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
Dise Dyn Eval Sleep Disordered Breathing Flx Dx
Low
$44
Average
$2.1k
Median
$1.7k
High
$9.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
115 hospitals; the 90th percentile is 29.1× 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.
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128 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 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 2 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 3 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 4 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 5 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 6 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $84 | $84 | $7 | 8% | — | $77 – $91 |
| 9 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 10 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 11 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 12 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 13 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 16 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 17 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 18 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 20 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 22 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 24 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $200 | $200 | — | — | — | $200 – $200 |
← Payers reporting CPT 42975 · Snapshot 20261111T120946Z-9134e7f7