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
Litt Les Icr Single Trajectory 1 Simple Lesion
Low
$886
Average
$22.1k
Median
$13.4k
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 54.5× 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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19 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 | $1.0k | $1.0k | $84 | 8% | — | $948 – $1.1k |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $946 | $946 | — | — | — | $946 – $946 |
| 5 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 6 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 7 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $888 | $888 | — | — | — | $888 – $888 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 13 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 14 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 15 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 16 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 17 | San Juan Hospital Spanish Valley, UT facility · fee schedule · outpatient | 3 | $886 | $886 | — | — | — | $886 – $886 |
| 18 | San Juan Hospital Spanish Valley, UT professional · fee schedule · outpatient | 3 | $886 | $886 | — | — | — | $886 – $886 |
| 19 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX professional · fee schedule · both | 2 | $1.2k | $1.2k | $93 | 8% | — | $1.1k – $1.2k |
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