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
CT Orb/Fos/Sel/Ear W/O Contrast
Low
$0
Average
$215
Median
$105
High
$4.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
367 hospitals; the 90th percentile is 4.2× 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.
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405 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $94 | $94 | — | — | 11 | $94 – $94 |
| 2 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $120 | $120 | — | — | 2–20 | $120 – $120 |
| 3 | Newton Wellesley Hospital Newton, MA other · both | 1 | $120 | $120 | — | — | 2–20 | $120 – $120 |
| 4 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $98 | $98 | — | — | 1–10 | $98 – $98 |
| 5 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 6 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 7 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 10 | Mississippi Baptist Medical Center Jackson, MS facility · other · outpatient | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 11 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 12 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 13 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 14 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 15 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 16 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 17 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 18 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 19 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 20 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 21 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $57 | $84 | $44 | 52% | — | $49 – $150 |
| 22 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 23 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $123 | $114 | $40 | 35% | — | $58 – $152 |
| 24 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $123 | $114 | $40 | 35% | — | $58 – $152 |
| 25 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $123 | $114 | $40 | 35% | — | $58 – $152 |
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