Intracavitary radiation source application - complex (CPT 77763)

77763 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.

27 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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HospitalLocationCash priceGross chargeMedicare pays× Medicare
Parkland Memorial Hospital Dallas, TX $278 $695 $699.65 0.4×
UCHealth University of Colorado Hospital Aurora, CO $1,092.70 $3,122 $734.70 1.5×
Baylor University Medical Center (Baylor Scott & White) Dallas, TX $1,107.14 $1,845.24 $699.65 1.6×
Banner Wyoming Medical Center Casper, WY $1,125.18 $2,679 $711.56 1.6×
UCHealth Highlands Ranch Hospital Highlands Ranch, CO $1,129.80 $3,766 $734.70 1.5×
Banner North Colorado Medical Center Greeley, CO $1,310.03 $2,679 $734.70 1.8×
Longs Peak Hospital Longmont, CO $1,318.10 $3,766 $742.85 1.8×
UCHealth Broomfield Hospital Broomfield, CO $1,318.10 $3,766 $734.70 1.8×
UCHealth Grandview Hospital Colorado Springs, CO $1,318.10 $3,766 $734.70 1.8×
Cheyenne Regional Medical Center Cheyenne, WY $2,293.49 $3,276.41 $711.56 3.2×
William P. Clements Jr. University Hospital (UT Southwestern) Dallas, TX $2,338 $4,676 $699.65 3.3×
St. John's Medical Center Jackson, WY $3,040 $3,040 $711.56 4.3×
St. Mary-Corwin Hospital Pueblo, CO $3,160.04 $7,900.09 $734.70 4.3×
Community Hospital Grand Junction Grand Junction, CO $3,530.80 $6,305 $734.70 4.8×
Longmont United Hospital Longmont, CO $4,335.69 $10,839.22 $742.85 5.8×
St. Anthony Hospital Lakewood, CO $4,335.69 $10,839.22 $734.70 5.9×
Penrose Hospital Colorado Springs, CO $4,335.69 $10,839.22 $734.70 5.9×
St. Anthony North Health Campus Westminster, CO $4,335.69 $10,839.22 $734.70 5.9×
OrthoColorado Hospital Lakewood, CO $4,335.69 $10,839.22 $734.70 5.9×
St. Francis Hospital Interquest Colorado Springs, CO $4,335.69 $10,839.22 $734.70 5.9×
UCHealth Memorial Hospital Central Colorado Springs, CO $7,521.75 $16,715 $734.70 10.2×
AdventHealth Porter Denver, CO $10,712.75 $10,712.75 $734.70 14.6×
AdventHealth Avista Louisville, CO $10,712.75 $10,712.75 $742.85 14.4×
AdventHealth Littleton Littleton, CO $10,712.75 $10,712.75 $734.70 14.6×
AdventHealth Parker Parker, CO $10,712.75 $10,712.75 $734.70 14.6×
AdventHealth Castle Rock Castle Rock, CO $10,712.75 $10,712.75 $734.70 14.6×
HCA HealthOne Presbyterian St. Luke's Medical Center Denver, CO $17,600 $17,600 $734.70 24.0×

"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.