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 BALLOON DILATION INTRACRANIAL VASOSPASM PERQ INITIAL VESSEL
Low
$361
Average
$17.9k
Median
$4.1k
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 115.0× 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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28 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 | $406 | $406 | $33 | 8% | — | $373 – $439 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 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 | Boston Medical Center Boston, MA fee schedule · both | 1 | $478 | $478 | — | — | — | $478 – $478 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $6.4k | $6.1k | $3.6k | 58% | — | $1.6k – $10.3k |
| 12 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | 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 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 14 | 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 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 15 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 16 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18.1k | $18.1k | $16.9k | 93% | — | $1.3k – $35k |
| 17 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 18 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $432 | $432 | — | — | — | $432 – $432 |
| 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 | Ojai Valley Community Hospital Ca. 93023 facility · fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 25 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
← Payers reporting CPT 61640 · Snapshot 20261113T090226Z-3ce6c0b8