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
TB RADIATION TREAT =OR>1MV SPL
Pittsburgh, PA
See all hospitals reporting CPT 77402 →Price type
UPMC Presbyterian’s median price of $494 is 115% above the median hospital's median price ($230), higher than 74% 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: 8 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 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 2 | Aetna chip/medicaid facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Highmark medicare advantage facility · fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 6 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 7 | Cigna medicare transplant facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 8 | Highmark medicare facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 10 | Aetna medicare facility · fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 11 | Highmark managed care - social mission facility · fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 12 | MultiPlan worker's compensation facility · fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 13 | Highmark managed care facility · fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 14 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 15 | Highmark commercial - indemnity facility · fee schedule · outpatient | $479 | $479 | — | — | — | $479 – $479 |
| 16 | Highmark upmc emergent facility · fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 17 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Mar 6, 2026
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