Price Checker / CPT 77789
How much does Apply Surf Ldr Radionuclide cost?
CPT 77789 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 79x the fair price — among the most extreme markups. Dispute this.
Fair price
$200–$400
What this should cost
With insurance
~$670
Typical out-of-pocket
Overcharged if over
$500
Push back above this
The average hospital charge of $23,783 is $23,483 over the fair price (about 79x the fair rate).
What hospitals charge for Apply Surf Ldr Radionuclide
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Community Behavioral Health Center , CA | — | — | 34143% |
| Community Regional Medical Center FRESNO, CA | — | — | 34143% |
| Fresno Heart and Surgical Hospital , CA | — | — | 34143% |
| Grady Memorial Hospital CHICKASHA, OK | — | $0 | 21380% |
| Ascension Alexian Brothers (Alexian Brothers Medical Center) , IL | — | — | 12993% |
| Ascension Alexian Brothers Behavioral Health Hospital , IL | — | — | 12993% |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) , IL | — | — | 12993% |
| Ascension Saint Alexius (Ascension St. Alexius Medical Center) , IL | — | — | 12993% |
| "Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center)" , IL | — | — | 12993% |
| Marshfield Medical Center Rice Lake Hospital RICE LAKE, WI | $4,802 | $4,562 | 3512% |
| Marshfield Medical Center River Region Hospital STEVENS POINT, WI | $4,651 | $4,418 | 3399% |
Were you billed for this procedure?
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About Apply Surf Ldr Radionuclide
CPT code 77789 refers to apply surf ldr radionuclide (billing description: "Apply surf ldr radionuclide"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $133 in a facility (hospital or surgery center) and $133 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.