CPT 22870
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
Insj stablj dev w/o dcmprn
Low
$88
Average
$18.8k
Median
$721
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 514.4× 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.
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27 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $101 | $101 | $8 | 8% | — | $93 – $109 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $32.5k | $32.5k | — | — | — | $32.5k – $32.5k |
| 10 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $500 | $500 | $296 | 59% | — | $203 – $796 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 14 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 15 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 16 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 17 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 18 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 19 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 20 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 21 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 22 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 23 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 24 | San Juan Hospital Spanish Valley, UT facility · fee schedule · outpatient | 3 | $118 | $118 | — | — | — | $118 – $118 |
| 25 | San Juan Hospital Spanish Valley, UT professional · fee schedule · outpatient | 3 | $118 | $118 | — | — | — | $118 – $118 |
← Payers reporting CPT 22870 · Snapshot 20261113T090226Z-3ce6c0b8