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 Treatment Radiation Delivery Level 1
Troy, NY
See all hospitals reporting CPT 77402 →Price type
Samaritan Hospital’s median price of $268 is 17% above the median hospital's median price ($230), higher than 56% of the 1,748 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: 15 payers, 36 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 | Anthem empire medicaid facility · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Excellus empire medicaid facility · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 3 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 4 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 5 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 6 | Anthem empire bcbs medicare advantage facility · other · both | $125 | $125 | — | — | — | $125 – $125 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Aetna aetna medicare advantage facility · other · both | $135 | $135 | — | — | — | $135 – $135 |
| 9 | WellCare wellcare medicare advantage facility · other · both | $139 | $139 | — | — | — | $139 – $139 |
| 10 | Excellus blue shield of ne new york medicare adv facility · other · both | $140 | $140 | — | — | — | $140 – $140 |
| 11 | Highmark blue shield of ne new york medicare adv facility · other · both | $140 | $140 | — | — | — | $140 – $140 |
| 12 | WellCare wellcare ep 1&2 medicaid facility · other · both | $204 | $204 | — | — | — | $204 – $204 |
| 13 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $229 | $229 | — | — | — | $229 – $229 |
| 14 | Anthem empire bcbs blue access facility · other · both | $263 | $263 | — | — | — | $263 – $263 |
| 15 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 16 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 17 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 18 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 19 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 20 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 21 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 22 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 23 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 24 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 25 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
Last updated: Mar 31, 2026
See Radiation treatment delivery, basic level pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.