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
HB Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn
Low
$45
Average
$831
Median
$671
High
$6.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
256 hospitals; the 90th percentile is 8.9× 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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298 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 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $648 | $648 | — | — | 60 | $648 – $648 |
| 2 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $745 | $745 | $16 | 2% | 25 | $728 – $761 |
| 3 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $743 | $743 | — | — | 24 | $743 – $743 |
| 4 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $671 | $671 | — | — | 12 | $671 – $671 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $671 | $671 | — | — | 12 | $671 – $671 |
| 6 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $694 | $694 | — | — | 12 | $694 – $694 |
| 7 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $694 | $694 | — | — | 12 | $694 – $694 |
| 8 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $812 | $812 | $7 | 1% | 11 | $805 – $820 |
| 9 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $693 | $693 | — | — | 2–20 | $693 – $693 |
| 10 | Newton Wellesley Hospital Newton, MA other · both | 1 | $781 | $781 | — | — | 2–20 | $781 – $781 |
| 11 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $878 | $878 | — | — | 1–10 | $878 – $878 |
| 12 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $646 | $646 | — | — | 1–10 | $646 – $646 |
| 13 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $561 | $561 | $48 | 9% | 1–10 | $513 – $609 |
| 14 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $641 | $641 | — | — | 1–10 | $641 – $641 |
| 15 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $645 | $645 | — | — | 1–10 | $645 – $645 |
| 16 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $644 | $644 | — | — | 1–10 | $644 – $644 |
| 17 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $637 | $637 | — | — | 1–10 | $637 – $637 |
| 18 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $724 | $724 | — | — | 1–10 | $724 – $724 |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $152 | $158 | $66 | 42% | — | $85 – $240 |
| 21 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $613 | $613 | — | — | — | $613 – $613 |
| 22 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 23 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 24 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 25 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
← Payers reporting CPT 62321 · Snapshot 20261111T120946Z-9134e7f7