Procedure price report · Therapeutic radiology

Complex dose map for internal radiation implant

CPT code CPT 77318the billing code this page is about

Calculation and display of radiation dose contours for a brachytherapy implant using many radiation sources or channels.

Hospitals typically charge $1,496 cash for this outpatient procedure — the median across 1,201 hospitals that filed a usable cash price; the average of the middle 60% is $1,504. Most fall between $589 and $2,616 (20th–80th percentile).

Hospitals
1,201
States
50
Filings dated
Mar 2023 – 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 1,201 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
$411$750$1,496$2,391$4,649

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($411 vs $4,649).

How the prices are spread

$310 – $421: 67 hospitals$310$421 – $572: 107 hospitals$572 – $776: 83 hospitals$572$776 – $1,053: 117 hospitals$1,053 – $1,430: 145 hospitals$1,053$1,430 – $1,941: 213 hospitals$1,941 – $2,636: 172 hospitals$1,941$2,636 – $3,578: 71 hospitals$3,578 – $4,857: 56 hospitals$3,578$4,857 – $6,593: 50 hospitals$4,857median $1,496price bands are equal on a log scale
Hospitals per price band (1,081 of 1,201 — the bands cover the 5th to 95th percentile)
FromToHospitals
$310$42167
$421$572107
$572$77683
$776$1,053117
$1,053$1,430145
$1,430$1,941213
$1,941$2,636172
$2,636$3,57871
$3,578$4,85756
$4,857$6,59350

Against Medicare

Medicare pays (OPPS 2026, national rate)$383
Median cash price$1,496
Cash as a multiple of Medicare3.9×

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 $1,496.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,119 across 28 hospitalsWA$1,119Idaho: median $2,592 across 10 hospitalsID$2,592Montana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,796 across 13 hospitalsMN$1,796Illinois: median $2,099 across 39 hospitalsIL$2,099Wisconsin: median $2,166 across 35 hospitalsWI$2,166Michigan: median $1,244 across 40 hospitalsMI$1,244New York: median $597 across 45 hospitalsNY$597Massachusetts: median $1,268 across 19 hospitalsMA$1,268Oregon: median $1,088 across 18 hospitalsOR$1,088Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $874 across 19 hospitalsIA$874Indiana: median $2,185 across 35 hospitalsIN$2,185Ohio: median $1,759 across 62 hospitalsOH$1,759Pennsylvania: median $943 across 63 hospitalsPA$943New Jersey: median $491 across 43 hospitalsNJ$491Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,920 across 92 hospitalsCA$3,920Utah: median $3,108 across 15 hospitalsUT$3,108Colorado: median $2,612 across 31 hospitalsCO$2,612Nebraska: median $1,705 across 11 hospitalsNE$1,705Missouri: median $1,879 across 27 hospitalsMO$1,879Kentucky: median $1,166 across 20 hospitalsKY$1,166West Virginia: median $796 across 12 hospitalsWV$796Virginia: median $1,574 across 37 hospitalsVA$1,574Maryland: median $835 across 26 hospitalsMD$835Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $932 across 13 hospitalsAZ$932New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,256 across 14 hospitalsKS$1,256Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $572 across 30 hospitalsTN$572North Carolina: median $1,497 across 35 hospitalsNC$1,497South Carolina: median $1,054 across 31 hospitalsSC$1,054Oklahoma: median $1,718 across 13 hospitalsOK$1,718Louisiana: median $524 across 18 hospitalsLA$524Mississippi: median $416 across 12 hospitalsMS$416Alabama: median $1,263 across 11 hospitalsAL$1,263Georgia: median $1,885 across 59 hospitalsGA$1,885Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,557 across 86 hospitalsTX$1,557Florida: median $1,891 across 81 hospitalsFL$1,891
Cash price by state, most expensive first. National median $1,496. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA92$3,920+162%$1,105 – $7,059
Utah UT15$3,108+108%$165 – $3,108
Colorado CO31$2,612+75%$1,761 – $10,067
Idaho ID10$2,592+73%$766 – $2,592
Indiana IN35$2,185+46%$946 – $2,621
Wisconsin WI35$2,166+45%$763 – $3,010
Illinois IL39$2,099+40%$828 – $4,649
Florida FL81$1,891+26%$927 – $2,213
Georgia GA59$1,885+26%$1,279 – $2,649
Missouri MO27$1,879+26%$1,305 – $2,480
Minnesota MN13$1,796+20%$1,796 – $4,759
Ohio OH62$1,759+18%$1,569 – $5,525
Oklahoma OK13$1,718+15%$746 – $2,040
Nebraska NE11$1,705+14%$555 – $1,908
Virginia VA37$1,574+5%$819 – $2,545
Texas TX86$1,557+4%$705 – $2,342
North Carolina NC35$1,4970%$676 – $1,860
Massachusetts MA19$1,268−15%$823 – $2,009
Alabama AL11$1,263−16%$479 – $1,438
Kansas KS14$1,256−16%$352 – $2,652
Michigan MI40$1,244−17%$559 – $1,631
Kentucky KY20$1,166−22%$540 – $5,105
Washington WA28$1,119−25%$280 – $1,700
Oregon OR18$1,088−27%$280 – $1,894
South Carolina SC31$1,054−30%$1,000 – $1,496
Pennsylvania PA63$943−37%$429 – $1,959
Arizona AZ13$932−38%$494 – $1,303
Iowa IA19$874−42%$285 – $2,406
Maryland MD26$835−44%$540 – $1,318
West Virginia WV12$796−47%$440 – $1,386
New York NY45$597−60%$433 – $2,505
Tennessee TN30$572−62%$397 – $1,281
Louisiana LA18$524−65%$308 – $889
New Jersey NJ43$491−67%$405 – $2,391
Mississippi MS12$416−72%$327 – $625
Connecticut CT9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Vermont VT1not 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 $1,496.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,117$1,496$577 – $2,619
Children’s8fewer than 20 hospitals
Critical access67$1,256$763 – $2,592
Ownership
For-profit126$1,659$705 – $4,075
Government131$1,281$479 – $2,127
Non-profit935$1,496$596 – $2,606
System affiliation
Part of a system1,086$1,559$611 – $2,652
Independent115$1,000$477 – $2,339

Cash price vs list price

Median list price (chargemaster)$2,515
Median cash price$1,496
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

909 hospitals filed a usable inpatient cash price for this code. The median is $1,574 and the average of the middle 60% is $1,548; most fall between $705 and $2,623.

Cash price percentiles, inpatient, across 909 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
$438$827$1,574$2,358$4,075

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($438 vs $4,075).

Of the 980 hospitals that filed this code inpatient, 909 gave a usable cash price; 39 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

1,201 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,298 hospitals that filed this code at all gave us
Usable cash price — counted1,201
Cash price carrying a plausibility flag — shown on the compare tool, excluded here58
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded39
Hospitals that filed this code1,298

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.

Hospitals file this code under descriptions such as Brachytx Isodose Pln Cplx W/Dosimetry Cal|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 dose map for internal radiation implant (CPT 77318) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77318-complex-dose-map-for-internal-radiation-implant