Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART
Low
$670
Average
$10.8k
Median
$11.0k
High
$42.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 14.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
65 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $18.5k | $18.5k | — | — | — | $18.5k – $18.5k |
| 2 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 3 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 4 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $5.5k | $5.5k | $4.1k | 75% | — | $1.4k – $9.7k |
| 6 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 8 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 9 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 11 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 12 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 14 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 15 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 16 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 17 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient | 1 | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 18 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 19 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 20 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · both | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 21 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $873 | — | — | — | $873 – $873 |
| 22 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 23 | Mercy Hospital Ada Inc Ada, OK facility · other · outpatient | 2 | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 24 | Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient | 1 | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 25 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
← Payers reporting CPT 0913T · Snapshot 20261112T124536Z-e251e855