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 RAD TX>1 MEV SIMPLE
Haven, FL
See all hospitals reporting CPT 77402 →Price type
Winter Haven Hospital’s median price of $184 is 20% below the median hospital's median price ($230), higher than 43% 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, 43 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 | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 4 | Humana commercial other facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 5 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 6 | Humana medicaid hmo facility · case rate · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 7 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 8 | Molina medicaid hmo facility · case rate · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 9 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 10 | Aetna medicaid hmo facility · case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 11 | Aetna medicare hmo facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 12 | Cigna medicare hmo facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Humana medicare hmo facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 14 | WellCare medicare hmo facility · fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 15 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 16 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 17 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 18 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 19 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 20 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 21 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 22 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 23 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 24 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $217 | $217 | — | — | — | $217 – $217 |
| 25 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
Last updated: Jan 1, 2026
See Radiation treatment delivery, basic level pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.