type
Medical City Plano’s median price of $2.2k is 38% above the median hospital's median price ($1.6k), higher than 66% of the 1,962 hospitals reporting CPT 77295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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 | Aetna qhphix fee schedule · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 2 | Aetna newbusiness fee schedule · outpatient | $604 | $604 | — | — | — | $604 – $604 |
| 3 | Aetna comm fee schedule · outpatient | $646 | $646 | — | — | — | $646 – $646 |
| 4 | Aetna meritain fee schedule · outpatient | $646 | $646 | — | — | — | $646 – $646 |
| 5 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $754 | $754 | — | — | — | $754 – $754 |
| 7 | Aetna oon fee schedule · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 8 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $782 | $782 | — | — | — | $782 – $782 |
| 9 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $951 | $951 | — | — | — | $951 – $951 |
| 10 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $951 | $951 | — | — | — | $951 – $951 |
| 11 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $972 | $972 | — | — | — | $972 – $972 |
| 12 | Humana comm fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Humana comm percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 22 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 23 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | Aetna exclusive percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 25 | Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
Last updated: Mar 1, 2026
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