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
HC UNLISTED PROC-PHYS,DOSI,SP SVCS
York, PA
See all hospitals reporting CPT 77399 →Price type
UPMC Memorial’s median price of $350 is 89% above the median hospital's median price ($185), higher than 74% of the 1,219 hospitals reporting CPT 77399. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 18 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 | Highmark medicare facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 4 | Cigna medicare facility · fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 7 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $278 | $278 | — | — | — | $278 – $278 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $324 | $324 | — | — | — | $324 – $324 |
| 9 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $383 | $383 | — | — | — | $383 – $383 |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 13 | Highmark medicaid facility · fee schedule · outpatient | $422 | $422 | — | — | — | $422 – $422 |
| 14 | Highmark commercial facility · fee schedule · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 17 | Cigna commercial facility · fee schedule · outpatient | $665 | $665 | — | — | — | $665 – $665 |
| 18 | UnitedHealthcare commercial facility · case rate · outpatient | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
Last updated: Mar 6, 2026
See Radiation physics and dosimetry service, not otherwise specified pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.