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Procedure price report · Therapeutic radiology

Complex setup session for radiation treatment

CPT 77290the billing code this page is about

One simulation session using imaging to map three or more radiation treatment areas, or one requiring special blocking, molds, or contrast, before therapy begins.

Hospitals typically charge $1,569 cash for this outpatient procedure — the median across 1,773 hospitals that filed a usable cash price; the average of the middle 60% is $1,600. Most fall between $688 and $2,757 (20th–80th percentile).

Hospitals
1,773
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,773 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$440$856$1,569$2,459$4,027

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($440 vs $4,027).

How the prices are spread

$360 – $467: 113 hospitals$360$467 – $606: 119 hospitals$606 – $786: 90 hospitals$606$786 – $1,020: 123 hospitals$1,020 – $1,324: 197 hospitals$1,020$1,324 – $1,717: 270 hospitals$1,717 – $2,228: 250 hospitals$1,717$2,228 – $2,891: 198 hospitals$2,891 – $3,751: 99 hospitals$2,891$3,751 – $4,866: 141 hospitals$3,751median $1,569price bands are equal on a log scale
Hospitals per price band (1,600 of 1,773 — the bands cover the 5th to 95th percentile)
FromToHospitals
$360$467113
$467$606119
$606$78690
$786$1,020123
$1,020$1,324197
$1,324$1,717270
$1,717$2,228250
$2,228$2,891198
$2,891$3,75199
$3,751$4,866141

Against Medicare

Medicare pays (OPPS 2026, national rate)$383
Median cash price$1,569
Cash as a multiple of Medicare4.1×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,569.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,467 across 43 hospitalsWA$1,467Idaho: median $2,102 across 12 hospitalsID$2,102Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,114 across 38 hospitalsMN$1,114Illinois: median $2,260 across 72 hospitalsIL$2,260Wisconsin: median $1,426 across 72 hospitalsWI$1,426Michigan: median $1,369 across 58 hospitalsMI$1,369New York: median $1,157 across 76 hospitalsNY$1,157Massachusetts: median $1,955 across 31 hospitalsMA$1,955Oregon: median $1,608 across 28 hospitalsOR$1,608Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,650 across 28 hospitalsIA$1,650Indiana: median $1,762 across 58 hospitalsIN$1,762Ohio: median $1,844 across 88 hospitalsOH$1,844Pennsylvania: median $1,383 across 92 hospitalsPA$1,383New Jersey: median $488 across 50 hospitalsNJ$488Connecticut: median $2,068 across 16 hospitalsCT$2,068Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,830 across 112 hospitalsCA$3,830Utah: median $2,120 across 19 hospitalsUT$2,120Colorado: median $1,957 across 38 hospitalsCO$1,957Nebraska: median $1,534 across 18 hospitalsNE$1,534Missouri: median $1,881 across 39 hospitalsMO$1,881Kentucky: median $1,470 across 27 hospitalsKY$1,470West Virginia: median $1,074 across 16 hospitalsWV$1,074Virginia: median $1,276 across 47 hospitalsVA$1,276Maryland: median $1,776 across 30 hospitalsMD$1,776Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $991 across 14 hospitalsAZ$991New Mexico: median $1,495 across 10 hospitalsNM$1,495Kansas: median $1,232 across 20 hospitalsKS$1,232Arkansas: median $564 across 13 hospitalsAR$564Tennessee: median $535 across 49 hospitalsTN$535North Carolina: median $1,625 across 55 hospitalsNC$1,625South Carolina: median $1,250 across 40 hospitalsSC$1,250Oklahoma: median $746 across 29 hospitalsOK$746Louisiana: median $746 across 29 hospitalsLA$746Mississippi: median $515 across 26 hospitalsMS$515Alabama: median $832 across 25 hospitalsAL$832Georgia: median $1,276 across 63 hospitalsGA$1,276Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,752 across 132 hospitalsTX$1,752Florida: median $1,996 across 93 hospitalsFL$1,996
Cash price by state, most expensive first. National median $1,569. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA112$3,830+144%$1,796 – $4,559
Illinois IL72$2,260+44%$973 – $3,106
Utah UT19$2,120+35%$2,120 – $2,868
Idaho ID12$2,102+34%$1,318 – $2,592
Connecticut CT16$2,068+32%$1,402 – $2,574
Florida FL93$1,996+27%$987 – $3,664
Colorado CO38$1,957+25%$1,580 – $5,811
Massachusetts MA31$1,955+25%$1,125 – $2,788
Missouri MO39$1,881+20%$957 – $3,106
Ohio OH88$1,844+18%$1,287 – $3,455
Maryland MD30$1,776+13%$958 – $2,566
Indiana IN58$1,762+12%$1,040 – $2,328
Texas TX132$1,752+12%$901 – $3,624
Iowa IA28$1,650+5%$253 – $2,257
North Carolina NC55$1,625+4%$758 – $2,111
Oregon OR28$1,608+2%$966 – $2,446
Nebraska NE18$1,534−2%$1,017 – $2,294
New Mexico NM10$1,495−5%$478 – $2,445
Kentucky KY27$1,470−6%$677 – $4,779
Washington WA43$1,467−7%$840 – $1,951
Wisconsin WI72$1,426−9%$413 – $2,625
Pennsylvania PA92$1,383−12%$502 – $2,717
Michigan MI58$1,369−13%$515 – $1,888
Georgia GA63$1,276−19%$1,021 – $2,889
Virginia VA47$1,276−19%$804 – $2,007
South Carolina SC40$1,250−20%$1,239 – $1,996
Kansas KS20$1,232−21%$352 – $2,779
New York NY76$1,157−26%$433 – $2,396
Minnesota MN38$1,114−29%$522 – $2,647
West Virginia WV16$1,074−32%$440 – $1,564
Arizona AZ14$991−37%$773 – $1,603
Alabama AL25$832−47%$392 – $1,630
Oklahoma OK29$746−52%$648 – $1,630
Louisiana LA29$746−52%$516 – $1,039
Arkansas AR13$564−64%$317 – $1,237
Tennessee TN49$535−66%$416 – $1,390
Mississippi MS26$515−67%$360 – $576
New Jersey NJ50$488−69%$405 – $2,417
South Dakota SD9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,569.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,588$1,580$731 – $2,779
Children’s31$2,183$832 – $3,624
Critical access144$1,369$401 – $2,393
Ownership
For-profit227$1,512$699 – $3,577
Government192$1,286$528 – $2,233
Non-profit1,344$1,602$735 – $2,825
System affiliation
Part of a system1,561$1,602$715 – $2,825
Independent212$1,262$562 – $2,371

Cash price vs list price

Median list price (chargemaster)$2,755
Median cash price$1,569
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,310 hospitals filed a usable inpatient cash price for this code. The median is $1,636 and the average of the middle 60% is $1,675; most fall between $816 and $2,710.

Cash price percentiles, inpatient, across 1,310 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$488$984$1,636$2,483$3,970

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($488 vs $3,970).

Of the 1,434 hospitals that filed this code inpatient, 1,310 gave a usable cash price; 66 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 58 a list price only.

How complete is this

1,773 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,956 hospitals that filed this code at all gave us
Usable cash price — counted1,773
Cash price carrying a plausibility flag — shown on the compare tool, excluded here115
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded66
Hospitals that filed this code1,956

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Therapeutic radiology family.

Hospitals file this code under descriptions such as Ther Rad Simulaj-Aided Field Setting Complex|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Complex setup session for radiation treatment (CPT 77290) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77290-complex-setup-session-for-radiation-treatment