Intracavitary radiation source application - simple (CPT 77761)
77761 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
21 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Parkland Memorial Hospital | Dallas, TX | $278 | $695 | $555.06 | 0.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $552.90 | $1,843 | $582.87 | 0.9× |
| Banner Wyoming Medical Center | Casper, WY | $596.40 | $1,420 | $564.51 | 1.1× |
| Longs Peak Hospital | Longmont, CO | $645.05 | $1,843 | $589.34 | 1.1× |
| UCHealth Broomfield Hospital | Broomfield, CO | $645.05 | $1,843 | $582.87 | 1.1× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $645.05 | $1,843 | $582.87 | 1.1× |
| Banner North Colorado Medical Center | Greeley, CO | $694.38 | $1,420 | $582.87 | 1.2× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $796.97 | $1,328.29 | $555.06 | 1.4× |
| UCHealth University of Colorado Hospital | Aurora, CO | $991.20 | $2,832 | $582.87 | 1.7× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $1,089.49 | $1,556.41 | $564.51 | 1.9× |
| St. John's Medical Center | Jackson, WY | $1,610 | $1,610 | $564.51 | 2.9× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $2,338 | $4,676 | $555.06 | 4.2× |
| Community Hospital Grand Junction | Grand Junction, CO | $2,825.20 | $5,045 | $582.87 | 4.8× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $5,186.70 | $11,526 | $582.87 | 8.9× |
| AdventHealth Porter | Denver, CO | $8,034.57 | $8,034.57 | $582.87 | 13.8× |
| AdventHealth Avista | Louisville, CO | $8,034.57 | $8,034.57 | $589.34 | 13.6× |
| AdventHealth Littleton | Littleton, CO | $8,034.57 | $8,034.57 | $582.87 | 13.8× |
| AdventHealth Parker | Parker, CO | $8,034.57 | $8,034.57 | $582.87 | 13.8× |
| AdventHealth Castle Rock | Castle Rock, CO | $8,034.57 | $8,034.57 | $582.87 | 13.8× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $10,571.75 | $10,571.75 | $582.87 | 18.1× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $10,925.87 | $10,925.87 | $582.87 | 18.7× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.