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Procedure price report · Therapeutic radiology

Radiation given during surgery using x-rays

CPT 77424the billing code this page is about

A single dose of x-ray radiation aimed at the tumor bed while the surgical site is open; covers one treatment session in the operating room.

Hospitals typically charge $8,270 cash for this outpatient procedure — the median across 250 hospitals that filed a usable cash price; the average of the middle 60% is $8,324. Most fall between $3,433 and $15,704 (20th–80th percentile).

Hospitals
250
States
34
Filings dated
Nov 2025 – 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 250 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
$1,580$4,054$8,270$14,225$26,585

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($1,580 vs $26,585).

How the prices are spread

$520 – $808: 6 hospitals$520$808 – $1,256: 4 hospitals$1,256 – $1,952: 7 hospitals$1,256$1,952 – $3,035: 11 hospitals$3,035 – $4,719: 29 hospitals$3,035$4,719 – $7,336: 46 hospitals$7,336 – $11,405: 50 hospitals$7,336$11,405 – $17,731: 39 hospitals$17,731 – $27,566: 24 hospitals$17,731$27,566 – $42,857: 12 hospitals$27,566median $8,270price bands are equal on a log scale
Hospitals per price band (228 of 250 — the bands cover the 5th to 95th percentile)
FromToHospitals
$520$8086
$808$1,2564
$1,256$1,9527
$1,952$3,03511
$3,035$4,71929
$4,719$7,33646
$7,336$11,40550
$11,405$17,73139
$17,731$27,56624
$27,566$42,85712

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,525
Median cash price$8,270
Cash as a multiple of Medicare1.10×

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 $8,270.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 5 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $487 across 11 hospitalsWI$487Michigan: 4 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $9,046 across 25 hospitalsNY$9,046Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $663 across 16 hospitalsPA$663New Jersey: median $8,461 across 11 hospitalsNJ$8,461Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,222 across 46 hospitalsCA$6,222Utah: no hospital in the corpus filed a usable priceUTColorado: median $12,439 across 15 hospitalsCO$12,439Nebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $4,493 across 15 hospitalsVA$4,493Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $11,887 across 17 hospitalsGA$11,887Hawaii: no hospital in the corpus filed a usable priceHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $8,270 across 25 hospitalsFL$8,270
Cash price by state, most expensive first. National median $8,270. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO15$12,439+50%$5,034 – $12,439
Georgia GA17$11,887+44%$11,887 – $66,499
New York NY25$9,046+9%$8,742 – $19,089
New Jersey NJ11$8,461+2%$8,355 – $9,003
Florida FL25$8,2700%$7,140 – $25,375
California CA46$6,222−25%$3,433 – $10,035
Virginia VA15$4,493−46%$3,907 – $31,153
Pennsylvania PA16$663−92%$520 – $18,323
Wisconsin WI11$487−94%$487 – $487
Maryland MD8not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Illinois IL5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Michigan MI4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Washington WA1not 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 $8,270.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care242$8,270$3,696 – $16,139
Children’s1fewer than 20 hospitals
Critical access5fewer than 20 hospitals
Ownership
For-profit27$11,887$2,375 – $27,294
Government30$8,270$1,580 – $9,875
Non-profit191$7,701$3,696 – $16,071
System affiliation
Part of a system230$8,270$3,459 – $15,704
Independent20$8,316$2,270 – $14,637

Cash price vs list price

Median list price (chargemaster)$12,439
Median cash price$8,270
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

171 hospitals filed a usable inpatient cash price for this code. The median is $6,222 and the average of the middle 60% is $7,754; most fall between $3,233 and $15,341.

Cash price percentiles, inpatient, across 171 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
$796$3,696$6,222$13,077$26,550

The most expensive tenth of hospitals charges at least 33× what the cheapest tenth charges ($796 vs $26,550).

Of the 180 hospitals that filed this code inpatient, 171 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

250 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 262 hospitals that filed this code at all gave us
Usable cash price — counted250
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 — excluded2
Hospitals that filed this code262

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 HC Intraop Radiation Tx.

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, “Radiation given during surgery using x-rays (CPT 77424) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77424-radiation-given-during-surgery-using-x-rays