APC 02055
Low
$484
Average
$611
Median
$611
High
$738
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2 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $375 | $484 | $143 | 29% | — | $353 – $728 |
| 2 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $676 | $738 | $183 | 25% | — | $436 – $1.0k |
← Payers reporting APC 02055 · Snapshot 20261112T181611Z-3fa9fb76