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 Trt:>1 Mev; Simple
Gary, IN
See all hospitals reporting CPT 77402 →Price type
The Methodist Hospitals, Inc.’s median price of $390 is 70% above the median hospital's median price ($230), higher than 67% 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: 10 payers, 22 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 | Aetna medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Anthem medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Humana medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Medicare medicare facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Anthem pathway essentials facility · fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 6 | Caresource caresource facility · fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 7 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 8 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 9 | Anthem individual on exchange facility · fee schedule · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 10 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $357 | $357 | — | — | — | $357 – $357 |
| 11 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 12 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 13 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 14 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 15 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 16 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 17 | UnitedHealthcare navigate and core payer facility · percent of total billed charges · outpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 18 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · percent of total billed charges · outpatientfrom % of charges | $492 | $492 | — | — | — | $492 – $492 |
| 19 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $684 | $684 | — | — | — | $684 – $684 |
| 20 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $747 | $747 | — | — | — | $747 – $747 |
| 21 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $802 | $802 | — | — | — | $802 – $802 |
| 22 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $813 | $813 | — | — | — | $813 – $813 |
Last updated: Aug 18, 2026
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