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
Dosimetry Calculation Basic
Low
$29
Average
$144
Median
$128
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
247 hospitals; the 90th percentile is 2.8× 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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288 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 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $199 | $199 | — | — | 91 | $199 – $199 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $124 | $124 | — | — | 47 | $124 – $124 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $124 | $124 | — | — | 47 | $124 – $124 |
| 4 | Brigham and Women's Hospital Boston, MA other · both | 1 | $150 | $150 | — | — | 17 | $150 – $150 |
| 5 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $132 | $132 | — | — | 15 | $132 – $132 |
| 6 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $132 | $132 | — | — | 15 | $132 – $132 |
| 7 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $124 | $124 | — | — | 11 | $124 – $124 |
| 8 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $133 | $133 | — | — | 2–20 | $133 – $133 |
| 9 | Mississippi Baptist Medical Center Jackson, MS facility · other · outpatient | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 10 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 11 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 12 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 14 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 15 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $139 | $139 | — | — | 1–10 | $139 – $139 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $31 | $39 | $15 | 38% | — | $27 – $63 |
| 17 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 18 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $31 | $41 | $15 | 35% | — | $31 – $62 |
| 19 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $31 | $41 | $15 | 35% | — | $31 – $62 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $31 | $41 | $15 | 35% | — | $31 – $62 |
| 21 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $31 | $41 | $15 | 35% | — | $31 – $62 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $31 | $41 | $15 | 35% | — | $31 – $62 |
| 23 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $31 | $41 | $15 | 35% | — | $31 – $62 |
| 24 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $2.4k | $2.4k | $2.2k | 94% | — | $140 – $4.6k |
| 25 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
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