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 PATH CONSULT MOD COMPLEX 21-40 MIN
Low
$34
Average
$200
Median
$168
High
$2.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 1.4× 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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86 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Ascension Providence Waco, TX other · inpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 4 | Ascension Providence Waco, TX other · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 5 | Ascension Seton Austin, TX other · inpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 6 | Ascension Seton Austin, TX other · inpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 7 | Ascension Seton Bastrop, TX other · inpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 8 | Ascension Seton Austin, TX other · inpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 9 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 11 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 12 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 13 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 14 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 15 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 16 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 17 | Dallas Medical Center Dallas, TX fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 18 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $170 | $170 | — | — | — | $170 – $170 |
| 19 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 20 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 21 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 22 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 23 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 24 | Garden City Hospital City, MI fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 25 | Garden Grove Hospital Medical Center Grove, CA fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
← Payers reporting CPT 80504 · Snapshot 20261112T181611Z-3fa9fb76