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
Radiation Thrpy Special Dosimetry
Smith, AR
See all hospitals reporting CPT 77331 →Price type
Mercy Hospital Fort Smith’s median price of $128 is 20% below the median hospital's median price ($159), higher than 25% of the 1,831 hospitals reporting CPT 77331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 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 | Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient | $24 | $24 | $8 | 33% | — | $16 – $32 |
| 2 | Blue Cross Blue Shield hb ftsm managed medicare facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $33 | $33 | $11 | 33% | — | $22 – $44 |
| 4 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $34 | $34 | $11 | 33% | — | $22 – $45 |
| 5 | Aetna hb ftsm coventry/aetna facility · fee schedule · outpatient | $38 | $38 | $13 | 33% | — | $26 – $51 |
| 6 | Cigna hb ftsm cigna facility · fee schedule · outpatient | $53 | $53 | $18 | 33% | — | $35 – $70 |
| 7 | First Health hb ftsm first health_ccn facility · fee schedule · outpatient | $54 | $54 | $18 | 33% | — | $36 – $72 |
| 8 | Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient | $85 | $85 | $29 | 33% | — | $57 – $114 |
| 9 | Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient | $85 | $85 | $29 | 33% | — | $57 – $114 |
| 10 | Aetna hb ftsm managed medicare facility · other · outpatient | $128 | $128 | — | — | 2–20 | $128 – $128 |
| 11 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 12 | First Health hb ftsm managed medicare facility · other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 13 | Humana hb ftsm humana mcr facility · other · outpatient | $128 | $128 | — | — | 2–20 | $128 – $128 |
| 14 | Medica hb ftsm managed medicare facility · other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 15 | Medicare hb ftsm medicare facility · other · outpatient | $128 | $128 | — | — | 12 | $128 – $128 |
| 16 | Tricare hb ftsm tricare facility · other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 17 | UnitedHealthcare hb ftsm managed medicare facility · other · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 18 | UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient | $128 | $128 | — | — | 2–20 | $128 – $128 |
| 19 | WellCare hb ftsm novasys mcr 103% facility · other · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 20 | Devoted hb ftsm devoted health mcr facility · other · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 21 | Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 22 | Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient | $170 | $170 | $57 | 33% | — | $113 – $226 |
| 23 | Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 24 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $182 | $182 | $61 | 33% | — | $122 – $243 |
| 25 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $204 | $204 | $68 | 33% | — | $136 – $272 |
Last updated: Jun 8, 2026
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