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
US MF CMPLT DET SING/MULT
Low
$78
Average
$276
Median
$234
High
$2.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
283 hospitals; the 90th percentile is 2.4× 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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325 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $234 | $234 | — | — | 37 | $234 – $234 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $234 | $234 | — | — | 37 | $234 – $234 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $215 | $215 | — | — | 25 | $215 – $215 |
| 4 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $242 | $242 | — | — | 2–20 | $242 – $242 |
| 5 | Boston Medical Center Boston, MA other · both | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 6 | Brigham and Women's Hospital Boston, MA other · both | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $123 | $123 | $39 | 32% | 1–10 | $84 – $161 |
| 8 | Lowell General Hospital Lowell, MA other · both | 1 | $956 | $956 | — | — | 1–10 | $956 – $956 |
| 9 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $251 | $251 | — | — | 1–10 | $251 – $251 |
| 10 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $253 | $253 | — | — | 1–10 | $253 – $253 |
| 11 | Newton Wellesley Hospital Newton, MA other · both | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 12 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $239 | $239 | — | — | 1–10 | $239 – $239 |
| 13 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $226 | $226 | — | — | 1–10 | $226 – $226 |
| 14 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $131 | $131 | $45 | 34% | 1–10 | $87 – $176 |
| 15 | Tufts Medical Center BOSTON, MA other · both | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $83 | $95 | $33 | 34% | — | $72 – $166 |
| 18 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $127 | $125 | $42 | 33% | — | $80 – $167 |
| 19 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $127 | $125 | $42 | 33% | — | $80 – $167 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $127 | $125 | $42 | 33% | — | $80 – $167 |
| 21 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $127 | $125 | $42 | 33% | — | $80 – $167 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $127 | $125 | $42 | 33% | — | $80 – $167 |
| 23 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $127 | $125 | $42 | 33% | — | $80 – $167 |
| 24 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 25 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $163 | $163 | — | — | — | $163 – $163 |
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