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Procedure price report

Intensity modulated radiation treatment, complex

CPT 77386the billing code this page is about

Delivery of one session of radiation using beams shaped and varied in strength across the target, at the complex level of complexity.

Hospitals typically charge $2,399 cash for this outpatient procedure — the median across 1,217 hospitals that filed a usable cash price; the average of the middle 60% is $2,374. Most fall between $1,122 and $3,877 (20th–80th percentile).

Hospitals
1,217
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 1,217 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
$736$1,295$2,399$3,521$5,387

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($736 vs $5,387).

How the prices are spread

$633 – $815: 97 hospitals$633$815 – $1,050: 67 hospitals$1,050 – $1,353: 110 hospitals$1,050$1,353 – $1,742: 102 hospitals$1,742 – $2,244: 122 hospitals$1,742$2,244 – $2,890: 213 hospitals$2,890 – $3,723: 177 hospitals$2,890$3,723 – $4,795: 105 hospitals$4,795 – $6,176: 63 hospitals$4,795$6,176 – $7,955: 45 hospitals$6,176median $2,399price bands are equal on a log scale
Hospitals per price band (1,101 of 1,217 — the bands cover the 5th to 95th percentile)
FromToHospitals
$633$81597
$815$1,05067
$1,050$1,353110
$1,353$1,742102
$1,742$2,244122
$2,244$2,890213
$2,890$3,723177
$3,723$4,795105
$4,795$6,17663
$6,176$7,95545

By state

The median cash price in each state, against the national median of $2,399.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,269 across 27 hospitalsWA$2,269Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,940 across 33 hospitalsMN$1,940Illinois: median $2,824 across 52 hospitalsIL$2,824Wisconsin: median $2,905 across 59 hospitalsWI$2,905Michigan: median $2,383 across 48 hospitalsMI$2,383New York: median $1,125 across 53 hospitalsNY$1,125Massachusetts: median $2,965 across 29 hospitalsMA$2,965Oregon: median $2,560 across 23 hospitalsOR$2,560Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,548 across 21 hospitalsIA$2,548Indiana: median $2,408 across 22 hospitalsIN$2,408Ohio: median $2,504 across 52 hospitalsOH$2,504Pennsylvania: median $2,016 across 75 hospitalsPA$2,016New Jersey: median $1,004 across 44 hospitalsNJ$1,004Connecticut: median $3,521 across 15 hospitalsCT$3,521Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,465 across 78 hospitalsCA$5,465Utah: median $2,440 across 14 hospitalsUT$2,440Colorado: median $3,812 across 34 hospitalsCO$3,812Nebraska: median $2,044 across 15 hospitalsNE$2,044Missouri: median $1,955 across 26 hospitalsMO$1,955Kentucky: median $1,210 across 13 hospitalsKY$1,210West Virginia: median $1,176 across 11 hospitalsWV$1,176Virginia: median $2,503 across 27 hospitalsVA$2,503Maryland: median $1,584 across 18 hospitalsMD$1,584Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,916 across 13 hospitalsKS$1,916Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $885 across 30 hospitalsTN$885North Carolina: median $2,192 across 41 hospitalsNC$2,192South Carolina: median $2,281 across 28 hospitalsSC$2,281Oklahoma: median $1,732 across 12 hospitalsOK$1,732Louisiana: median $1,188 across 23 hospitalsLA$1,188Mississippi: median $847 across 18 hospitalsMS$847Alabama: median $2,608 across 15 hospitalsAL$2,608Georgia: median $3,068 across 40 hospitalsGA$3,068Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,717 across 84 hospitalsTX$2,717Florida: median $3,160 across 58 hospitalsFL$3,160
Cash price by state, most expensive first. National median $2,399. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA78$5,465+128%$2,095 – $7,955
Colorado CO34$3,812+59%$2,322 – $10,115
Connecticut CT15$3,521+47%$1,594 – $4,024
Florida FL58$3,160+32%$1,611 – $4,347
Georgia GA40$3,068+28%$1,367 – $3,738
Massachusetts MA29$2,965+24%$1,877 – $4,063
Wisconsin WI59$2,905+21%$2,352 – $4,110
Illinois IL52$2,824+18%$835 – $4,568
Texas TX84$2,717+13%$1,335 – $3,820
Alabama AL15$2,608+9%$964 – $6,582
Oregon OR23$2,560+7%$1,509 – $3,115
Iowa IA21$2,548+6%$1,978 – $3,698
Ohio OH52$2,504+4%$1,444 – $3,440
Virginia VA27$2,503+4%$908 – $2,922
Utah UT14$2,440+2%$1,008 – $2,440
Indiana IN22$2,4080%$1,150 – $3,140
Michigan MI48$2,383−1%$1,446 – $2,683
South Carolina SC28$2,281−5%$1,738 – $2,664
Washington WA27$2,269−5%$1,344 – $2,814
North Carolina NC41$2,192−9%$1,176 – $3,675
Nebraska NE15$2,044−15%$1,939 – $2,892
Pennsylvania PA75$2,016−16%$848 – $4,527
Missouri MO26$1,955−19%$1,334 – $40,786
Minnesota MN33$1,940−19%$785 – $5,116
Kansas KS13$1,916−20%$1,295 – $4,410
Oklahoma OK12$1,732−28%$1,526 – $3,253
Maryland MD18$1,584−34%$873 – $2,111
Kentucky KY13$1,210−50%$979 – $2,201
Louisiana LA23$1,188−50%$796 – $1,721
West Virginia WV11$1,176−51%$757 – $1,920
New York NY53$1,125−53%$685 – $3,001
New Jersey NJ44$1,004−58%$656 – $1,468
Tennessee TN30$885−63%$696 – $1,445
Mississippi MS18$847−65%$424 – $1,122
Arizona AZ9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not 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 $2,399.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,101$2,367$1,103 – $3,793
Children’s15fewer than 20 hospitals
Critical access94$2,524$1,295 – $3,819
Ownership
For-profit115$2,598$967 – $4,013
Government146$2,053$924 – $3,675
Non-profit949$2,402$1,140 – $4,024
System affiliation
Part of a system1,083$2,417$1,122 – $3,959
Independent134$1,916$1,086 – $3,505

Cash price vs list price

Median list price (chargemaster)$4,165
Median cash price$2,399
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

921 hospitals filed a usable inpatient cash price for this code. The median is $2,510 and the average of the middle 60% is $2,564; most fall between $1,315 and $3,959.

Cash price percentiles, inpatient, across 921 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
$811$1,581$2,510$3,675$5,663

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($811 vs $5,663).

Of the 997 hospitals that filed this code inpatient, 921 gave a usable cash price; 33 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 40 a list price only.

How complete is this

1,217 of the 3,956 hospitals with a price file in our corpus (31%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,323 hospitals that filed this code at all gave us
Usable cash price — counted1,217
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded49
Hospitals that filed this code1,323

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 DELIVERY OF COMPLEX HIGH PRECISION RADIATION TREATMENT.

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, “Intensity modulated radiation treatment, complex (CPT 77386) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77386-intensity-modulated-radiation-treatment-complex