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Procedure price report · Therapeutic radiology

Custom leaf collimator device for shaped radiation

CPT 77338the billing code this page is about

Design of the multi-leaf device that shapes the radiation beam for an intensity modulated treatment plan; billed once per plan, not per treatment session.

Hospitals typically charge $1,470 cash for this outpatient procedure — the median across 1,678 hospitals that filed a usable cash price; the average of the middle 60% is $1,656. Most fall between $622 and $3,571 (20th–80th percentile).

Hospitals
1,678
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 1,678 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
$430$726$1,470$3,053$5,392

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($430 vs $5,392).

How the prices are spread

$330 – $454: 114 hospitals$330$454 – $624: 144 hospitals$624 – $859: 154 hospitals$624$859 – $1,182: 201 hospitals$1,182 – $1,626: 192 hospitals$1,182$1,626 – $2,237: 227 hospitals$2,237 – $3,078: 146 hospitals$2,237$3,078 – $4,235: 155 hospitals$4,235 – $5,827: 116 hospitals$4,235$5,827 – $8,016: 63 hospitals$5,827median $1,470price bands are equal on a log scale
Hospitals per price band (1,512 of 1,678 — the bands cover the 5th to 95th percentile)
FromToHospitals
$330$454114
$454$624144
$624$859154
$859$1,182201
$1,182$1,626192
$1,626$2,237227
$2,237$3,078146
$3,078$4,235155
$4,235$5,827116
$5,827$8,01663

Against Medicare

Medicare pays (OPPS 2026, national rate)$383
Median cash price$1,470
Cash as a multiple of Medicare3.8×

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 $1,470.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 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 $1,347 across 41 hospitalsWA$1,347Idaho: median $2,592 across 11 hospitalsID$2,592Montana: 5 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 $637 across 37 hospitalsMN$637Illinois: median $1,751 across 71 hospitalsIL$1,751Wisconsin: median $1,739 across 66 hospitalsWI$1,739Michigan: median $1,073 across 56 hospitalsMI$1,073New York: median $909 across 74 hospitalsNY$909Massachusetts: median $1,487 across 33 hospitalsMA$1,487Oregon: median $1,288 across 27 hospitalsOR$1,288Nevada: 4 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 $1,048 across 28 hospitalsIA$1,048Indiana: median $2,289 across 58 hospitalsIN$2,289Ohio: median $1,108 across 81 hospitalsOH$1,108Pennsylvania: median $1,305 across 91 hospitalsPA$1,305New Jersey: median $488 across 49 hospitalsNJ$488Connecticut: median $1,762 across 15 hospitalsCT$1,762Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,419 across 109 hospitalsCA$3,419Utah: median $5,452 across 16 hospitalsUT$5,452Colorado: median $3,230 across 35 hospitalsCO$3,230Nebraska: median $2,919 across 17 hospitalsNE$2,919Missouri: median $2,873 across 37 hospitalsMO$2,873Kentucky: median $2,048 across 28 hospitalsKY$2,048West Virginia: median $950 across 13 hospitalsWV$950Virginia: median $1,627 across 44 hospitalsVA$1,627Maryland: median $1,252 across 29 hospitalsMD$1,252Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,135 across 22 hospitalsAZ$2,135New Mexico: median $946 across 10 hospitalsNM$946Kansas: median $1,773 across 19 hospitalsKS$1,773Arkansas: median $503 across 10 hospitalsAR$503Tennessee: median $475 across 48 hospitalsTN$475North Carolina: median $1,514 across 55 hospitalsNC$1,514South Carolina: median $3,138 across 39 hospitalsSC$3,138Oklahoma: median $1,136 across 25 hospitalsOK$1,136Louisiana: median $449 across 27 hospitalsLA$449Mississippi: median $643 across 21 hospitalsMS$643Alabama: median $627 across 21 hospitalsAL$627Georgia: median $3,433 across 66 hospitalsGA$3,433Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,981 across 111 hospitalsTX$1,981Florida: median $1,227 across 78 hospitalsFL$1,227
Cash price by state, most expensive first. National median $1,470. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT16$5,452+271%$3,366 – $5,452
Georgia GA66$3,433+134%$1,094 – $4,496
California CA109$3,419+133%$1,169 – $4,708
Colorado CO35$3,230+120%$1,135 – $12,138
South Carolina SC39$3,138+113%$1,074 – $3,609
Nebraska NE17$2,919+99%$913 – $3,312
Missouri MO37$2,873+95%$1,076 – $7,182
Idaho ID11$2,592+76%$2,592 – $3,674
Indiana IN58$2,289+56%$967 – $4,211
Arizona AZ22$2,135+45%$730 – $3,521
Kentucky KY28$2,048+39%$1,060 – $19,895
Texas TX111$1,981+35%$1,188 – $3,571
Kansas KS19$1,773+21%$563 – $2,526
Connecticut CT15$1,762+20%$1,075 – $3,992
Illinois IL71$1,751+19%$839 – $3,336
Wisconsin WI66$1,739+18%$1,057 – $2,512
Virginia VA44$1,627+11%$751 – $7,912
North Carolina NC55$1,514+3%$521 – $4,645
Massachusetts MA33$1,487+1%$847 – $2,443
Washington WA41$1,347−8%$823 – $2,812
Pennsylvania PA91$1,305−11%$430 – $5,400
Oregon OR27$1,288−12%$843 – $1,712
Maryland MD29$1,252−15%$775 – $1,987
Florida FL78$1,227−17%$632 – $2,067
Oklahoma OK25$1,136−23%$615 – $2,697
Ohio OH81$1,108−25%$613 – $1,964
Michigan MI56$1,073−27%$626 – $1,901
Iowa IA28$1,048−29%$543 – $3,653
West Virginia WV13$950−35%$635 – $2,367
New Mexico NM10$946−36%$478 – $2,434
New York NY74$909−38%$433 – $2,608
Mississippi MS21$643−56%$246 – $748
Minnesota MN37$637−57%$482 – $1,186
Alabama AL21$627−57%$529 – $7,337
Arkansas AR10$503−66%$218 – $2,007
New Jersey NJ49$488−67%$405 – $2,121
Tennessee TN48$475−68%$311 – $998
Louisiana LA27$449−69%$333 – $1,500
South Dakota SD9not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT3not 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 $1,470.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,521$1,488$622 – $3,640
Children’s23$1,976$980 – $3,985
Critical access124$1,131$594 – $2,592
Ownership
For-profit185$1,781$676 – $4,229
Government190$1,040$466 – $3,433
Non-profit1,293$1,470$638 – $3,484
System affiliation
Part of a system1,484$1,500$622 – $3,680
Independent194$1,172$563 – $2,525

Cash price vs list price

Median list price (chargemaster)$2,575
Median cash price$1,470
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

1,252 hospitals filed a usable inpatient cash price for this code. The median is $1,532 and the average of the middle 60% is $1,746; most fall between $664 and $3,680.

Cash price percentiles, inpatient, across 1,252 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
$475$775$1,532$3,138$5,284

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($475 vs $5,284).

Of the 1,358 hospitals that filed this code inpatient, 1,252 gave a usable cash price; 64 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,678 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,826 hospitals that filed this code at all gave us
Usable cash price — counted1,678
Cash price carrying a plausibility flag — shown on the compare tool, excluded here96
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 — excluded50
Hospitals that filed this code1,826

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 Mlc Imrt Design & Construction per Imrt Plan.

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, “Custom leaf collimator device for shaped radiation (CPT 77338) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77338-custom-leaf-collimator-device-for-shaped-radiation