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
REPEAT SINGL/1ST MULTIP
Low
$30
Average
$135
Median
$104
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
321 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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371 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 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $106 | $106 | — | — | 128 | $106 – $106 |
| 2 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 98 | $103 – $103 |
| 3 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 98 | $103 – $103 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $94 | $94 | — | — | 36 | $94 – $94 |
| 5 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $110 | $110 | — | — | 14 | $110 – $110 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $243 | $304 | $74 | 24% | 5–50 | $243 – $395 |
| 7 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | $57 | 40% | 2–20 | $87 – $202 |
| 8 | Brigham and Women's Hospital Boston, MA other · both | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $68 | $68 | $30 | 45% | 1–10 | $38 – $98 |
| 10 | Lowell General Hospital Lowell, MA other · both | 1 | $408 | $408 | — | — | 1–10 | $408 – $408 |
| 11 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 12 | Newton Wellesley Hospital Newton, MA other · both | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 13 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 14 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 15 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 16 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $74 | $74 | $35 | 47% | 1–10 | $39 – $108 |
| 17 | Salem Hospital Salem, MA other · both | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 18 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $38 | $53 | $25 | 47% | — | $32 – $101 |
| 20 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 21 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $83 | $77 | $27 | 35% | — | $39 – $103 |
| 22 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $83 | $77 | $27 | 35% | — | $39 – $103 |
| 23 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $83 | $77 | $27 | 35% | — | $39 – $103 |
| 24 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $83 | $77 | $27 | 35% | — | $39 – $103 |
| 25 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $83 | $77 | $27 | 35% | — | $39 – $103 |
← Payers reporting CPT 76816 · Snapshot 20261111T120946Z-9134e7f7