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
RT-RAD TX PORT FILMS - VARIAN 151
Wayne, IN
See all hospitals reporting CPT 77417 →Price type
St. Joseph Health System, LLC’s median price of $192 is 77% above the median hospital's median price ($108), higher than 63% of the 1,724 hospitals reporting CPT 77417. 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, 30 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 anthem in medicaid facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 2 | Caresource caresource hhw in medicaid facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Caresource caresource in hip facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 4 | Humana humana pathways in medicaid facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 5 | Medicaid in medicaid facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 6 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 7 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 8 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 9 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 10 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 11 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 12 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 14 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 15 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $166 | $166 | — | — | — | $166 – $166 |
| 16 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 17 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 18 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 19 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 20 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 21 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 22 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 24 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 25 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
Last updated: Apr 1, 2026
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