What does code 76017 cost?

Across the published hospital price files, the disclosed cash price for 76017 ranges from $194 to $1,095. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

76017 is the billing code hospitals use to identify "HC MR SAFETY MED PHYSICS EXAM CUSTOMZTN PLANING & MONTR" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

76017

HCPCS

HC MR SAFETY MED PHYSICS EXAM CUSTOMZTN PLANING & MONTR

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 76017 (HC MR SAFETY MED PHYSICS EXAM CUSTOMZTN PLANING & MONTR) appears at 19 hospitals with disclosed cash prices from $194 to $1,095. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 76017 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 76017 vary by about 5.7× across the 18 hospitals with disclosed prices here — from $194 to $1,095. Shopping around can matter.

Hospitals

Prices shown

$194

Lowest cash

$1,095

Highest cash

code 76017 cash price18 disclosed · 18 hospitals

$194median ~$1,009$1,095

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$194 – $370

Henderson · 1 hospital$194
Cleveland · 1 hospital$272
Elyria · 1 hospital$272
Chardon · 1 hospital$272
Princeton · 1 hospital$331
Milwaukee · 1 hospital$370

21 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC MR SAFETY MED PHYSICS EXAM CUSTOMZTN PLANING & MONTR Inpatient & outpatient	Endeavor Health Edward Hospital	76017 HCPCS	$1,025	$1,025	—	—
Mr sfty med physics xm cstmz Outpatient	Endeavor Health Edward Hospital	76017 HCPCS	—	—	$256 – $412	—
Hc Mri Safety Med Phys Cstm Inpatient & outpatient	University of Chicago Medical Center	76017 HCPCS	—	—	—	—
Mr sfty med physics xm cstmz Outpatient	University of Chicago Medical Center	76017 HCPCS	—	—	—	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Outpatient	Advocate Illinois Masonic Medical Center	76017 CPT	$2,190	$1,095	$365 – $1,848	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Outpatient	Advocate South Suburban Hospital	76017 CPT	$2,190	$1,095	$365 – $2,133	—
HC MR SAFETY MED PHY EX CUST, PLANNING & PERF MONITORING, W WRITTEN REPORT Outpatient	Froedtert Hospital	76017 CPT	$672	$370	$202 – $2,524	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Inpatient	Aurora Medical Center Burlington	76017 CPT	$2,190	$1,095	$1,314 – $1,862	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Inpatient	Aurora Medical Center Bay Area	76017 CPT	$2,190	$1,095	$1,314 – $1,853	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Inpatient	Aurora Medical Center Fond du Lac	76017 CPT	$2,190	$1,095	$1,314 – $1,862	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Inpatient	Aurora Medical Center Grafton	76017 CPT	$2,190	$1,095	$1,314 – $1,862	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Inpatient	Aurora Medical Center Kenosha	76017 CPT	$2,190	$1,095	$1,314 – $1,862	—
MR SAFETY MED PHYSICS CUSTOM PLAN MNGT Inpatient	Aurora Lakeland Medical Center	76017 CPT	$2,190	$1,095	$1,314 – $1,862	—
HC MR SAFETY MED PHY EX CUST, PLANNING & PERF MONITORING, W WRITTEN REPORT Inpatient	Froedtert West Bend Hospital	76017 CPT	$675	$371	$405 – $641	—
HC MR SAFETY MED PHY EX CUST, PLANNING & PERF MONITORING, W WRITTEN REPORT Inpatient	Froedtert Holy Family Memorial Hospital	76017 CPT	$675	$371	$405 – $594	—
HC MR SFTY MED PHYSICS XM CSTMZ Inpatient	Henderson Hospital	76017 CPT	$646	$194	$187 – $627	—
HC MR SFTY MED PHYSICS XM CSTMZ Inpatient	Deaconess Gibson Hospital	76017 CPT	$624	$331	$331 – $562	—
HC MR SFTY MED PHYSICS XM CSTMZ CDM Inpatient & outpatient	St Patrick Hospital - Broadway Campus	76017 HCPCS	$1,241	$993	—	—
HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR Outpatient	University Hospitals Cleveland Medical Center	76017 CPT	$363	$272	$102 – $3,270	—
HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR Outpatient	University Hospitals Elyria Medical Center	76017 CPT	$363	$272	$119 – $2,258	—
HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR Outpatient	University Hospitals Regional Hospitals - Geauga Medical Center	76017 CPT	$363	$272	$93.65 – $2,258	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 76017 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Advocate South Suburban Hospital Froedtert Hospital Aurora Medical Center Burlington Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Henderson Hospital Deaconess Gibson Hospital St Patrick Hospital - Broadway Campus University Hospitals Cleveland Medical Center University Hospitals Elyria Medical Center University Hospitals Regional Hospitals - Geauga Medical Center

Code 76017: frequently asked

What does code 76017 cost?: Across the published hospital price files, the disclosed cash price for 76017 ranges from $194 to $1,095. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 76017?: 76017 is the billing code hospitals use to identify "HC MR SAFETY MED PHYSICS EXAM CUSTOMZTN PLANING & MONTR" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 76017 by state

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