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Procedure price report · Therapeutic radiology

Doctor management of radiation given during surgery

CPT 77469the billing code this page is about

Covers the radiation oncologist's supervision and management of a single radiation treatment delivered in the operating room while the surgery is underway.

Hospitals typically charge $594 cash for this outpatient procedure — the median across 126 hospitals that filed a usable cash price; the average of the middle 60% is $669. Most fall between $379 and $1,310 (20th–80th percentile).

Hospitals
126
States
24
Filings dated
Jan 2026 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 126 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
$209$428$594$868$2,049

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($209 vs $2,049).

How the prices are spread

$101 – $141: 3 hospitals$101$141 – $197: 2 hospitals$197 – $275: 4 hospitals$197$275 – $383: 14 hospitals$383 – $535: 26 hospitals$383$535 – $747: 21 hospitals$747 – $1,043: 23 hospitals$747$1,043 – $1,456: 8 hospitals$1,456 – $2,033: 3 hospitals$1,456$2,033 – $2,838: 14 hospitals$2,033median $594price bands are equal on a log scale
Hospitals per price band (118 of 126 — the bands cover the 5th to 95th percentile)
FromToHospitals
$101$1413
$141$1972
$197$2754
$275$38314
$383$53526
$535$74721
$747$1,04323
$1,043$1,4568
$1,456$2,0333
$2,033$2,83814

By state

The median cash price in each state, against the national median of $594.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 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: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 5 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $2,838 across 10 hospitalsWI$2,838Michigan: 5 hospitals filed a usable price — fewer than 10, so no figureMINew York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $594 across 13 hospitalsIA$594Indiana: no hospital in the corpus filed a usable priceINOhio: 2 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $90 across 10 hospitalsPA$90New Jersey: no hospital in the corpus filed a usable priceNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $868 across 23 hospitalsCA$868Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: no hospital in the corpus filed a usable priceKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 8 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $428 across 14 hospitalsTX$428Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $594. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI10$2,838+378%$2,747 – $2,838
California CA23$868+46%$868 – $868
Iowa IA13$5940%$594 – $594
Texas TX14$428−28%$428 – $428
Pennsylvania PA10$90−85%$82 – $110
Oklahoma OK8not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
Illinois IL5not enough hospitals filed a usable price
Michigan MI5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Ohio OH2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Vermont VT1not 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 $594.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care114$594$379 – $1,310
Children’s1fewer than 20 hospitals
Critical access10fewer than 20 hospitals
Ownership
For-profit10fewer than 20 hospitals
Government5fewer than 20 hospitals
Non-profit110$594$379 – $1,310
System affiliation
Part of a system116$594$379 – $1,310
Independent10fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$910
Median cash price$594
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

106 hospitals filed a usable inpatient cash price for this code. The median is $594 and the average of the middle 60% is $692; most fall between $428 and $1,310.

Cash price percentiles, inpatient, across 106 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
$184$428$594$868$2,087

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($184 vs $2,087).

Of the 127 hospitals that filed this code inpatient, 106 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 0 a list price only.

How complete is this

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

What the 148 hospitals that filed this code at all gave us
Usable cash price — counted126
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded0
Hospitals that filed this code148

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 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Intraoperative Radiation Treatment Management.

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, “Doctor management of radiation given during surgery (CPT 77469) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77469-doctor-management-of-radiation-given-during-surgery