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
HC INJ AIR/CONTRAST INTO PERITONEAL CAVITY
Low
$68
Average
$6.0k
Median
$781
High
$35k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 285.9× 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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50 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 | $100 | $102 | $27 | 26% | — | $71 – $138 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 10 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 12 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 13 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $113 | $115 | $31 | 27% | — | $79 – $156 |
| 14 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $946 | $946 | — | — | — | $946 – $946 |
| 15 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 16 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 17 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 18 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $946 | $946 | — | — | — | $946 – $946 |
| 20 | 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 | $356 | $356 | — | — | — | $356 – $356 |
| 21 | 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 | $299 | $299 | — | — | — | $299 – $299 |
| 22 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 23 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 24 | John Muir Health Concord, CA other · outpatient | 1 | $744 | $744 | — | — | — | $744 – $744 |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
← Payers reporting CPT 49400 · Snapshot 20261112T181611Z-3fa9fb76