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 COMPLEX
Haven, FL
See all hospitals reporting CPT 77412 →Price type
Winter Haven Hospital’s median price of $546 is 13% below the median hospital's median price ($628), higher than 35% of the 1,916 hospitals reporting CPT 77412. 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 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 2 | Humana medicaid hmo facility · case rate · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 3 | Molina medicaid hmo facility · case rate · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 4 | Aetna medicaid hmo facility · case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 5 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 6 | Aetna medicare ppo facility · fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 7 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 8 | Humana commercial other facility · fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 9 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 10 | Aetna medicare hmo facility · fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 11 | Cigna medicare hmo facility · fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 12 | Humana medicare hmo facility · fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 13 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $356 | $356 | — | — | — | $356 – $356 |
| 14 | WellCare medicare hmo facility · fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 15 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $467 | $467 | — | — | — | $467 – $467 |
| 16 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $481 | $481 | — | — | — | $481 – $481 |
| 17 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $516 | $516 | — | — | — | $516 – $516 |
| 18 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $539 | $539 | — | — | — | $539 – $539 |
| 19 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $568 | $568 | — | — | — | $568 – $568 |
| 20 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $587 | $587 | — | — | — | $587 – $587 |
| 21 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $593 | $593 | — | — | — | $593 – $593 |
| 22 | Ambetter commercial select core facility · fee schedule · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 23 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $599 | $599 | — | — | — | $599 – $599 |
| 24 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $627 | $627 | — | — | — | $627 – $627 |
| 25 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
Last updated: Jan 1, 2026
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