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Procedure price report · Therapeutic radiology

Complex placement of radiation sources into tissue

CPT 77778the billing code this page is about

Placement of radioactive sources directly into tissue through needles, catheters, or seeds in a complex arrangement, covering the source application itself.

Hospitals typically charge $2,878 cash for this outpatient procedure — the median across 1,275 hospitals that filed a usable cash price; the average of the middle 60% is $2,856. Most fall between $1,162 and $5,003 (20th–80th percentile).

Hospitals
1,275
States
50
Filings dated
Jun 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 1,275 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
$821$1,439$2,878$4,382$7,489

The most expensive tenth of hospitals charges at least 9.1× what the cheapest tenth charges ($821 vs $7,489).

How the prices are spread

$664 – $872: 110 hospitals$664$872 – $1,146: 77 hospitals$1,146 – $1,506: 81 hospitals$1,146$1,506 – $1,978: 127 hospitals$1,978 – $2,598: 126 hospitals$1,978$2,598 – $3,414: 188 hospitals$3,414 – $4,484: 192 hospitals$3,414$4,484 – $5,891: 113 hospitals$5,891 – $7,739: 82 hospitals$5,891$7,739 – $10,167: 53 hospitals$7,739median $2,878price bands are equal on a log scale
Hospitals per price band (1,149 of 1,275 — the bands cover the 5th to 95th percentile)
FromToHospitals
$664$872110
$872$1,14677
$1,146$1,50681
$1,506$1,978127
$1,978$2,598126
$2,598$3,414188
$3,414$4,484192
$4,484$5,891113
$5,891$7,73982
$7,739$10,16753

Against Medicare

Medicare pays (OPPS 2026, national rate)$712
Median cash price$2,878
Cash as a multiple of Medicare4.0×

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 $2,878.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,524 across 35 hospitalsWA$2,524Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,855 across 19 hospitalsMN$1,855Illinois: median $3,970 across 45 hospitalsIL$3,970Wisconsin: median $3,944 across 33 hospitalsWI$3,944Michigan: median $1,919 across 35 hospitalsMI$1,919New York: median $1,237 across 48 hospitalsNY$1,237Massachusetts: median $3,863 across 20 hospitalsMA$3,863Oregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,402 across 18 hospitalsIA$1,402Indiana: median $3,304 across 34 hospitalsIN$3,304Ohio: median $3,208 across 72 hospitalsOH$3,208Pennsylvania: median $1,746 across 70 hospitalsPA$1,746New Jersey: median $851 across 37 hospitalsNJ$851Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,881 across 109 hospitalsCA$3,881Utah: median $3,970 across 17 hospitalsUT$3,970Colorado: median $7,522 across 29 hospitalsCO$7,522Nebraska: median $1,662 across 12 hospitalsNE$1,662Missouri: median $2,902 across 23 hospitalsMO$2,902Kentucky: median $2,321 across 22 hospitalsKY$2,321West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,165 across 38 hospitalsVA$2,165Maryland: median $1,268 across 24 hospitalsMD$1,268Delaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,012 across 21 hospitalsAZ$2,012New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,289 across 12 hospitalsKS$1,289Arkansas: median $1,625 across 10 hospitalsAR$1,625Tennessee: median $2,505 across 35 hospitalsTN$2,505North Carolina: median $3,766 across 36 hospitalsNC$3,766South Carolina: median $5,502 across 33 hospitalsSC$5,502Oklahoma: median $722 across 16 hospitalsOK$722Louisiana: median $1,414 across 22 hospitalsLA$1,414Mississippi: median $1,539 across 19 hospitalsMS$1,539Alabama: median $1,868 across 16 hospitalsAL$1,868Georgia: median $2,999 across 55 hospitalsGA$2,999Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,299 across 89 hospitalsTX$2,299Florida: median $3,618 across 92 hospitalsFL$3,618
Cash price by state, most expensive first. National median $2,878. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO29$7,522+161%$2,235 – $19,682
South Carolina SC33$5,502+91%$2,690 – $6,040
Illinois IL45$3,970+38%$1,530 – $5,337
Utah UT17$3,970+38%$2,955 – $3,970
Wisconsin WI33$3,944+37%$2,017 – $6,590
California CA109$3,881+35%$1,900 – $6,831
Massachusetts MA20$3,863+34%$2,773 – $6,171
North Carolina NC36$3,766+31%$2,248 – $4,382
Florida FL92$3,618+26%$1,564 – $9,126
Indiana IN34$3,304+15%$1,058 – $4,582
Ohio OH72$3,208+11%$2,126 – $6,727
Georgia GA55$2,999+4%$2,035 – $4,667
Missouri MO23$2,902+1%$2,230 – $7,310
Washington WA35$2,524−12%$1,891 – $3,405
Tennessee TN35$2,505−13%$502 – $3,971
Kentucky KY22$2,321−19%$1,238 – $5,408
Texas TX89$2,299−20%$1,122 – $3,726
Virginia VA38$2,165−25%$909 – $2,957
Arizona AZ21$2,012−30%$1,197 – $8,057
Michigan MI35$1,919−33%$1,076 – $2,315
Alabama AL16$1,868−35%$1,302 – $3,427
Minnesota MN19$1,855−36%$879 – $3,592
Pennsylvania PA70$1,746−39%$753 – $3,899
Nebraska NE12$1,662−42%$1,086 – $3,240
Arkansas AR10$1,625−44%$649 – $2,772
Mississippi MS19$1,539−47%$824 – $2,508
Louisiana LA22$1,414−51%$552 – $2,086
Iowa IA18$1,402−51%$829 – $4,998
Kansas KS12$1,289−55%$742 – $3,528
Maryland MD24$1,268−56%$771 – $2,126
New York NY48$1,237−57%$821 – $5,698
New Jersey NJ37$851−70%$768 – $7,290
Oklahoma OK16$722−75%$722 – $2,615
West Virginia WV9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Vermont VT1not 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 $2,878.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,190$2,878$1,151 – $5,150
Children’s10fewer than 20 hospitals
Critical access67$2,836$1,476 – $4,836
Ownership
For-profit163$3,773$1,624 – $8,057
Government128$2,263$851 – $3,944
Non-profit976$2,753$1,131 – $4,836
System affiliation
Part of a system1,152$2,908$1,162 – $5,150
Independent123$2,211$910 – $4,189

Cash price vs list price

Median list price (chargemaster)$5,279
Median cash price$2,878
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

954 hospitals filed a usable inpatient cash price for this code. The median is $2,957 and the average of the middle 60% is $2,913; most fall between $1,253 and $4,836.

Cash price percentiles, inpatient, across 954 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
$848$1,558$2,957$4,106$7,284

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($848 vs $7,284).

Of the 1,043 hospitals that filed this code inpatient, 954 gave a usable cash price; 51 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 37 a list price only.

How complete is this

1,275 of the 3,956 hospitals with a price file in our corpus (32%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,376 hospitals that filed this code at all gave us
Usable cash price — counted1,275
Cash price carrying a plausibility flag — shown on the compare tool, excluded here64
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 — excluded37
Hospitals that filed this code1,376

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 Interstitial Radiation Source Applic Complex.

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, “Complex placement of radiation sources into tissue (CPT 77778) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77778-complex-placement-of-radiation-sources-into-tissue