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 INJ CONTRAST MED DACRYOCYSTOGRAPHY
Low
$40
Average
$16.5k
Median
$298
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 1127.9× 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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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 | $47 | $47 | $5 | 10% | — | $41 – $54 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 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 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 15 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · other · outpatient | 1 | $30.8k | $30.8k | — | — | — | $30.8k – $30.8k |
| 16 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH professional · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 17 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 19 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 20 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 21 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 22 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 23 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 24 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 25 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
← Payers reporting CPT 68850 · Snapshot 20261112T181611Z-3fa9fb76