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
CB INTRACAV APP COMP
Georgetown, TX
See all hospitals reporting CPT 77763 →Price type
St. David's Georgetown Hospital’s median price of $671 is 22% below the median hospital's median price ($857), higher than 18% of the 1,376 hospitals reporting CPT 77763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $256 | $256 | — | — | — | $256 – $256 |
| 6 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $256 | $256 | — | — | — | $256 – $256 |
| 7 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $256 | $256 | — | — | — | $256 – $256 |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 9 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 10 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 11 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $439 | $439 | — | — | — | $439 – $439 |
| 12 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $452 | $452 | — | — | — | $452 – $452 |
| 13 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $481 | $481 | — | — | — | $481 – $481 |
| 14 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $678 | $678 | — | — | — | $678 – $678 |
| 15 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $872 | $872 | — | — | — | $872 – $872 |
| 16 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $977 | $83 | 8% | — | $862 – $1.1k |
| 17 | Cigna newbusinessnetwork fee schedule · outpatient | $990 | $990 | — | — | — | $990 – $990 |
| 18 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Cigna hmo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Cigna openaccess fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Cigna openaccessplus fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Sep 1, 2026
See Complex intracavitary radiation source placement pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.