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
XT BRACHYTX ISODOSE PLN INTERM
Haven, FL
See all hospitals reporting CPT 77317 →Price type
Winter Haven Hospital’s median price of $380 is 26% below the median hospital's median price ($513), higher than 29% of the 1,648 hospitals reporting CPT 77317. 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, 45 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 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 2 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 3 | Humana medicaid hmo facility · case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 4 | Molina medicaid hmo facility · case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Aetna medicaid hmo facility · case rate · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 6 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 7 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 8 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $219 | $219 | — | — | — | $219 – $219 |
| 9 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $235 | $235 | — | — | — | $235 – $235 |
| 10 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 11 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $259 | $259 | — | — | — | $259 – $259 |
| 12 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 13 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $270 | $270 | — | — | — | $270 – $270 |
| 14 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 15 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 16 | Aetna commercial other facility · fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
| 17 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 18 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 19 | Aetna medicare ppo facility · fee schedule · outpatient | $367 | $367 | — | — | — | $367 – $367 |
| 20 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $367 | $367 | — | — | — | $367 – $367 |
| 21 | Humana commercial other facility · fee schedule · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 22 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 23 | UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $397 | $397 | — | — | — | $397 – $397 |
| 24 | UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $397 | $397 | — | — | — | $397 – $397 |
| 25 | MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
Last updated: Jan 1, 2026
See Brachytherapy treatment planning with intermediate dose calculations pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.