Image guidance for targeting radiation treatment at St. David's Georgetown Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LOC GUID RAD TX DEL

Georgetown, TX

See all hospitals reporting CPT 77387 →

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Pricing by billing methodology

Price type

How this price compares nationally

St. David's Georgetown Hospital’s median price of $761 is 120% above the median hospital's median price ($346), higher than 78% of the 1,646 hospitals reporting CPT 77387. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77387 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 10 payers, 34 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	Cigna newbusinessnetwork fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
2	Cigna hmo fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
3	Cigna openaccess fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
4	Cigna openaccessplus fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
5	Cigna ppo fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
6	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$339	$339	—	—	—	$339 – $339
7	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$400	$400	—	—	—	$400 – $400
8	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$428	$428	$182	42%	—	$247 – $610
9	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$428	$428	$182	42%	—	$247 – $610
10	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$428	$428	$182	42%	—	$247 – $610
11	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$431	$431	—	—	—	$431 – $431
12	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$431	$431	—	—	—	$431 – $431
13	Blue Cross Blue Shield eposoa fee schedule · outpatient	$463	$463	—	—	—	$463 – $463
14	Oscar hix percent of total billed charges · outpatientfrom % of charges	$484	$484	$205	42%	—	$279 – $689
15	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$484	$484	$205	42%	—	$279 – $689
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$495	$495	—	—	—	$495 – $495
17	Oscar epo percent of total billed charges · outpatientfrom % of charges	$539	$539	$229	42%	—	$311 – $768
18	Oscar pos percent of total billed charges · outpatientfrom % of charges	$539	$539	$229	42%	—	$311 – $768
19	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$539	$539	$229	42%	—	$311 – $768
20	Aetna narrownetwork fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
21	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$627	$627	$266	42%	—	$361 – $894
22	Humana hmo percent of total billed charges · outpatientfrom % of charges	$700	$700	$297	42%	—	$403 – $997
23	Humana ppo percent of total billed charges · outpatientfrom % of charges	$700	$700	$297	42%	—	$403 – $997
24	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$733	$733	$311	42%	—	$422 – $1.0k
25	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$756	$756	$321	42%	—	$435 – $1.1k

Page 1 of 2 · 34 rates

Last updated: Sep 1, 2026

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