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
Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec
Low
$703
Average
$8.0k
Median
$10.1k
High
$13.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 10.6× 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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45 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 2 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 3 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 5 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 6 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 7 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 8 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 9 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 10 | MVHS, Inc. Utica, NY other · outpatient | 1 | $918 | $918 | — | — | — | $918 – $918 |
| 11 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 13 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 15 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · other · outpatient | 1 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 16 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $9.6k | $9.6k | $250 | 3% | — | $9.3k – $9.8k |
| 17 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 18 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 19 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 20 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 21 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 23 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 24 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 25 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
← Payers reporting CPT 55869 · Snapshot 20261112T181611Z-3fa9fb76