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
Esrd Alt (Sgpt)
Low
$0
Average
$11
Median
$5
High
$640
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
331 hospitals; the 90th percentile is 4.4× 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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368 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $5 | $5 | — | — | 25 | $5 – $5 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | — | — | 13 | $61 – $61 |
| 3 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $9 | $14 | $12 | 86% | 4–40 | $4 – $34 |
| 4 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 5 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 1 | $19 | $19 | — | — | 2–20 | $19 – $19 |
| 6 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | — | — | 1–10 | $61 – $61 |
| 7 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 8 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 9 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 9 | $5 | $5 | $0 | 8% | — | $4 – $5 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 17 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 19 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 20 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Ascension Providence Waco, TX other · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | Ascension Providence Waco, TX other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | Ascension Seton Austin, TX other · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Ascension Seton Austin, TX other · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting CPT 84460 · Snapshot 20261111T120946Z-9134e7f7