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Procedure price report · Therapeutic radiology

Image guidance to aim radiation treatment

CPT 77387the billing code this page is about

Imaging done at the time of a radiation treatment to locate the target before the beam is delivered; billed for each treatment session guided this way.

Hospitals typically charge $475 cash for this outpatient procedure — the median across 1,555 hospitals that filed a usable cash price; the average of the middle 60% is $511. Most fall between $216 and $994 (20th–80th percentile).

Hospitals
1,555
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 1,555 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
$135$276$475$829$1,436

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($135 vs $1,436).

How the prices are spread

$86 – $120: 63 hospitals$86$120 – $168: 71 hospitals$168 – $234: 118 hospitals$168$234 – $326: 174 hospitals$326 – $455: 240 hospitals$326$455 – $635: 258 hospitals$635 – $886: 199 hospitals$635$886 – $1,236: 144 hospitals$1,236 – $1,724: 86 hospitals$1,236$1,724 – $2,406: 48 hospitals$1,724median $475price bands are equal on a log scale
Hospitals per price band (1,401 of 1,555 — the bands cover the 5th to 95th percentile)
FromToHospitals
$86$12063
$120$16871
$168$234118
$234$326174
$326$455240
$455$635258
$635$886199
$886$1,236144
$1,236$1,72486
$1,724$2,40648

By state

The median cash price in each state, against the national median of $475.

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 $448 across 39 hospitalsWA$448Idaho: median $434 across 12 hospitalsID$434Montana: 4 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 $382 across 37 hospitalsMN$382Illinois: median $593 across 64 hospitalsIL$593Wisconsin: median $444 across 53 hospitalsWI$444Michigan: median $585 across 53 hospitalsMI$585New York: median $253 across 68 hospitalsNY$253Massachusetts: median $502 across 32 hospitalsMA$502Oregon: median $472 across 25 hospitalsOR$472Nevada: 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: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $396 across 28 hospitalsIA$396Indiana: median $500 across 52 hospitalsIN$500Ohio: median $536 across 70 hospitalsOH$536Pennsylvania: median $493 across 85 hospitalsPA$493New Jersey: median $553 across 32 hospitalsNJ$553Connecticut: median $547 across 15 hospitalsCT$547Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $879 across 121 hospitalsCA$879Utah: median $347 across 16 hospitalsUT$347Colorado: median $1,163 across 35 hospitalsCO$1,163Nebraska: median $521 across 19 hospitalsNE$521Missouri: median $595 across 35 hospitalsMO$595Kentucky: median $361 across 28 hospitalsKY$361West Virginia: median $359 across 13 hospitalsWV$359Virginia: median $475 across 41 hospitalsVA$475Maryland: median $317 across 27 hospitalsMD$317Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $497 across 18 hospitalsAZ$497New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $378 across 17 hospitalsKS$378Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $275 across 37 hospitalsTN$275North Carolina: median $569 across 61 hospitalsNC$569South Carolina: median $827 across 29 hospitalsSC$827Oklahoma: median $319 across 18 hospitalsOK$319Louisiana: median $139 across 22 hospitalsLA$139Mississippi: median $182 across 20 hospitalsMS$182Alabama: median $575 across 16 hospitalsAL$575Georgia: median $1,051 across 62 hospitalsGA$1,051Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $447 across 106 hospitalsTX$447Florida: median $484 across 77 hospitalsFL$484
Cash price by state, most expensive first. National median $475. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO35$1,163+145%$223 – $2,224
Georgia GA62$1,051+122%$700 – $1,234
California CA121$879+85%$203 – $1,493
South Carolina SC29$827+74%$464 – $827
Missouri MO35$595+25%$258 – $1,130
Illinois IL64$593+25%$283 – $1,000
Michigan MI53$585+23%$183 – $916
Alabama AL16$575+21%$162 – $861
North Carolina NC61$569+20%$250 – $826
New Jersey NJ32$553+16%$181 – $4,299
Connecticut CT15$547+15%$234 – $666
Ohio OH70$536+13%$255 – $1,074
Nebraska NE19$521+10%$111 – $602
Massachusetts MA32$502+6%$180 – $887
Indiana IN52$500+5%$221 – $702
Arizona AZ18$497+5%$161 – $497
Pennsylvania PA85$493+4%$72 – $888
Florida FL77$484+2%$319 – $1,308
Virginia VA41$4750%$347 – $715
Oregon OR25$472−1%$131 – $1,047
Washington WA39$448−6%$378 – $658
Texas TX106$447−6%$290 – $621
Wisconsin WI53$444−6%$327 – $515
Idaho ID12$434−8%$138 – $875
Iowa IA28$396−17%$216 – $787
Minnesota MN37$382−19%$268 – $758
Kansas KS17$378−20%$149 – $723
Kentucky KY28$361−24%$212 – $6,101
West Virginia WV13$359−24%$163 – $584
Utah UT16$347−27%$347 – $469
Oklahoma OK18$319−33%$288 – $981
Maryland MD27$317−33%$196 – $428
Tennessee TN37$275−42%$93 – $801
New York NY68$253−47%$193 – $796
Mississippi MS20$182−62%$93 – $377
Louisiana LA22$139−71%$108 – $421
Arkansas AR9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Wyoming WY4not 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 $475.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,407$475$216 – $1,022
Children’s19fewer than 20 hospitals
Critical access119$472$250 – $725
Ownership
For-profit162$718$304 – $1,835
Government169$464$174 – $849
Non-profit1,214$464$223 – $911
System affiliation
Part of a system1,374$484$231 – $1,022
Independent181$391$193 – $784

Cash price vs list price

Median list price (chargemaster)$796
Median cash price$475
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

1,174 hospitals filed a usable inpatient cash price for this code. The median is $506 and the average of the middle 60% is $532; most fall between $241 and $990.

Cash price percentiles, inpatient, across 1,174 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
$146$287$506$843$1,308

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($146 vs $1,308).

Of the 1,289 hospitals that filed this code inpatient, 1,174 gave a usable cash price; 49 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 66 a list price only.

How complete is this

1,555 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,760 hospitals that filed this code at all gave us
Usable cash price — counted1,555
Cash price carrying a plausibility flag — shown on the compare tool, excluded here95
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 — excluded108
Hospitals that filed this code1,760

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.

Related procedures

Part of the Therapeutic radiology family.

Hospitals file this code under descriptions such as Guidance for Localization of Target Volume for Delivery of Radiation Treatment Delivery, Includes Intrafraction Tracking|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, “Image guidance to aim radiation treatment (CPT 77387) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77387-image-guidance-to-aim-radiation-treatment