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 Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac
Low
$146
Average
$20.8k
Median
$14.2k
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 290.2× 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.
Filter by billing methodology
Filter by billing class
43 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 | $50k | $50k | — | — | — | $50k – $50k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 3 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 5 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 6 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 7 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 9 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 10 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 11 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 12 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 13 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 14 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 17 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $10.1k | $10.1k | $9.8k | 96% | — | $377 – $19.9k |
| 18 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $10.1k | $10.1k | $9.8k | 96% | — | $377 – $19.9k |
| 19 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 20 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 21 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 22 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 23 | Mercy Hospital Jefferson Imperial, MO facility · other · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 24 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $11.6k | $11.6k | $303 | 3% | — | $11.3k – $11.9k |
| 25 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
← Payers reporting CPT 64629 · Snapshot 20261112T181611Z-3fa9fb76