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
RAD TR SUPER/ORTHO
Georgetown, TX
See all hospitals reporting CPT 77401 →Price type
St. David's Georgetown Hospital’s median price of $102 is 14% below the median hospital's median price ($118), higher than 30% of the 1,112 hospitals reporting CPT 77401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 7 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 8 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 9 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 11 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 12 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 13 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 14 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 15 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 17 | Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 18 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 21 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 22 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 23 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 24 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
Last updated: Sep 1, 2026
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