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 MR Safety Med Physics Xm Customization Plng&Mntr
Augusta, GA
See all hospitals reporting CPT 76017 →Price type
Piedmont Augusta’s median price of $203 is 38% below the median hospital's median price ($327), higher than 5% of the 1,605 hospitals reporting CPT 76017. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 14 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 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 2 | Caresource caresource medicaid percent of total billed charges · bothfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 3 | Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges | $117 | $117 | — | — | — | $117 – $117 |
| 4 | Medcost medcost percent of total billed charges · bothfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 5 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 6 | Phcs phcs percent of total billed charges · bothfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 7 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $276 | $276 | — | — | — | $276 – $276 |
| 8 | First Health first health percent of total billed charges · bothfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 9 | Aetna aetna hmo per diem · both | $373 | $373 | — | — | — | $373 – $373 |
| 10 | Aetna aetna ppo per diem · both | $373 | $373 | — | — | — | $373 – $373 |
| 11 | Blue Cross Blue Shield bcbs south carolina shp fee schedule · both | $373 | $373 | — | — | — | $373 – $373 |
| 12 | Cigna cigna per diem · both | $373 | $373 | — | — | — | $373 – $373 |
| 13 | UnitedHealthcare united healthcare fee schedule · both | $373 | $373 | — | — | — | $373 – $373 |
| 14 | UnitedHealthcare united healthcare exchange fee schedule · both | $373 | $373 | — | — | — | $373 – $373 |
Last updated: Jul 1, 2026
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